Love Susan M, Barsky Sanford H
Department of General Surgery, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California, USA.
Cancer. 2004 Nov 1;101(9):1947-57. doi: 10.1002/cncr.20559.
Increasing interest in the intraductal approach to the breast has necessitated revisiting the anatomy of the breast.
Using six different complementary in vivo and in vitro approaches, the authors determined the number, distribution, and anatomic properties of the ductal systems of the breast, which extend from the nipple orifices to the terminal duct lobular units.
More than 90% of all nipples examined contained 5-9 ductal orifices, generally arranged as a central group and a peripheral group. Each nipple orifice communicated with a separate, nonanastomosing ductal system, which extended to the terminal duct lobular unit.
Increased knowledge of the ductal anatomy of the breast and the ability to access the nipple ductal orifices will provide a foundation for the intraductal approach to the breast.
对乳腺导管内入路的兴趣日益增加,这使得有必要重新审视乳腺的解剖结构。
作者使用六种不同的体内和体外互补方法,确定了乳腺导管系统的数量、分布和解剖特性,这些导管系统从乳头开口延伸至终末导管小叶单位。
在所有检查的乳头中,超过90%含有5-9个导管开口,通常排列为中央组和外周组。每个乳头开口与一个独立的、不吻合的导管系统相通,该系统延伸至终末导管小叶单位。
对乳腺导管解剖结构的更多了解以及进入乳头导管开口的能力将为乳腺导管内入路提供基础。