IN THE NAME OF ALLAH, THE MOST BENEFECIENT

THE MOST MERCIFUL.

ANATOMY OF BREASTAND ITS CLINICALS

HAIDER KHANROLL # 289

First Year MBBS

ROAD MAP Surface Anatomy of anterior thoracic wall Thoracic Lines Breast Quadrants Anatomy of Breast ( structures ) Arterial Supply of Breast Venous Drainage of Breast Lymphatic Drainage of BreastClinical Acknowledgment References

Surface Anatomy of anterior thoracic wall

.

..

THORACIC LINES

i) Anterior median lineii) Mid clavicular lineiii) Anterior axillary lineiv) Posterior axillary linev) Mid axillary line

..

BREAST QUARDANTA physician’s record might state, “ A hard irregular mass was felt in the superior medial quardant of the breast at 2 O’clock position, approx 2.5 cm from the margin of the areola”

ANATOMY OF BREASTSTRUCTURES:

ARTERIAL SUPPLY OF BREAST

.

..

VENOUS DRAINAGE OF BREAST

.

LYMPHATIC DRAINAGE OF BREAST

.

..

CLINICALS:

Polymastia Polythelia AmastiaGynacomastiaGynaconasiaMastectomy

CARCINOMA OF BREAST CAUSES OF BREAST CANCER:

AGEFAMILY HISTORYGENDERHARMONAL EFFECTSLONG MENNSTRUAL CYCLEPREGNANCYBREAST FEEDINGDIETGENETIC MUTATION

CARCINOMA OF BREASTCLASSIFICATIONNON INVASIVEI. DUCTUL CARCINOMA INSITUII. LOBULAR CARCINOMAINVASIVEIII. INVASIVE DUCTUL CARCINOMA >80 %IV. INVASIVE LOBULAR CARCINOMA 15%V. MEDULLARY CARCINOMA VI. COLLOID CARCINOMAVII.INFLIMATORY CARCINOMA

SPREAD OF BREAST CANCER• LOCAL SPREAD ( into the chest wall)• LYMPHATIC SPREADI. Axillary lymph nodes 70 %II. Internal mammary lymph nodesIII. Supra clavicular lymph nodesIV. Contra lateral lymph node• HEMATOGENOUS SPREADI. BoneII. LiverIII. Lungs IV. Brain

.

I. CLINICAL FEATURES Lump in breast, ulcerated, Skin thickens around hair foliclesBlood stain dischargeLymphadeopathyBony painPleural effusionHemoptysis

.

VI. INVESTIGATIONS1. For diagnosis of malegnancy.Cut needle biopsyIncisiosonal biopsy2. Local extent of DieseaseAssesed by MRI3. Lymph node involvementClinical judgementLymph node biopsy4. Systemic spreadPulmonary metastasisX ray of chestLiver and kidney ultrasoundBrain CT scan

TREATMENTI. STAGE 0Surgery aloneII. STAGE 1 & 2Surgery + chemotherapy + radiotherapy + hormone therapyIII. STAGE IOperableInoperableIV. STAGE 4Chemotherapy + radiotherapy + hormonal

therapy + mastectomy

ACKNOWLEDGEMENT ALLAH ALMIGHTY MY PARENTSFROF. DR. KHALID FAHEEMSIR DR. MUJAHID AKBERFACULTYSYED KASHIF HUSSAIN, BASHARAT , MUSTANSAR, MEHMOODMY FRIENDS

REFRENCESKEITH L MOORE 6TH EDITIONSYSTEMIC SURGERY BY ABDUL WAHAB DOGARB.D CHAURASIAGRAYS ANATOMYNET SURFINGI. www.thepoint.lww.comii. www.google.comiii. www.studentconsult.com

THANK YOUFor your patience