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Related Concept Videos

The Mammary Glands01:12

The Mammary Glands

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The female breast is a hemispheric projection of variable size positioned anterior to the pectoralis major and serratus anterior muscles. A fascia layer composed of dense, irregular connective tissue connects it to these muscles.
Each breast features a pigmented projection known as the nipple, through which milk emerges via closely spaced openings of ducts, referred to as lactiferous ducts. Surrounding the nipple is a circular pigmented area of skin named the areola, which appears rough due to...
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Updated: Mar 29, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Anatomy relevant to conservative mastectomy.

Rachel L O'Connell1, Jennifer E Rusby1

  • 1Royal Marsden NHS Foundation Trust, Sutton, UK.

Gland Surgery
|December 9, 2015
PubMed
Summary

Understanding nipple and breast skin anatomy is crucial for surgeons performing conservative mastectomies. This knowledge aids in minimizing local recurrence and ischemic complications during oncoplastic procedures.

Area of Science:

  • Surgical Anatomy
  • Oncoplastic Surgery
  • Breast Surgery

Background:

  • Conservative mastectomies require detailed knowledge of nipple and breast skin anatomy.
  • The
  • The nipple-areolar complex's anatomical features are critical for surgical outcomes.

Purpose of the Study:

  • To describe the relevant clinical anatomy for conservative mastectomies.
  • To focus on the oncoplastic plane, ducts, and vasculature.
  • To provide a comprehensive anatomical overview for surgeons.

Main Methods:

  • Review of relevant anatomical literature.
  • Description of the oncoplastic plane, ducts, and vasculature.
  • Brief discussion of nerve supply, smooth muscle, and lymphatic drainage.
Keywords:
Anatomyconservative mastectomynipplenipple-sparing

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Main Results:

  • Detailed anatomical description of the nipple and breast skin.
  • Focus on the oncoplastic plane, ductal system, and vascular supply.
  • Explanation of nerve supply, nipple smooth muscle, and lymphatic pathways.

Conclusions:

  • Thorough understanding of breast and nipple anatomy is fundamental for conservative mastectomies.
  • Meticulous surgical technique, informed by anatomical knowledge, can reduce local recurrence.
  • Appreciation of anatomy helps minimize ischemic complications in breast cancer surgery.