Breasts and Regional LymphaticsBreastsStructure and FunctionStructure and Function (cont.)Breast Surface AnatomySlide 6Slide 7Slide 8Breast Internal AnatomySlide 10Slide 11Regional LymphaticsSlide 13Structure and Function: Developmental CompetenceStructure and Function: Developmental Competence (cont.)Slide 16Slide 17Slide 18Slide 19Slide 20Slide 21Structure and Function: Cultural Competence (cont.)Slide 23Subjective DataSubjective Data (cont.)Slide 26Slide 27Slide 28Slide 29Slide 30Slide 31Slide 32Subjective Data: Developmental CompetenceSubjective Data: Developmental Competence (cont.)Slide 35Slide 36Objective DataObjective Data (cont.)General Appearance of BreastsSlide 40Slide 41Slide 42Slide 43Slide 44Slide 45Slide 46Slide 47Slide 48Slide 49Slide 50Slide 51Slide 52Slide 53Slide 54Slide 55Sample chartingSample charting (cont.)Abnormal Findings: Retraction and InflammationAbnormal Findings: Breast LumpAbnormal Findings: Male BreastElsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Breasts and Regional LymphaticsBreasts and Regional LymphaticsChapter 17Chapter 17Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 17: Breasts and Regional LymphaticsChapter 17: Breasts and Regional LymphaticsBreastsBreastsThe breasts, or mammary glands, are present The breasts, or mammary glands, are present in both females and males, although in men in both females and males, although in men they are rudimentary throughout lifethey are rudimentary throughout lifeFemale breasts are accessory reproductive Female breasts are accessory reproductive organs whose function is to produce milk for organs whose function is to produce milk for nourishing newbornnourishing newbornBreast have extensive lymphatic drainage Breast have extensive lymphatic drainage Slide 17-2Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 17: Breasts and Regional LymphaticsChapter 17: Breasts and Regional LymphaticsStructure and FunctionStructure and FunctionSurface anatomySurface anatomyBreasts lie anterior to pectoralis major and Breasts lie anterior to pectoralis major and serratus anterior musclesserratus anterior muscles•Located between second and sixth ribs, extending from Located between second and sixth ribs, extending from side of sternum to midaxillary line side of sternum to midaxillary line •Superior lateral corner of breast tissue, called axillary tail Superior lateral corner of breast tissue, called axillary tail of Spence, projects up and laterally into axillaof Spence, projects up and laterally into axilla•Nipple is just below the center of the breast Nipple is just below the center of the breast It is rough, round, and usually protuberant; its surface looks It is rough, round, and usually protuberant; its surface looks wrinkled and indented with tiny milk duct openingswrinkled and indented with tiny milk duct openingsSlide 17-3Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 17: Breasts and Regional LymphaticsChapter 17: Breasts and Regional LymphaticsStructure and FunctionStructure and Function (cont.)(cont.)Surface anatomy (cont.)Surface anatomy (cont.)Areola surrounds nipples; contain small elevated Areola surrounds nipples; contain small elevated sebaceous glands called Montgomery’s glands sebaceous glands called Montgomery’s glands •Montgomery’s glands secrete protective lipid material Montgomery’s glands secrete protective lipid material during lactationduring lactation•Both nipple and areola are more darkly pigmented than Both nipple and areola are more darkly pigmented than rest of breast surface; color varies from pink to brown rest of breast surface; color varies from pink to brown depending on person’s skin color and paritydepending on person’s skin color and paritySlide 17-4Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 17: Breasts and Regional LymphaticsChapter 17: Breasts and Regional LymphaticsBreast Surface AnatomyBreast Surface AnatomySlide 17-5Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 17: Breasts and Regional LymphaticsChapter 17: Breasts and Regional LymphaticsStructure and FunctionStructure and Function (cont.)(cont.)Internal anatomyInternal anatomyBreast is composed of: Breast is composed of: •Glandular tissueGlandular tissue•Fibrous tissue including suspensory ligamentsFibrous tissue including suspensory ligaments•Adipose tissueAdipose tissueGlandular tissue contains 15 to 20 lobes radiating Glandular tissue contains 15 to 20 lobes radiating from nipple, and these are composed of lobules from nipple, and these are composed of lobules •Within lobules are clusters of alveoli that produce milkWithin lobules are clusters of alveoli that produce milkSlide 17-6Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 17: Breasts and Regional LymphaticsChapter 17: Breasts and Regional LymphaticsStructure and FunctionStructure and Function (cont.)(cont.)Internal anatomy (cont.)Internal anatomy (cont.)Suspensory ligaments, or Cooper’s ligaments, are Suspensory ligaments, or Cooper’s ligaments, are fibrous bands extending vertically from surface to fibrous bands extending vertically from surface to attach on chest wall musclesattach on chest wall muscles•These support breast tissue; they become contracted in These support breast tissue; they become contracted in cancer of breast, producing dimples in overlying skincancer of breast, producing dimples in overlying skinLobes are embedded in adipose tissueLobes are embedded in adipose tissue•These layers of subcutaneous and retromammary fat These layers of subcutaneous and retromammary fat actually provide most of bulk of breastactually provide most of bulk of breast•The relative proportion of glandular, fibrous, and fatty The relative proportion of glandular, fibrous, and fatty tissue varies depending on age, cycle, pregnancy, tissue varies depending on age, cycle, pregnancy, lactation, and general nutritional statelactation, and general nutritional stateSlide 17-7Elsevier items and derived items