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[...]... anddiseasesofthebreast Lymphatics ofthebreastThe lymphatic drainage ofthebreast is of great importance in the spread of malignant disease ofthebreast but of lesser importance in benignbreast disease Several lymphatic plexi issue from the parenchymal portion of thebreastandthe subareolar region and drain to the regional lymph nodes, the majority of which lie within the axilla Most of the. .. of Surgeons for his dissertation on diseasesofthe mammary gland, and this was published as a monograph entitled Diseases oftheBreastand their Treatment in 1850.8 The appearance of his book quickly made him one ofthe leading authorities on breast disease in Britain It stood out because ofthe quality and comprehensiveness ofthe material and its presentation For the first time, the dominance of. .. for measurement ofthebreastand its landmarks in relation to fixed skeletal points The precise position ofthe 28 nipple areolar complex varies widely with the fat content of thebreastandthe age ofthe woman In the nulliparous breast, it lies between 19 and 21 cm from the suprasternal notch measured diagonally The amount of fat within thebreast varies widely, as would be expected The intimacy with... superomedially, the serratus anterior muscle in the lower outer one-third, andthe 27 Benigndisordersanddiseasesofthebreast Fig 3.4 The normal nipple and areola The pinker areolar skin is clearly demarcated from the surrounding breast skin and shows several small nodules which mark the openings of Montgomery’s tubercles Fig 3.3 The gross anatomy ofthebreastThe upper two-thirds lie on the pectoralis... elevation ofthe areola above thebreast outline giving the ‘secondary mound’ The familiar shape ofthe adult resting breast is then attained by a recession in the level ofthe areola to that ofthe surrounding breast, leaving the nipple projecting The exact physiological mechanisms that trigger and control the changes of puberty are not fully understood but the primary event in the initiation of puberty... though of less depth and impact Brodie and Paget ofthe UK, Semb of Norway, Reclus of France and Schimmelbusch and Billroth of AustroGermany are examples Two other outstanding contributors ofthe second half ofthe twentieth century certainly match our chosen six, Cushman D Haagensen, surgeon pathologist ofthe USA, and John Azzopardi, surgical pathologist ofthe UK As their work overlaps the professional... kindness and attention to myself during a period of 50 years.3 The book contains an amazingly detailed and accurate account of every aspect of anatomy and physiology ofthe breast at all stages of life, including pregnancy and lactation, and in different races, together with chemical analysis of milk, and injection studies ofthe mammary glands of a wide variety of animals Once again, the detail and accuracy... and prolactin are also required for optimal growth ofthebreast but only play minor roles Adult anatomy A B C D Fig 3.2 The stages ofbreast development at puberty (A) Breast bud elevation; (B) growth and protrusion ofthe nipple; (C) elevation ofthe secondary areolar mound; (D) regression ofthe areolar mound to the level ofthe general breast contour The adult female breasts lie on each side of. .. in 80–90% of newborn breasts of either sex The newborn prolactin levels then decline andthe secretion dries up over the next few weeks Thus, the secretion of colostrum andthe swelling ofthe newborn breast are both normal physiological events and should not be considered as due to disease unless they become persistent Detailed histological information has been given about the state ofthebreast during... ofthe above REFERENCES 1 Cooper A Illustrations of Diseasesofthe Breast Part I London Longman, Rees, Orme, Brown and Green; 1829 2 Brock RC The Life and Work of Astley Cooper Edinburgh: Livingstone; 1952 3 Cooper A On the Anatomy oftheBreast London: Longman, Orme, Green, Brown and Longman; 1940 4 Dunn PM Dr Alfred Velpeau of Tours: the umbilical cord and birth asphyxia Archives ofDiseasesof . structure and function in benign disorders of the breast. Problems of concept and nomenclature of benign disorders of the breast Key points and new developments 1. Only by taking a historical view of. literature. It is therefore a particular pleasure for me to introduce the third edition of Hughes, Mansel & Webster’s Benign Disorders and Diseases of the Breast, a unique and classic work. Jacksonian Prize of the Royal College of Surgeons for his dissertation on diseases of the mammary gland, and this was pub- lished as a monograph entitled Diseases of the Breast and their Treatment