By Robert E. Mansel MB BS MRCS LRCP FRCS MS, David Webster MD FRCS, Helen Sweetland MBChB MD FRCS(Ed)
This is often the textual content publication to have for these clinicians excited by the care of sufferers with benign breast sickness. It addresses the entire stipulations more likely to be encountered in a breast sanatorium with concise and up to date wisdom at the topic. it's a should have in setting up a breast sanatorium
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3 The gross anatomy of the breast. The upper two-thirds lie on the pectoralis major and the lower one-third on the serratus anterior. Note the prolongation of the upper outer quadrant into the axilla. Breast tissue extends much more widely than shown here in a significant minority of women. anterior rectus sheath in the lower medial area. 12 Breast tissue extends below the costal margin in 15% of cases, and beyond the anterior border of latissimus dorsi in 2%. Ductal elements also extend very close to the skin.
70 Stromal changes dominate and fat deposition accelerates and connective tissue regression is marked. The end result is that the branching major duct system is visible, but very few lobules can be seen and these are embedded in dense fibrotic capsules unlike the loose stroma surrounding the lobules in the breasts of younger women. Some lobules may develop into microcysts by dilatation, possibly due to obstruction of the terminal ductule, and interlobular connective tissue is greatly reduced. Externally, these changes produce the shrunken, pendulous breast of the old woman and, when mammography is performed, are responsible for the good contrast of parenchyma to fat obtained on mammograms of the older breast.
Vol 3, part 3, Haut und Sininesorgane. Berlin: Springer-Verlag; 1957:277–485. 5. Anbazhagan R, Bartek J, Monaghan P et al. Growth and development of the human breast. American Journal of Anatomy 1991; 192: 407–417. 38 6. Marshall WA & Tanner JM. Variations in pattern of pubertal changes in girls. Archives of Diseases of Childhood 1969; 44: 291–303. 7. Zacharias L, Wurtman RJ & Schatzoff M. Sexual maturation in contemporary American girls. American Journal of Obstetrics and Gynecology 1970; 108: 833–846.