Dr Adel Bondok Anatomy Channel · Transcript · · Updated
Breast Anatomy, Dr Adel Bondok – Transcript
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- The female breast is ectodermal in origin, developing from two milk lines that extend from the axilla to the groin during the second intrauterine month.
- The breast extends upward to the second rib, downward to the sixth rib, medially to the sternum, and laterally to the mid-axillary line.
- Seventy-five percent of the breast lymphatics drain into the axillary lymph nodes, while twenty-five percent drain into the parasternal and abdominal lymph nodes.

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Hello everyone this is Dr. Adel Banduk Professor of Anatomy and Neuroscience Montsoura University Egypt I will talk about the anatomy of the female brista I will talk about the development the formation of the brista the age changes the extension upward downward immediately and laterally
and then we'll talk about the nipple and the irula the structure arterial supply and the venous drainage lymphid drainage and the clinical importance of the brist start by the development of the brist the brist is ectodermal in origin it develops from the ectoderm during the second intra uterine mansa
this ectoderm forms two milk lines and the milk lines extend from the axilla to the groin so it is ectodermal in origin the ectoderm forms two milk lines each line extend from the axilla to the groin
only the upper part of the milk line persists and the remaining part disappear so the upper part of the milk line forms the brist sometimes there are accessory nipples and these accessory nipples are located along the course of the milk line then we'll talk about the formation of the brist
the brist of course is formed of skin skin and fascia fat and this gland which is memory gland or milk gland and this memory gland is modified is with gland and it is present in the superficial fascia and of course the brist is formed of also contains blood vessels nerves and lymphatics
then regarding the age changes in the female brist or in the brist before puberty the brist is rudimentary is very small and male brist and female brist are identical at puberty due to hormonal changes and the secretion of estrogen the brist becomes rounded due to fat deposition
during pregnancy and lactation the brist becomes large and dense and at monopause the brist loses fat and becomes smaller in size regarding the exitention of the brist it extends upward till the second rib till the level of the sternal angle it extends downward till the sixth rib
it extends medially till the medial margin of the sternum it extends laterally till the mid-axillary line how about the axillary tail this axillary tail or the brist tail the brist tail is present in the axilla how about the nipple the nipple is the conical projection
in the male it lies in the force interquistally space but the position of the nipple in the female is variable due to the variability in the size of the brist around the nipple this circular area or circular pigmented area is called the urula
so the urula is the circular pigmented area around the nipple and it is pigmented or it is dark in color during the pregnancy due to secretion of the melanin spreading factor by the placenta so the extension upward to second rib downward to the sixth rib medially to the medial margin of the sternum
laterally to the mid-axillary line and the brist tail is present in the axilla the nipple in the male is located in the force interquistally space in the mid-clavicular line okay and the urula is colored or is a pigmented area around the nipple
regarding the brist tail the muscles deep to the brist actually two muscles medial two thirds formed by the pictorialis major muscle lateral one third serratus anterior this is the serratus anterior this is the pictorialis major so the brist bed is formed of two muscles
medial two thirds by the pictorialis major and lateral one third by the serratus anterior muscle regarding the structure of the brist as i said the brist is formed of skin
the brist has no capsule and it consists of glans and fat the brist is divided into 15 to 20 lbs by septa this is a septum another septum septum
the brist is divided by fiber septa into 15 to 20 lbs this fiber septa for what is called suspensory ligament of cooper this suspensory ligament of cooper suspends the brist each lobe contains a mammary gland and each gland has lactiferous duct this is the lactiferous duct
okay lactiferous duct so we have 15 to 20 lactiferous duct each duct dilates under the urula to form lactiferous sinus and these lactiferous sinuses act as milk reservoir and then the duct opens into the nipple
so the brist has no capsule it consists of glans and fat it is divided into 15 to 20 lbs by septa this septum form suspensory ligament of cooper which suspends the brist each lobe has only one lactiferous duct each duct dilates under the urula to form lactiferous sinus
and then the duct opens into the nipple so the nipple contains 15 to 20 openings of the lactiferous ducts regarding the arterial supply of the brist the brist is supplied by four arteries p p p l the first p okay pictoral branch of the soracoacromial artery
the second one perforating the branches of the internal thoracic artery third p perforating the branches of the intercostal arteries and the lateral thoracic artery which is a branch from the axillary artery okay from the second part of the axillary artery
so arterial supply of the brist four arteries three p and one l pictoral branch of soracoacromial artery perforating the branches of the internal thoracic artery perforating the branches of the intercostal arteries and lateral thoracic artery from the second part of the axillary artery regarding the venous drainage of the brist the veins correspond to the arteries
so we have internal thoracic vein this internal thoracic vein drains into the brachiosophilic vein then we have intercostal veins these intercostal veins drain into the internal thoracic vein azagas and hematazagas veins the lateral thoracic vein and the soracoacromial vein drain into the axillary vein
and then we'll talk about the lymph drainage of the breast the breast is divided into four zones central and lateral zones middle upper and lower 75 percent of the lymphatics drain into the axillary lymph nodes
the other 25 percent drain into the parasternal lymph nodes and abdominal lymph nodes so generally lymph drainage of the breast 75 percent drain into the axillary lymph nodes 25 percent drain into the internal thoracic or parasternal lymph nodes
and abdominal lymph nodes let us talk about each quadrant and see its lymph drainage so the breast is divided into four quadrants central and lateral quadrant medial quadrant upper quadrant and lower quadrant the central and lateral quadrant
drain into the pictorial group of the axillary lymph nodes and the axillary tail drains into the subscapular group and from the apical from the pictorial and the subscapular lymphatics reach the apical group of the axillary lymph nodes so the central and lateral quadrant drain into the
pictorial group of the axillary lymph nodes the axillary tail drains into the subscapular group then drain into the apical group the medial quadrant drain into the parasternal lymph nodes along the internal thoracic artery then to the mediastinal lymph nodes some lymphatics like this one
some lymphatics cross to the opposite side to anestimize with the lymphatics of the opposite breast therefore in breast cancer we have to examine the opposite breast upper quadrant drain into the apical group of the axillary lymph nodes either directly or indirectly through
the infraclavicular lymph nodes some lymphatics cross the clavicle to drain into the lower deep cervical lymph nodes the lower quadrant drain into the abdominal and posterior intercostal lymph nodes again lymph drainage of the four quadrants of the breast the central and lateral quadrant drain into
pictorial group of the axillary lymph nodes the axillary tail drain into the subscapular group and then lymphatics reach the apical group the medial quadrant drains into the parasternal lymph nodes and from the parasternal lymph nodes to the mediastinal lymph nodes some lymphatics cross to the opposite side to anestimize with the lymphatics of the opposite breast the lower quadrant
okay the upper quadrant drain into the apical group of the axillary lymph nodes either directly or indirectly through the infraclavicular lymph nodes some lymphatics cross the clavicle to drain into the lower deep cervical lymph nodes the lower quadrant drain into the abdominal and posterior intercostal lymph nodes and finally let us have a clinical note about the breast