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Understanding Breast Anatomy and Physiology

May 3, 2025

Breast Anatomy: Milk Ducts, Tissue, Conditions & Physiology

Overview of Breasts

  • Breasts are part of both female and male anatomy.
  • Females: Functional for breastfeeding and sexual pleasure.
  • Males: No physiological function but can provide sexual pleasure.
  • Visible parts include nipples and areolas.

Layers of a Woman’s Breast

  • Glandular Tissue: Produces milk for lactation.
  • Connective/Fibrous Tissue: Holds glandular and fatty tissue in place.
  • Fatty Tissue: Determines breast size and fills areas between other tissues.
  • Males: Have glandular tissue and fatty tissue with underdeveloped milk ducts.

Anatomy of the Breasts

  • Adipose Tissue: Fatty tissue extending from collarbone to armpit.
  • Lobes: 15 to 20 sections in each breast, surrounding the nipple.
  • Glandular Tissue (Lobules): Produce milk.
  • Milk Ducts: Carry milk from lobules to nipples.
  • Nipples: Center of areola, have about nine milk ducts and many nerves.
  • Areolae: Darker skin around nipples, contains glands for lubrication.
  • Blood & Lymph Vessels: Circulate blood and lymphatic fluid.
  • Lymph Nodes: Help fight infection.
  • Nerves: Nipples are sensitive due to nerve endings.

Male Breast Anatomy

  • During puberty, testosterone stops breast development.
  • External features include nipples and areolae.
  • Internally, have undeveloped milk ducts.
  • Conditions: Gynecomastia (enlargement) and rarely breast cancer.

Physiological Functions of the Breast

  • Hormones like estrogen, progesterone, and prolactin are crucial for development and function.
    • Estrogen: Stretches milk ducts.
    • Prolactin: Promotes progesterone production.
    • Progesterone: Enlarges lobules and blood vessels.
    • Oxytocin: Ejects breast milk.

Conditions Affecting Breast Anatomy

  • Breast Cancer: Major health threat, 1 in 13 females affected.
  • Dense Breasts: More glandular/fibrous tissue, difficult to detect cancer in mammograms.
  • Dense breast tissue and tumors appear white on mammograms.

Breast Health Maintenance

  • Consult healthcare provider for mammogram frequency.
  • Breast self-exams for familiarization with normal look and feel.

Sensitivity of Breasts

  • Nipples have many nerve endings; more sensitive in females due to hormones.

When to Consult a Healthcare Provider

  • New lumps, nipple discharge, pain, changes in appearance, inward nipple, or rash.
  • Family history of breast/ovarian cancer should prompt genetic testing discussions.