Breast Anatomy and Physiology

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Questions and Answers

What is the primary function of the luminal cell layer in the breast?

  • Regulating hormonal changes during lactation
  • Producing milk in the lobules and protecting the ducts (correct)
  • Facilitating milk ejection towards the nipple
  • Providing structural support to the ducts

Which hormone is primarily responsible for breast development after menarche?

  • Prolactin
  • Testosterone
  • Oxytocin
  • Estrogen (correct)

What is a common cause of galactorrhea?

  • Decreased progesterone levels
  • Breast atrophy post-menopause
  • Nipple stimulation (correct)
  • Presence of supernumerary nipples

What happens to breast tissue after menopause?

<p>It undergoes atrophy (C)</p> Signup and view all the answers

Which of the following statements regarding breast tissue characteristics before puberty is accurate?

<p>Both male and female breast tissue consists primarily of large ducts under the nipple (B)</p> Signup and view all the answers

Flashcards

What is the terminal duct lobular unit?

The functional unit of the breast, responsible for milk production.

What is the luminal cell layer?

The inner layer of cells lining ducts and lobules in the breast, responsible for milk production in lobules and protection in ducts.

What is the myoepithelial cell layer?

The outer layer of cells lining ducts and lobules in the breast, responsible for contracting to propel milk towards the nipple.

What is hyperplasia?

The process of increased cell growth and division, particularly in the breast lobules during pregnancy, driven by hormones like estrogen and progesterone.

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What is galactorrhea?

Milk production outside of lactation, not a symptom of breast cancer. It can be caused by nipple stimulation, pituitary tumors, or medications.

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Study Notes

Breast Anatomy and Physiology

  • Breasts are modified sweat glands, embryologically derived from the skin.
  • Breast tissue can develop anywhere along the milk line (from axilla to vulva).
  • The terminal duct lobular unit (TDLU) is the functional unit and produces milk, which drains via ducts to the nipple.
  • Lobules and ducts are lined by two layers of epithelium:
    • Luminal cell layer: inner layer, responsible for milk production.
    • Myoepithelial cell layer: outer layer, responsible for contracting to move milk to the nipple.
  • Breast tissue is hormone-sensitive.
  • Before puberty, breast tissue consists mostly of large ducts under the nipple.
  • After puberty, estrogen and progesterone stimulate lobule and duct development, with highest density in the upper outer quadrant.
  • Breast tenderness is common during the premenstrual period.
  • During pregnancy, lobules undergo hyperplasia (enlargement) due to hormones from the corpus luteum, fetus, and placenta.
  • After menopause, breast tissue atrophies (shrinks).
  • Milk production outside of lactation is called galactorrhea.
  • Galactorrhea is not a symptom of breast cancer.
  • Causes of galactorrhea may include nipple stimulation, prolactinoma (tumors in the pituitary gland), or medications.

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