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AAAC29 21/5/05 10:44 AM Page 68
29 The venous and lymphatic drainage of the upper limb and the breast

Cephalic vein pierces
clavipectoral fascia

Deltoid

Suspensory ligament
Pectoralis major
Pectoralis
Alveoli of breast minor
Lactiferous duct
Cephalic vein Pectoralis
Medial cutaneous nerve
Lactiferous major
of forearm
sinus Intercostals
Median
Brachial artery Nipple
cubital vein Median nerve
Areola Rib
Montgomery's
Bicipital aponeurosis
Tendon gland
of biceps
Fat
Lateral
cutaneous Basilic vein Fig. 29.3
nerve of
A section through the breast to show its major relations.
forearm
The inset shows the radial arrangement of the
lactiferous ducts

Right lymph duct
Inferior deep cervical
(supraclavicular) group
Fig. 29.1
The superficial venous Delto-pectoral group
system of the upper
Apical group
limb and two major
cutaneous nerves
Posterior group
Lateral group
Anterior (pectoral) group
Central group
Parasternal group
Axillary vessels
(inside chest)

Supratrochlear group

Fig. 29.2
The lymph nodes of the axilla and the lymphatic drainage of the breast

68 Upper limb