Mammary Gland - Anatomy & Physiology

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Introduction

The mammary gland is a modified sweat gland that nourishes the young. It consists of the mamma and the teat. Undeveloped in both the male and female at birth, the female mammary gland begins to develop as a secondary sex characteristic at puberty. With the birth of the first young, and first lactation, the mammary gland attains its full size and function. When suckling by the young stops, milk production ceases and the gland regresses. Shortly before the next and subsequent parturitions, the gland is stimulated by hormonal changes to produce milk.

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Development of the Mammary Gland (prenatal mammogenesis)

• An ectodermal thickening developes along the ventral body wall extending from the thoracic to inguinal region - this is the mammary ridge.
• Cells aggregate, multiply and differentiate to form a chain of condensed mammary buds.
• Most mammary buds regress, those that remain and develop each give rise to a mammary gland. A mammary gland is the secretory and duct system associated with one teat.
• Mammary buds grow into overlying mesenchyme and primary epidermal sprouts grow out of the bud apex. The epidermal sprout branches extensively and develops a complete duct system.
• Mammary adipose tissue is derived from mesoderm. This is required for complete mammary development and is thus absent in the male. As a result, mammary development in the male is halted at the epidermal sprout stage.

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Structure

• Mamma (pleural=Mammae) : the glandular structure associated with a teat.
  • Udder: term designating all the mammae in the ruminant and the mare (sometimes used for the sow).
    • Lobes: the internal compartments of the mamma, separated by adipose tissue. The lobes are divided into lobules. Lobules consist of connective tissue containing alveoli, which are clusters of milk secreting cells.
    • Lactiferous Ducts: large ducts conveying milk from the alveoli to the milk sinus. The openings of lactiferous ducts convey milk formed in the alveolus to the gland sinus.

• Milk/Lactiferous Sinus: milk storage cavity within the teat and glandular body.
  • Gland Sinus: part of the milk sinus within the glandular body.
  • Teat Sinus: part of the milk sinus within the teat.

• Teat: projecting part of the mammary gland containing part of the milk sinus.
  • Teat Canal: canal leading from the teat sinus to the teat opening.
  • Teat Opening: opening of the teat canal. The exit point for milk or entrance point for bacteria into the mammae.
• Sphincter: muscular fibres surrounding the teat opening that prevent milk flow except during suckling or milking.

Suspensory Apparatus

File:Suspensory apparatus of mammary gland.bmp

Schematic of the Suspensory Apparatus of the Bovine Udder - Courtesy of Edward Ayton, Copyright RVC 2008

• Organised into lateral and medial laminae which suspend the mammary gland from the ventral aspect of the trunk by their attachment to the pubic symphysis.
  • Lateral Lamina: collagen fibres from the fascia of the pubic symphysis and the edge of the superficial inguinal ring.
  • Medial Lamina: elastic fibres from the tunica flava ventral to the pubic symphysis. Extend between mamillary complexes.
  • Intermammary groove: divides left and right rows of mammary complexes.

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Blood Supply

Arteries

• In species with inguinal mammary glands (cow,ewe,goat,mare), the main blood supply is from the external pudendal artery. This arises indirectly from the external iliac artery via the femoral artery. The external pudendal artery passes through the inguinal canal.

• In species which also have thoracic mammary glands (bitch,queen,sow) blood supply is from the internal thoracic artery and its branches - cranial and cranial superficial epigastric arteries.

Veins

• Thoracic mammary complexes: drain into cranial superficial epigastric veins.
  • Open into cranial epigastric vein.
    • Drains into the internal thoracic vein.

• Abdominal and Inguinal mammary complexes: drain into caudal superficial epigastric veins.
  • Open into external pudendal vein.

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Innervation

• Sympathetic: Innervation to the blood vessels and teat sphincter smooth muscle via the genitofemoral nerve.
• Somatic: Ventral rami of spinal nerves.
  • In the cow, ventral branches of L1 and L2 (iliohypogastric and ilioinguinal) supply the skin of the cranial forequarters. Mammary branches of the pudendal nerve suply the caudal aspect of the udder (hindquarters).

Mammary glands are mainly under the influence of endocrine hormones.

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Lymphatics

• Inguinal mammary glands: superficial inguinal lymph node
• Thoracic mammary glands: axillary lymph node

Lymphatic drainage in the cow

• Afferent lymphatic ducts: pass dorsocaudal to reach the mammary lymph nodes (superficial inguinal).
• Mammary (superficial inguinal) lymph nodes: two nodes at the dorsocaudal side of the udder. Usually a palpable large, kidney-shaped node between the caudal side of the udder base and the thigh.
• Efferent lymphatic ducts: pass into the abdomen through the inguinal canal to empty into the deep inguinal node.
• Deep inguinal lymph node: small, dorsocaudal udder. Too deep to be palpated.

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Histology

• Secretory tissue is arranged into lobes,each consisting of many lobules. Each lobule contains groups of alveoli (secretory compound tubuloalveolar cells) surrounded by a network of blood vessels and connective tissue stroma. The alveolar lumen is filled with milk during lactation.
• Myoepithelial cells lie between alveolar epithelial cells and the basement membrane. These contract under the influence of oxytocin to release milk to the exterior.
• Lobes and lobules are drained by lactiferous ducts into the gland sinus, which is continuous with the teat sinus. Epithelium lining lactiferous ducts and the sinus is two-layered cuboidal.
• A teat canal connects the teat sinus to the exterior. The lining is stratified squamous epithelium. Circular smooth muscle in the wall of the canal forms a sphincter. Between milkings, the narrow lumen of the teat canal is filled with a soft keratin plug to prevent bacteria entering the teat sinus and prevent milk leakage.

The Active Mammary Gland. Copyright RVC 2008 (Courtesy of Tanya Hopcroft (RVC))

The Active Mammary Gland at High Power. Copyright RVC 2008 (Courtesy of Tanya Hopcroft (RVC))

Mammary Myoepithelial Cells. Copyright RVC 2008 (Courtesy of Tanya Hopcroft (RVC))

Section of the Mammary Gland showing a Lactiferous Duct. Copyright RVC 2008 (Courtesy of Tanya Hopcroft (RVC))

Cross Section through the Teat Canal of the Mammary Gland showing a Keratin Plug. Copyright RVC 2008 (Courtesy of Tanya Hopcroft (RVC))

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Species Differences

Position and Morphology

Species	Primates	Elephant	Goat and Sheep	Guinea Pig	Cow	Mare	Rat	Dog	Sow	Cat
Number of Mammary Glands	2	2	2	2	4	4 (2 teats)	~10	~10	8-18	8
Position	Pectoral	Pectoral	Inguinal	Inguinal	Inguinal	Inguinal	Abdominal,Ventral	Thoracoabdominoinguinal	Thoracoabdominoinguinal	Thoracoabdominal
Teat Ducts	10-20	Several	1	1	1	2	1	8-22	2	4-8

• Cow

• Small Ruminant

• Sow

• Mare

• Carnivore