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Breast Anatomy
N/A
65
Biology
Not Applicable
05/09/2011

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Term

endocrine

Definition
glands that secrete hormones directly into the blood or lymph
Term

mammogenisis

Definition

development of mammary tissue and related structures

Term

Lactogenisis I

Definition

-starts from 16-20 weeks of pregnancy

-beginning of secretory cellular activity

-accumulation of colostrum (from 10-12 weeks)

Term
lctogenisis II
Definition
Triggered by the delivery of the placenta it starts 30-72 hours after placental delivery
Term
lactogenisis III
Definition

-switch from endocrine to autocrine control

-onset of copious milk production

-also known as galactopoesis 

-day 9- involution 

Term
breasts are capable of full lactation from
Definition
16 weeks of pregnancy
Term
epithelium
Definition
any tissue that covers a surface, lines a cavity, and that, in addition, performs and of various secretory, transporting, or regulatory functions
Term
progesterone role during pregnancy
Definition

-hormone/steroid that increases during pregnancy

-stimulates lobular growth but suppresses secretory activity

-sensitizes cells to the effect of insulin and growth factors

-secreted by ovaries and placenta

Term
endocrine control system
Definition
hormonally driven
Term
estrogen in pregnancy
Definition

-hormone increases during pregnancy

-stimulates ductular sprouting

-secreted by placenta and ovaries

Term
placental lactogen
Definition

-hormone secreted by placenta

-accelerate breast growth during pregnancy

Term
chorionic gonadotrophin
Definition

-pregnancy hormone

-accelerates breast tissue growth

-can test in pregnancy tests

Term
17 beta-estradiol
Definition

-form of estrogen

-sex hormone required for mammary growth and epithelial proliferation during pregnancy

Term
glucocorticoids
Definition

-steroid hormones

-enhance formation of the lobules during pregnancy

-synthesized in the adrenal cortex

Term
steroids
Definition

a specific kind of hormone

4 cycloalkane rings that are joined to each other

Term
prolactin's role in pregnancy
Definition

-hormone that increase during pregnancy and completes mammary gland growth

-secreted by anterior pituitary gland

-stimulates prolactin receptor sites on alveolar cell surfaces

-kept in check by progesterone and PIF (dopamine)

Term
3 hormones needed for lactation to begin
Definition

1. prolactin

2. hydro-cortizone

3. insulin

Term
antepartum secretion
Definition
colostrum
Term
hormones that drop following placental expulsion (lactogenisis II)
Definition

progesterone

estrogen

placental lactogen

Term
rises at onset of lactogenisis II
Definition

citrate

alpha-lactalbumin

 

Term
lactogenisis II can be delayed by...
Definition

-placental retention

-too much fluid during labor

-type 1diabetes 

Term
galactopesis
Definition
lactogenisis III- maintanence of lactation
Term
FIL
Definition

Feedback Inhibitor of Lactation

-small whey protein 

-slows milk synthesis when breast is full

Term
hypothalamus
Definition

region of the brain- main control center for nervous system

-regulates sleep, body temp, appetite and milk production

Term
calories in colostrum
Definition

18.76 kcal/oz.

67 kcal/dl.

Term
calories in mature breast milk
Definition

21 kcal/oz.

75 kcal/dl.

Term
involution
Definition

-cessation of milk production

-40 days after last breastfeeding

 

Term
parenchyma
Definition

glandular/milk making tissue

-responsible for production, secretion, and transport of milk

Term
stroma
Definition

structural parts of the breast

-connective tissue

-blood vessels

-nerves

-lymphatics

Term
corpus mammae
Definition
body of the breast
Term
papilla mammae
Definition
nipple
Term
number of milk pores (nipple openings)
Definition
4-18, average 9
Term

tosis

Definition
sagging 
Term
ratio glandular:fat tissue in breast
Definition
2:1
Term
65% of glandular tissues is found...
Definition
within 30mm of nipple
Term
lactocis
Definition

milk secreting cells

aka- secretory alveolar epithelium 

Term
myoepithelial cells
Definition
encases alveolus and contracts in response to oxytocin- MER
Term
most important intercostal nerves
Definition

4th- runs from deep to superficial

-divides into 5 branches

-lateral branch most important

-located at 5 and 7 o'clock

also 5th and 6th

Term
poland syndrome
Definition

-congenital problem

-under development of breasts

Term
Type II hypoplasia
Definition
hypoplasia of the lower medial quadrent
Term
type I hypoplasia
Definition
normal breasts, could be small but tissue is uniform and adequate
Term
type III hypoplasia
Definition
hypoplasia of the lower medial and lateral quadrants
Term
type IV hypoplasia
Definition

severe constrictions

minimal breast base

very tubular

Term
adema
Definition
swelling
Term
average nipple size
Definition
12-15mm
Term
3 "S"s for breast assesment
Definition
shape, size, symmetry
Term
PIF
Definition

prolactin inhibiting factor

believed to be dopamine inhibiting prolactin secretion from the anterior pituitary gland

Term
Lactogenisis I: pituitary hormones
Definition

1. prolactin- nipple growth

2. growth hormone

3. thyroid stimulating hormone

Term
lactogenisis I: placental hormones and their effects
Definition

1. estrogen- ductal system

2. progesterone- lobes, lobules, and alveolar growth

3. HPL (human placental lactogen)- areolar growth

Term
lactogenisis I: hormones produced by ovaries
Definition

estrogen

progesterone

 

Term
% of energy consumption used by mammary glands
Definition
35% compared to 25% used by the brain
Term
4 hormones necessary for lactogenisis II
Definition

prolactin

insulin

oxytocin

cortisol

Term
cortisol
Definition

-needed in small amounts to make alpha-lactobumin

-high amounts= stress hormone, inhibits lactation

-increases blood pressure and blood sugar

Term
average duration of MER
Definition
1-2 minutes
Term
average # of MER per breastfeeding session
Definition
2.5
Term
alpha-lactobumin
Definition

-a whey protein

-encouraged by low cortisol levels

-helps make lactose

-HAMLET

 

Term
oxytocin
Definition

-produced in posterior pituitary

-50-100m U needed to elicit MER

-increases chest temperature

-effects Mom's mood

Term
galactocele
Definition

-breast lump, similar to a cyst

-filled with milk

-round, freely moving

-usually happens after weaning

-may need surgical draining

Term
Paget's Disease
Definition

-cancer visible on the nipple

-looks like eczema

-most common after menopause

Term
average rate of milk synthesis
Definition
17-33 ml/hour
Term
5 milk synthesis pathways
Definition

Pathway 1= protein secretion

Pathway 2= lactose secretion

Pathway 3= milk fat synthesis

Pathway 4= monovalent ion secretion

Pathway 5= plasma protein secretion

Term
golgi apparatus
Definition

-cellular post office

-processes and packages macromolecules, proteins, and lipids after they are made

Term
oligosaccharides
Definition

-milk sugar

-indigestible by the infant but feeds a beneficial gut bacteria

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