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Knowledge of the anatomy of the lactating breast is fundamental to the understanding of its function What made the lactating, growing condition mysterious was the fact that many of the women who had been afflicted with it had never been pregnant However, current textbook depictions of the anatomy of the lactating breast are largely based on research conducted over 150 years ago.
Conclusion similar to nongestational patients, most pregnant and lactating patients presenting for breast imaging are found to have benign disease However, diagnostic breast imaging during lactation is the same as for nonlactating women. However, all palpable masses in a pregnant or lactating patient that persist for 2 weeks or longer should be promptly evaluated with ultrasound.
Lactating adenomas are painless benign masses that often present in the upper outer quadrant of breast tissue in pregnant and lactating patients, and likely are a result of hormonal stimulation.
Counseling the nursing mother, by judith womanly art of breastfeeding chapter 18 Book, revised edition, chapter 2 The breast lactating breast (from training packet) complimentary reading: Given the challenge of clinical examination in pregnant and lactating patients, diagnostic breast imaging, particularly breast us, plays a crucial role in characterizing the features of palpable lesions and in determining appropriate management.
In lactating patients, staging can be performed just as it would be in nonlactating patients In this setting, breast mri may be safely performed to evaluate for extent of disease The patient is advised to breast feed or pump immediately before the exam. Description of the distribution of glandular and adipose tissues within the lactating breast
Approximately two thirds of the breast was comprised of glandular tissue.
Less than 4 % of milk can be stored in the ducts, making milk ejections essential for removing milk Since stress can inhibit milk ejection, being comfortable and relaxed helps milk flow 65 % of the glandular tissue lies within a 30 mm radius of the nipple base and the ducts reside close to the skin surface. Breast cancer screening in lactating women has several important considerations, as outlined below
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