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A lesion located in the upper-outer quadrant of the right breast is located in the:
A) 2 o'clock position
B) 5 o'clock position
C) 7 o'clock position
D) 10 o'clock position
(D)
Name the quadrants of the breast.
Upper-outer quadrant (UOQ)
Lower-outer quadrant (LOQ)
Lower-inner quadrant (LIQ)
Upper-inner quadrant (UIQ)
Breast localization can be described in different ways. List them.
1) As a clock with clock-time descriptions within the breast
2) Using the four-quadrant method
3) Lesions can be localized using the region method (i.e. Posterior, Middle, Anterior, Subareolar)
Morgagni tubercles are usually found:
A) on the nipple
B) on the lateral border of the breast
C) in the terminal duct lobular unit (TDLU)
D) on the areola
(D)
Morgangi Tubercles
Elevations formed by the opening of the ducts of the Montgomery glands. Found on the areola.
Montgomery's Glands
sebaceous glands in the areola, secrete protective lipid during lactation; also called tubercles of
Montgomery. Found on the areola, NOT the nipple.
An inverted nipple:
A) always indicates breast cancer
B) sometimes indicates breast cancer
C) never indicates breast cancer
D) usually indicates breast cancer
(B)
The most mobile margins of the breast are:
A) medial and lateral aspects
B) inferior and superior aspects
,C) medial and superior aspects
D) inferior and lateral aspects
(D)
The breast is most secured at the __________________ and ________________ aspects.
superior and medial
To maximize compression of breast tissue, the most ________________ parts of the breast are pulled
onto the detector before applying compression.
movable
Acinus (acini)
The milk-producing element of the breast, located within the alveolar glands.
Cooper's ligaments (suspensory ligaments)
Strands of connective tissue that run between the skin and deep fascia to support the lobes of the breast.
They start at the most posterior portion (base) of the breast and extend outward to attach to the anterior
fascia of the skin. A network of fibrous and elastic membranes. They incompletely sheath the lobes of the
breast.
Inframmary fold or crease
The most inferior aspect of the breast where it meets the anterior abdominal wall.
Involution
Describes a process that begins at menopause as the breast loses its supportive tissue to fat, to produce a
smaller breast or a larger, more pendulous one.
Lactiferous Ducts
Milk ducts which carry milk from the mammary glands to the nipple
Lactiferous Sinus
A widening or ampulla in the connecting duct immediately behind the nipple orifice. The ampulla is a
pouch-like structure that holds milk (when it is being produced).
Lymph Node
A small kidney-shaped organ, which is a part of the lymphoid tissue. These lie at intervals along the
lymphatic vessel and are seen mammographically as ovoid structures with a lucent center or hilum,
generally a few centimeters in length.
retromammary space
An area of fatty tissue separating the breast from the pectoral muscle.
Sebaceous glands
oil-secreting glands in the skin
,Tail of Spence (axillary tail)
Upper-outer quadrant of the breast, which extends toward the axilla. It is also the thickest portion of the
breast.
TDLU (terminal duct lobular unit)
The most distal end of the ductal system. Increases or decreases in size and number depending on
menstual cycles, pregnancy, lactation, and hormone use. Responsible for milk production. Most cancers
originate here.
Breast parenchyma
Made up of fibroglandular and fatty tissues.
The normal breast may have:
A) 0-5 lobes
B) 15-20 lobes
C) 30-40 lobes
D) 340-350 lobes
(B)
On average, a breast has _______ lobes. The number can, however, be as low as _______ or as high as
______.
15/10/20
The structure that supports the breast and contributes to breast shape is called:
A) Montgomery ligament
B) Cooper ligament
C) fibroglandular tissue
D) fatty tissue
(B)
The breast extends vertically from the:
A) first through the ninth rib
B) second through the tenth rib
C) second through the sixth rib
D) third through the tenth rib
(C)
The breast extends vertically from _____________________ and horizontally from
_______________________.
The breast extends vertically from the clavicle (second or third rib) to meet the abdominal wall at the
level of the sixth or seventh rib. It extends horizontally from the mid-sternum to the mid-axillary line (the
latissimus dorsi muscle).
Mammary Line
, Breast tissue can form anywhere along this. It extends from the armpits in the axilla to the groin region of
the body.
The thickest part of the breast is at the:
A) areola
B) nipple
C) tail of Spence
D) inframammary crease
(C)
Nipple
The center point of the breast, surrounded by the areola.
Inframmary Fold (IMF)
The lowest extent of the breast where it attaches to the chest wall.
Cooper ligaments attach anteriorly to the:
A) deep fascia of the lobes
B) fascia of the skin
C) posterior surface of the breast
D) connective and supporting stroma
(B)
Fatty tissue is generally ______________ and is seen on the mammogram as areas of _______________
optical density.
A) radiolucent/lower
B) radiopaque/higher
C) radiolucent/higher
D) radiopaque/lower
(C)
Fibrous and glandular tissues are less _________________ and will show as ___________________
optical density on the mammograms.
radiolucent/lower
Typically, a patient with dense fibrous and glandular tissue throughout the entire breast on a baseline
mammogram is:
A) age 20 years or younger
B) between ages 50 and 60 years
C) above age 70 years
D) below age 45 years
(D)
_______________ tissue predominates in younger women whereas _______________ tissue
predominates in older women.