X-ray Lady Section 1 Notes
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Questions and Answers

Skin on breast is ____ thick at base

2mm

What is the single fixed external landmark of the breast?

nipple

What is the most common location for an accessory nipple?

6 o'clock

What percentage of the breast is made up of fat?

<p>80-85%</p> Signup and view all the answers

Tall women have a more ______ pectoral muscle

<p>vertical</p> Signup and view all the answers

Short women have a more ________ pectoral muscle

<p>horizontal</p> Signup and view all the answers

What is the MLO angle range?

<p>30-60 degrees</p> Signup and view all the answers

What is the most common MLO angle?

<p>45 degrees</p> Signup and view all the answers

What does the external stroma do?

<p>holds the larger ductal structures</p> Signup and view all the answers

What is the function of the internal stroma?

<p>help define the lobule and give it its shape</p> Signup and view all the answers

Where is glandular tissue located in the breast?

<p>centrally and laterally</p> Signup and view all the answers

What is atrophy in the context of breast tissue?

<p>replacement of glandular tissue with fatty tissue</p> Signup and view all the answers

Where does atrophy begin?

<p>medial and posterior tissue</p> Signup and view all the answers

What is the size of lobules in the breast?

<p>1-2 mm</p> Signup and view all the answers

Lobules hold ________ producing elements

<p>milk</p> Signup and view all the answers

How many intralobular terminal ducts are in each lobule?

<p>10-100</p> Signup and view all the answers

What are intralobular terminal ducts?

<p>ending to ductal pattern that connect to acini</p> Signup and view all the answers

____% of lymph drains to the axilla

<p>75</p> Signup and view all the answers

____% of lymph drains to the internal mammary chain

<p>25</p> Signup and view all the answers

In which quadrant are lymph nodes most commonly found?

<p>upper outer</p> Signup and view all the answers

How many axillary nodes are in the breast?

<p>12-30</p> Signup and view all the answers

What is the size of axillary nodes?

<p>mostly less than 2cm</p> Signup and view all the answers

What shape do axillary nodes typically have?

<p>kidney bean</p> Signup and view all the answers

Which hormones affect the female breast? (Select all that apply)

<p>Prolactin</p> Signup and view all the answers

Which hormones are produced in the ovaries by the Graafian follicle cells and corpus luteum cells?

<p>estrogen and progesterone</p> Signup and view all the answers

Prolactin is secreted by?

<p>anterior lobe of pituitary gland</p> Signup and view all the answers

When is prolactin only present?

<p>breast development, pregnancy, and lactation</p> Signup and view all the answers

Higher breast density is _______ to image

<p>harder</p> Signup and view all the answers

Higher breast density has a greater amount of?

<p>breast and connective tissue</p> Signup and view all the answers

Low breast density has a greater amount of?

<p>fatty tissue</p> Signup and view all the answers

High breast density can increase breast cancer risk by?

<p>4-6x</p> Signup and view all the answers

_____ % of the population has dense breast

<p>50</p> Signup and view all the answers

What is Breast Cancer Risk N1?

<p>lowest risk of breast cancer</p> Signup and view all the answers

What is Breast Cancer Risk P1?

<p>low risk</p> Signup and view all the answers

What is Breast Cancer Risk P2?

<p>high risk</p> Signup and view all the answers

What is Breast Cancer Risk D4?

<p>highest risk</p> Signup and view all the answers

% of women with fatty breast

<p>10</p> Signup and view all the answers

% of women with scattered density breast

<p>40</p> Signup and view all the answers

% of women with heterogeneously dense breast

<p>40</p> Signup and view all the answers

% of women with extremely dense breast

<p>10</p> Signup and view all the answers

The male breast is made up of mostly _____ tissue

<p>fatty</p> Signup and view all the answers

What does the male breast not contain?

<p>cooper's ligaments or specialized lobules</p> Signup and view all the answers

When does breast development happen in females?

<p>8-13 years old</p> Signup and view all the answers

What is Tanner Stage 1?

<p>before puberty</p> Signup and view all the answers

What occurs in Tanner Stage 2?

<p>elevation of the breast/papillas formation of breast bud, enlargement of areola</p> Signup and view all the answers

What occurs in Tanner Stage 3?

<p>obvious enlargement and formation</p> Signup and view all the answers

What is Tanner Stage 4 characterized by?

<p>further enlargement of the breast</p> Signup and view all the answers

What occurs in Tanner Stage 5?

<p>full development of breast contour</p> Signup and view all the answers

What is premature thelarche?

<p>early breast development</p> Signup and view all the answers

Study Notes

Breast Anatomy and Development

  • Skin thickness on the breast base measures 2mm.
  • The nipple serves as the single fixed external landmark of the breast.
  • Most common location for accessory nipples is at the 6 o'clock position.
  • Approximately 80-85% of breast composition is fat.
  • Taller women typically have a vertical pectoral muscle orientation; shorter women exhibit a horizontal orientation.

Mammographic Views and Structures

  • MLO (Mediolateral Oblique) angle ranges from 30-60 degrees, with 45 degrees being the most common angle.
  • External stroma supports larger ductal structures, while internal stroma defines and shapes lobules.

Lobules and Milk Production

  • Lobules are 1-2 mm in size and contain milk-producing elements.
  • Each lobule comprises 10-100 intralobular terminal ducts, connecting to acini.

Lymphatic Drainage

  • 75% of lymph drains to the axilla; 25% drains to the internal mammary chain.
  • Lymph nodes are predominantly located in the upper outer quadrant of the breast.
  • There are 12-30 axillary nodes, mostly less than 2 cm in size, typically shaped like kidney beans.

Hormonal Influence on Breast Tissue

  • Female breast development is influenced by estrogen, progesterone, and prolactin.
  • Estrogen and progesterone are produced in the ovaries by Graafian follicle cells and corpus luteum cells.
  • Prolactin, secreted by the anterior lobe of the pituitary gland, is present during breast development, pregnancy, and lactation.

Breast Density and Cancer Risk

  • Higher breast density complicates imaging and consists of more breast and connective tissue.
  • Lower density contains a higher percentage of fatty tissue.
  • High breast density increases breast cancer risk by 4-6 times.
  • Approximately 50% of the population has dense breasts.

Breast Cancer Risk Categories

  • Breast Cancer Risk N1 indicates the lowest risk.
  • Risk P1 signifies low risk.
  • Risk P2 denotes high risk.
  • Risk D4 relates to the highest cancer risk.

Demographics of Breast Density

  • 10% of women have fatty breasts.
  • 40% of women fall under scattered density.
  • 40% of women have heterogeneously dense breasts.
  • 10% experience extremely dense breasts.

Male Breast Anatomy

  • The male breast primarily comprises fatty tissue.
  • Male breasts lack Cooper's ligaments and specialized lobules.

Tanner Stages of Breast Development

  • Tanner Stage 1: Before puberty; no breast development.
  • Tanner Stage 2: Breast elevation, formation of breast bud, enlargement of areola, with ultrasound showing retroareolar nodules.
  • Tanner Stage 3: Obvious enlargement; ultrasound reveals hyperechoic glandular tissue and Morgagni tubercles.
  • Tanner Stage 4: Further breast enlargement; ultrasound shows hyperechoic fibroglandular tissue.
  • Tanner Stage 5: Full development of breast contour.
  • Premature thelarche refers to early breast development in females.

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