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Chapter 16

            Structure


                 The basic components of the mammary gland are the alveoli (hollow cavities, a few millimetres
            large) lined with milk-secreting epithelial cells and surrounded by myoepithelial cells. These alveoli
            join up to form groups known as  lobules, and each lobule has a  lactiferous duct  that drains into
            openings in the nipple. The myoepithelial cells can contract, similar to muscle cells, and thereby push
            the milk from the alveoli through the lactiferous ducts towards the nipple, where it collects in
            widenings (sinuses) of the ducts. A suckling baby essentially squeezes the milk out of these sinuses.


                 The development of mammary glands is controlled by hormones. The mammary glands exist in
            both sexes, but they are rudimentary until puberty when - in response to ovarian hormones - they begin
            to develop in the female. Estrogen promotes formation, while testosterone inhibits it.


                 At the time of birth, the baby has lactiferous ducts but no alveoli. Little branching occurs before
            puberty when ovarian estrogens stimulate branching differentiation of the ducts into spherical masses
            of cells that will become alveoli. True secretory alveoli only develop in pregnancy, where rising levels
            of estrogen and progesterone cause further branching and differentiation of the duct cells, together with
            an increase in adipose tissue and a richer blood flow.

                 Colostrum is secreted in late pregnancy and for the first few days after giving birth. True milk
            secretion (lactation) begins a few days later due to a reduction in circulating progesterone and the
            presence of the hormone prolactin. The suckling of the baby causes the release of the hormone
            oxytocin which stimulates contraction of the myoepithelial cells.


                 The cells of mammary glands can easily be induced to grow and multiply by hormones. If this
            growth runs out of control, cancer results. Almost all instances of breast cancer originate in the lobules
            or ducts of the mammary glands.


             STRUCTURE         LOCATION & DESCRIPTION                              FUNCTION
                              Upper chest one on each side
                              containing alveolar cells (milk
             Breasts          production), myoepithelial cells    Lactation milk/nutrition for newborn.
                              (contract to expel milk), and duct
                              walls (help with extraction of milk).
                                                                  During childbirth, contractions of the uterus
                                                                  will dilate the cervix up to 10 cm in diameter
                              The lower narrower portion of the
             Cervix                                               to allow the child to pass through. During
                              uterus.
                                                                  orgasm, the cervix convulses and the external
                                                                  os dilates
                              Small erectile organ directly in front
             Clitoris                                             Sexual excitation, engorged with blood.
                              of the vestibule.
                              Extending upper part of the uterus on Egg transportation from ovary to uterus
             Fallopian tubes
                              either side.                        (fertilization usually takes place here).
                              Thin membrane that partially covers
             Hymen
                              the vagina in young females.
                              Outer skin folds that surround the
             Labia majora                                         Lubrication during mating.
                              entrance to the vagina.
             Labia minora     Inner skin folds that surround the   Lubrication during mating.


            308 | Human Physiology
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