Assessing Breasts and Lymphatic System
Assessing Breasts and Lymphatic System
Assessing Breasts and Lymphatic System
BREAST STRUCTURE
External Breast Anatomy
Nipples – surrounds the nipple, contains tiny openings of the lactiferous ducts through
which milk passes
Areola – surround the nipple
o Montgomery Glands – sebaceous gland within the area that secrete a protective
lipid substance during lactation (1-2 cm radius)
Hair Follicles – commonly appear around the areola
Smooth muscle fibers into the areola cause the nipple to become more erectile during
stimulation.
The nipple and areola typically have darker pigment than the surrounding breast their
color ranges from dark pink to dark brown, depending on the persons’s skin color
During embryonic development, a milk line or ridge extends from each axilla to the groin
area.
Breast Quadrants
The breasts are divided by an invisible line running up and down and right to left through
the nipple. Each of these 4 regions is called a quadrant. Most breast cancers develop in the
upper outer quadrant of the breast, closest to the armpit. This is because this area has a lot
of glandular tissue.
1. Anterior (pectoral) nodes: Drain the anterior chest wall and breasts
2. Posterior (subscapular) nodes: chest wall and part of the arms are drained by the
posterior nodes.
3. Lateral nodes: drain most of the arms, and the central nodes receive drainage from the
anterior, posterior and lateral lymph nodes
4. Infraclavicular (deltopectoral) nodes: small proportion of the lymph flows into deeper
nodes within the chest or abdomen
5. Apical and pectoral nodes are located respectively on the upper lower part of the
pectoralis minor a thin flat muscle of the chest
6. Central axillary lymph nodes located inside the adipose tissue near the armpit’s base