SURGICAL ANATOMY BREAST & AXILLA

Dr GHULAM MUSTAFA ARAIN

SURGICAL UNIT I

SURGICAL ANATOMY

videoplayback.FLV

Modified sebaceous gland  Extent



Vertical 2nd to 6th rib Horizontal side of sternum to mid axillary line Axillary tail of spence Nipple lies in 4th ICS, 10cm from midline

ARCHITECTURE
ACINI

LOBULES

LOBES

BLOOD SUPPLY

supplied by branches of
internal thoracic axillary intercostal arteries

Veins correspond to named arteries

LYMPHATICS OF BREAST

Divided into five groups anatomically

Anterior Posterior Central apical Lateral

Surgically there are three levels at which these can be described at

Level I Level II Level III

Sentinal Lymph node

first lymph node draining the tumor-bearing tumorarea of the breast

DISEASES OF BREAST
Breast pain (mastalgia)  Tumor  Fibrocystic disease  Infection/abscess  Congenital anomalies


TUMORS


BENIGN & MALIGNANT

Fibroadenoma is the most common benign tumor of the breast and the most common breast tumor in women under age 30. Over the course of a lifetime, 1 in 8 women will be diagnosed with breast cancer.

FIBROADENOMA BREAST

CA BREAST

Diagnosis of breast luMp



Triple assessMent

HISTORY/ EXAMINATION MINATION

IMAGING MAGING

PATHOLOGY

CONGENITAL ANOMALIES

AMASTIA  POLYMASTIA  POLYTHELIA  GYNECOMASTIA



THANK YOU