LYMPHATICS The lymphatic system is often referred to as the body's "secondary circulatory system." Lymphatics resemble veins in structure. Elastic in nature. Have valves which prevents backflow. Along their length ,lymph nodes are present..
In Breast , there are two types- 1. Superficial Lymphatic's Drains skin over the Breast except nipple and areola 2. Deep Lymphatics - a) Drains the Parenchyma of Breast . b) Also drains the nipple and areola Lymphatic's of breast
LYMPH NODES Present along the length of lymphatics . Have several lymphatics leading towards them(afferent) and one or two leading away(efferent). Lymph From the breast drains into: 1. Axillary (85%) (Sentinel Lymph Node) 2 . Internal mammary / Parasternal (10%) 3 . Others (5%) some lymph also reaches supraclavicular,cephalic, posterior, intercoastal , subdiaphgrametic and subperitoneal lymph nodes.
THE AXILLARY LYMPH NODES The axillary lymph nodes (some 20–30 in number ) drain lymphatics of the breast pectoral region Upper abdominal wall U pper limb
Lymph nodes Axillary (85%) (Sentinel Lymph Node ) arranged in five groups Anterior Central Apical Lateral Posterior
Anterior :lying deep to pectoralis major along the lower border of pectoralis minor Posterior —along the subscapular vessels L ateral —along the axillary vein C entral —in the axillary fat A pical (through which all the other axillary nodes drain)at the apex of the axilla above pectoralis minor and along the medial side of the axillary vein.