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Breast
diagnostic medical sonography
57
Medical
Undergraduate 1
10/21/2011

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Cards

Term
fourth week
Definition
Early mammary glands begin development during the what week of embryonic life?
Term
two years
Definition
Development of the breasts continue for how long after the onset of menstruation?
Term
The milk line
Definition
The breasts develop a line extending from the axilla to the inguinal region known as what?
Term
  • lateral thoracic artery arises from the axillary artery
  • internal mammary artery from the subclavian artery
Definition
Two main arteries supply breast tissue:
Term
superficial and deep
Definition
Two venous systems that drain breast tissue:
Term

Terminal duct-lobular units

(TDLU)

Definition

Site of origin of nearly all pathological processes that occur within the breast

Parenchymal layer

Term
acini
Definition
The smallest functional unit of the breast and individual milk producing gland
Term
duct
Definition
Each acini gives rise to a what?
Term

terminal duct-lobular units

TDLU

Definition
Together acini and ducts form small lobular units called what?
Term
a breast lobe
Definition
Several TDLU's join to form what?
Term
15 to 20
Definition
There are approx. how many lobes in each breast?
Term
the nipple
Definition
All 15 to 20 lactiferous ducts travel radially toward what?
Term
enlarge
Definition
The ducts do what during lactation?
Term
  • subcutaneous (premammary) layer
  • mammary (glandular and connective tissue) layer
  • retromammary layer
Definition
the three layers of the breast:
Term
Tail of Spence
Definition
the axillary tail of the breast is also known as what?
Term
  • age
  • stage of menstrual cycle
  • pregnancy
Definition
Breasts change depending on what?
Term
It undergoes fatty replacement with age becoming virtually all fat
Definition
The breast changes how after menopase?
Term
apocrine gland
Definition
The breast is classified as a modified and highly specialized type of what gland?
Term
to secrete milk during lactation
Definition
the apocrine gland in the breast function is what?
Term
the areola
Definition
The nipple is surrounded by what?
Term
Definition
a pigmented area which serves to lubricate the nipple during lactation through the action of areolar glands or glands of montgomery
Term
glands of Montgomery
Definition
the areolar glands are also known as what?
Term
The areolar glands
Definition
what glands may aslo act as accessory milk glands, secreting milk during lactation?
Term

fascia

(connective tissue)

Definition
The entire breast is enveloped in what which is connected to the pectoralis major muscle posteriorly and to the skin anteriorly
Term
cooper's ligaments
Definition
fascia is connected between lobes by thin, curvilinear suspensory ligaments called what which support the breast, enveloping the lobules, lobes, and subcutaneous fat
Term
subcutaneous layer
Definition
thin layer that lies between the skin and mammary zone, contain cooper's ligaments
Term
cooper's ligaments
Definition
provides the "skeletal" framework of the breast
Term
Retromammary layer
Definition
primarily composed of fat, but is bounded anteriorly by the mammary layer and posteriorly by the deep fascia covering the pectoralis major muscle
Term
Hypoechoic, medium level gray echoes
Definition
fat is seen how sonographically?
Term
Mammary layer
Definition
made up of primarily breast parenchyma and is located between the superficial and retromammary layers
Term
mammary layer
Definition
Includes the functional portion of the breast as well as the surrounding stromal tissues
Term
stromal tissue
Definition
connective tissue along with cooper's ligaments and fatty tissue
Term
Transverse
Definition
Cranio-caudal view on mammography correlates with what on US?
Term
Sagittal
Definition
Medio-lateral  view on mammography correlates with what on US?
Term
up
Definition
medial
Term
down
Definition
lateral
Term
solid versus cystic
Definition
ultrasound differentiates what?
Term
  • Palpable breast mass
  • abnormal mammo
  • unusual nipple discharge
  • skin thickening
  • symptoms of mastitis or abscess
Definition
primary indications for US:
Term
  • Primary imaging modality during pregnancy
  • primary technique for women under 30
  • F/u lesions only seen by US
  • Localizing lesions for cyst aspiration or biopsy
Definition
Secondary indications for US:
Term
No
Definition
Is Ultrasound of the breast used as a screening tool?
Term
a high frequency linear transducer
Definition
What kind of transducer is used for breast?
Term
retromammary zone
Definition
lies between the mammary zone and the pectoralis major
Term
the blood vessels
Definition
what should follow the sam course as the lactiferous ducts which course towards the nipple?
Term
slightly hyperechoic
Definition
Sonographically Glandular tissue appears how?
Term
hypoechoic
Definition
Sonographically ducts appear how?
Term
hypoechoic
Definition
Sonographically muscle appears how?
Term
hyperechoic
Definition
Sonographically skin and fibrous tissue appear how?
Term

radial

Definition
If you can draw a line through the nipple
Term
antiradial
Definition
90 degrees from radial
Term
  • shape
  • margins
  • echogenicity
  • posterior echo pattern
  • orientation
Definition
What we need to know for pathology?
Term
  • well defined
  • smooth margins
  • thin capsule
  • mild lobulations
  • may displace surrounding tissues
Definition
Benign margins
Term
  • ill defined
  • spiculated or jagged
  • invades surrounding tissue
  • thick walls or echogenic halo
Definition
malignant margins
Term
  • round or oval
  • wider than tall
Definition
benign shapes
Term
  • irregualr
  • taller than wide
Definition
malignant shapes
Term
  • hyperechoic or medium level echoes
  • homogeneous
  • cysts show enhancement
  • should show limited color flow unless inflammatory
Definition
benign echogenicities
Term
  • hypoechoic
  • heterogeneous
  • shadowing
  • tortuous vessels on color imaging
  • high PSV
  • color flow in or around area
Definition
malignant echogenicities
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