Section: Module 1: Lesson 2: Histologic Anatomy of the Breast | Breast Health | NextGenU.org

  • Student Learning Outcomes:
    Upon completion of this lesson, you will be able to:
    • Correctly identify cellular structures on histologic slides.
    • Draw and label a complete breast ductal system.
    • Explain the significance of the TDLU in breast pathology.

    Click here to start this lesson

    • Required Learning Resources
    • Click on the corresponding links to access plates 13.253-13.256.  Examine the plates and read the accompanying text to learn about the microscopic anatomy of the mammary gland. (13 minutes)

      Michael P. D'Alessandro, M.D., and Ronald A. Bergman, Ph.D curate Anatomy Atlases - 2015

    • Read, Draw and label a complete breast ductal system. (5 minutes)

      Barbara Luz Oliveira - 2018

    • Read the entire article. (15 minutes)

      1996 - 2019 Humpath.com - Human Pathology - 2016

    • SLOs:

      • Accurately label all external breast structures on a diagram

      • Describe the relationship between breast tissue layers

      • Explain the lymphatic drainage of the breast

      • Correctly identify cellular structures on histologic slides

      • Draw and label a complete breast ductal system

      • Explain the significance of the TDLU in breast pathology

      General Instructions:

      In this activity, you will demonstrate your understanding of breast anatomy through critical analysis and application of anatomical knowledge to clinical scenarios.

      Step 1: Select and Reflect

      • First, review the slide sets on "Gross Anatomy of the Breast" and "Histologic Anatomy of the Breast." These will provide you with essential information about external breast structures, tissue layers, lymphatic drainage, and cellular components.

      • Then read the article "Clinical Implications of Breast Anatomy and Development" by Hassiotou & Geddes. This will help you understand the relationship between anatomical structures and their clinical significance.

      • You may also wish to review additional resources on breast anatomy and histology for a deeper understanding of the subject.

      Step 2: Critical Analysis and Response

      Based on your readings and research, compose a 600-800 word response, including the use of diagrams, addressing the following:

      1. Analyze the clinical significance of lymphatic drainage patterns of the breast in relation to metastatic spread of breast cancer. Discuss specific anatomical pathways and their implications for staging and surgical management. Explain how detailed knowledge of breast anatomy influences clinical decision-making in surgical approaches and interpretation of imaging studies.

      1. Compare and contrast the anatomical and histological features of the breast across different life stages (adolescence, reproductive years, pregnancy/lactation, and post-menopause). Discuss how these changes impact clinical assessment and interpretation of imaging studies. 

      2. Critically evaluate the role of the Terminal Ductal Lobular Unit (TDLU) in breast pathology, including its significance in the development of both benign and malignant conditions.Illustrate your response with a diagram of the complete breast ductal system with labels.

      Diagram Requirement: Create one comprehensive diagram that illustrates and labels:

      • External anatomical breast structures (nipple, areola, Cooper's ligaments, pectoralis major muscle, etc.)

      • Complete breast ductal system including major ducts, lactiferous ducts, and Terminal Ductal Lobular Units (TDLU)

      • Histological features of one selected breast life stage showing cellular components such as epithelial cells, myoepithelial cells, and stromal tissue

      Diagram Instructions: Create your diagram using digital tools such as Google Drawings, Canva, Lucidchart, or similar online drawing platforms. You may also use tablet drawing apps or scan hand-drawn diagrams. Ensure all structures are clearly labeled with text boxes and connecting lines. Save your diagram as an image file (PNG or JPG) and insert it directly into your Google Document response. Include a brief legend below your diagram if using symbols or color coding.

      Step 3: Share

      To share your work, click on the "Add a new discussion topic" button under this post and copy/paste your complete Google Document content (including the embedded diagram) into the "Message" box. Make sure to reference others' intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B.: references are excluded from word counts).

    • quiz icon
      Quiz: Module 1

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to view the case studies and respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.