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Lymphatic drainage of the breast

Stefano Pacifici et al.

Lymphatic drainage of breast originates from breast lobules and flows into a subareolar plexus, called Sappey’s plexus. From this plexus, lymphatic drainage takes place through three main routes:

axillary or lateral pathway
- fed by Sappey’s Plexus, as well as by ducts satellite lymphatics and by most of the parenchymal lymphatics
- this pathway runs around the inferior edge of the pectoralis major and reach the pectoral group of axillary nodes
internal mammary pathway
- originates from both the lateral and medial halves of the breast and passes through the pectoralis major; connections may lead across the median plane and hence to the contralateral breast
retromammary pathway
- comes from the posterior portion of the breast

Lymphatics may reach the sheath of the rectus abdominis and the subperitoneal and subhepatic plexuses.

Usually, axillary lymph nodes receive more than 75% of the lymph drained from the breast.

References

Anatomy: Thoracic

thoracic skeleton
- thoracic cage
  - ribs
    - typical ribs
    - atypical ribs
    - variant anatomy
      - bifid ribs
      - Srb anomaly
  - costal cartilage
  - sternum
- thoracic spine
- articulations
muscles of the thorax
spaces of the thorax
thoracic viscera
blood supply of the thorax
- arteries
  - thoracic aorta (development)
  - pulmonary trunk
    - left pulmonary artery
      - aberrant left pulmonary artery
    - right pulmonary artery
- veins
  - superior vena cava (cavoatrial junction)
  - inferior vena cava
  - coronary veins
    - cardiac veins which drain into the coronary sinus
      - great cardiac vein
      - middle cardiac vein
      - small cardiac vein
      - posterior vein of the left ventricle
      - vein of Marshall (oblique vein of the left atrium)
    - anterior cardiac veins
    - venae cordis minimae (smallest cardiac veins or thebesian veins)
  - pulmonary veins
    - bronchial veins
lymphatics
innervation of the thorax

Article information

rID: 25737

System: Breast

Section: Anatomy

Synonyms or Alternate Spellings:

Breast lymphatic drainage

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Cases and figures

Figure 1: axillary lymph node anatomyFigure 1: axillary lymph node anatomy

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