The Breast Bailey and Love's Short Practice of Surgery Chapter 53 QUESTIONS AND ANSWERS

The Breast Bailey and Love's Short Practice of Surgery Chapter 53 QUESTIONS AND ANSWERS Axillary tail of the breast is of surgical importance because..... - ANSWER - in some normal subjects it is palpable and in a few it can be seen premenstrual or during lactation - a well developed tail is sometimes mistaken for a mass of enlarged lymph nodes or a lipoma Extension of the protuberant part of the breast? - ANSWER 2nd to 6th rib, from lateral border of the sternum to the anterior axillary line - it is important to know that part of the breast extends beyond that - part of the mammary tissue extends from the clavicle above to the seventh or eighth rib below and from the midline to the edge of the latissimus dorsi - important to know when performing a mastectomy where the goal is to remove the whole breast What is the basic structural unit of the mammary gland? - ANSWER - the lobule - number and size vary enormously - they are most numerous in young women Describe the basic buildup of the breast! - ANSWER - from 10 to 100 lobules enter via ductules into a lactiferous duct - there are 15-20 such lactiferous ducts - each lactiferous duct is lined with a spiral arrangement of contractile myoepithelium cells and is provided with a terminal ampulla - ampulla is a reservoir for milk or discharge of some kind The ligaments of Cooper are ....... of fibrous tissue filled with ....... The apices of the cones are attached to the - ANSWER - hollow conical projections - breast tissue - to superficial fascia - thereby they are attached to the skin overlying the breast - the ligaments of Cooper are the reason for the dimpling of the skin overlying a carcinoma Who first described Cooper's Ligaments? When? - ANSWER Sir Astley Paston Cooper, Guys Hospital London - 1845 The areola contains ......... in the subcutaneous tissue. The areola epithelium contains numerous ....... and ........ - ANSWER - involuntary muscle - sweat