Advertisement

Lobar Anatomy

  • Dominique Amy
Chapter

Abstract

To understand and analyze the exact anatomy of the breast is an essential stage in mammary ultrasound. What characterizes lobar echography is the exposition and analysis of each of the components located within and around each lobe. It necessitates a purely radial approach of the ultrasound scans in opposition to conventional echography which uses systematic orthogonal slices.

Ducto-radial echography following Dr. M. TEBOUL’s teaching is the only technique in breast imaging that provides an accurate visualization of the lobar anatomy of the breast with systematic slices strictly superimposable on those observed in anatomopathology using 10 cm large slices. The precise analysis of each constitutive element of the breast is presented here in a didactic way. This approach is no longer “operator-dependent” but is only “anatomy-dependent.” It allows unprecedented understanding of lobar anatomy, and further chapters will provide an interesting analysis of physiological variations and of the development of mammary pathology.

Keywords

Ducto-lobular axis Lobe Lobule Cooper’s ligament Fascia 

References

  1. 1.
    Teboul M, Halliwell M. Atlas of ultrasound and ductal echography of the breast. Oxford: Blackwell Science; 1995.Google Scholar
  2. 2.
    Ueno E. Real time ultrasound; 1991 Printed and Bound in Japan.Google Scholar
  3. 3.
    Teboul M. Practical ductal echography, guide to intelligent and intelligible ultrasonic breast imaging. Madrid: Medgen SA; 2004. p. 240–340.Google Scholar
  4. 4.
    Teboul M. Advantages of ductal echography (DE) over conventional breast investigation: the requirement for an anatomically led breast ultrasonography. Med Ultrason. 2010;12:32–42.PubMedGoogle Scholar
  5. 5.
    Teboul M. A new concept in breast investigation: echohistological acino-ductal analysis or analytic echography. Biomed Pharmacother. 1988;42:289–96.PubMedGoogle Scholar
  6. 6.
    Tot T. DCIS, cytokeratins, and the theory of the sick lobe. Virchows Arch. 2005;447:1–8. 13. Villadsen R. In search of stem cell hierarchy in the human breast and its relevance in breast cancer evolution. APMIS. 2005;113:903–21.CrossRefGoogle Scholar
  7. 7.
    Tot T. The role of large-format histopathology in assessing subgross morphological prognostic parameters: a single institution report of 1000 consecutive breast cancer cases. Int J Breast Cancer. 2012;2012:395415.PubMedPubMedCentralGoogle Scholar
  8. 8.
    Tot T. The sick lobe concept. In: Francescatti DS, Silverstein MJ, editors. Breast cancer: a new era in management. New York, NY: Springer; 2014. p. 79–94.CrossRefGoogle Scholar
  9. 9.
    Tot T. Breast cancer subgross morphological parameters and their relation to molecular phenotypes and prognosis. J OncoPathol. 2014;2:69–76.CrossRefGoogle Scholar
  10. 10.
    Amy D. Echographie mammaire: echoanatomie. JL mensuel d’echographie LUS. 2000;10:654–62.Google Scholar
  11. 11.
    Aristida C-G. Atlas of full breast US. Ed. Springer Int. Publishing: Cham; 2016.Google Scholar
  12. 12.
    Stavros AT, Rapp LC, Parker HS. Breast ultrasound. Philadelphia, PA: Lippincott Williams & Wilkins; 2004.Google Scholar
  13. 13.
    Stavros T. Breast ultrasound. Philadelphia, PA: Lippincott; 2006.Google Scholar
  14. 14.
    Amy D. Lobar ultrasound of the breast. In: Tot T, editor. Breast cancer, a lobar disease. New York, NY: Springer; 2011. p. 153–62.Google Scholar
  15. 15.
    Dolfin G, Chebib A, Amy D, Tagliabue P Carcinome mammaire et chirurgie conservatrice. 30e Seminaire FrancoSyrien d’Imagerie Médicale. Tartous, Syrie Durante E; 2006.Google Scholar
  16. 16.
    Going JJ, Mohun TJ. Human breast duct anatomy, the ‘sick lobe’ hypothesis and intraductal approaches to breast cancer. Breast Cancer Res Treat. 2006;97:285–91.CrossRefPubMedGoogle Scholar
  17. 17.
    Dolphin G. The surgical approach to the “sick lobe”. In: Francescatti DS, Silverstein MJ, editors. Breast cancer: a new era in management. New York, NY: Springer; 2014. p. 113–32.CrossRefGoogle Scholar
  18. 18.
    Amoros J, Dolfin G, Teboul M. Atlas de Ecografia de la Mama. Torino: Ananke; 2009.Google Scholar
  19. 19.
    Amy D. Millimetric breast carcinoma ultrasonic detection. In: Leading Edge conference Pr. Goldberg B. USA; 2005.Google Scholar
  20. 20.
    Cooper AP. On the anatomy of the breast. London: Longman, Orme, Green, Bown, and Longmans; 1840.Google Scholar
  21. 21.
    Nakama S. Comparative studies on ultrasonogram with histological structure of breast cancer: an examination in the invasive process of breast cancer and the fixation to the skin. In: Kasumi F, Ueno E, editors. Topic in breast ultrasound. Tokyo: Shinohara; 1991.Google Scholar
  22. 22.
    Gallager S, Martin J. Early phases in the development of breast cancer. Cancer. 1969;24:1170–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Centre du seinAix-en-ProvenceFrance

Personalised recommendations