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Andreas Vesalius’ 500th Anniversary: First Description of the Mammary Suspensory Ligaments

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Abstract

Sir Astley Paston Cooper has, to date, been acknowledged to be the first to describe the suspensory ligaments of the breast, or Cooper’s ligaments, in 1840. We found these ligaments to be recorded in the first edition of ‘De Humani Corporis Fabrica Libri Septem’ by Andreas Vesalius, published in 1543. To commemorate Vesalius’ 500th birthday, we quote and discuss this earlier record. Vesalius’ record of the nature and function of the fleshy membrane between mammary gland and pectoral muscle, the hard fat intervening the mammary glands, and the fibers running from the fleshy membrane to the skin are a clear representation of posterior layer of the superficial fascial system, the fibro-adipose stroma surrounding and linking the mammary glandular elements, and the suspensory ligaments as we know them. Vesalius recorded the anatomy and function of the latter structures nearly 300 years before Sir Astley Paston Cooper did.

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References

  1. Di Fiore MSH (1974) Mammary gland, inactive and during pregnancy. In: di Fiore MSH (ed) Atlas of human histology, 4th edn. Lea Febiger, Philadelphia, pp 228–229

    Google Scholar 

  2. Johnson D, Shah P, Collins P, Wigley C (2008) Breast. In: Standring S (ed) Gray’s anatomy: the anatomical basis of clinical practice, 39th edn. Elsevier, Chirchill Livingstone, p 974

    Google Scholar 

  3. Anastassiades OT, Spiliades C, Tsakraklides E, Gogas J (1983) Amount and distribution of solid and fatty tissues in the female breast and their relationship to carcinoma. Pathol Res Pract 176:200–215

    Article  CAS  PubMed  Google Scholar 

  4. Ramsay DT, Kent JC, Hartmann RA, Hartmann PE (2005) Anatomy of the lactating human breast redefined with ultrasound imaging. J Anat 206:525–534

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Lockwood TE (1991) Superficial fascial system (SFS) of the trunk and extremities: a new concept. Plast Reconstr Surg 87:1009–1018

    Article  CAS  PubMed  Google Scholar 

  6. de la Torre JI, Davis MR (2013) Anatomy for plastic surgery of the breast. In: Neligan PC (ed) Plastic surgery: the breast, vol 5, 3rd edn. Saunders Elsevier, London, pp 1–12

    Google Scholar 

  7. Nickell WB, Skelton J (2005) Breast fat and fallacies: more than 100 years of anatomical fantasy. J Hum Lact 21:126–130

    Article  PubMed  Google Scholar 

  8. Cooper AP (1840) On the anatomy of the breast. Longman, Orme, Green, Brown, and Longmans, London

    Google Scholar 

  9. De Vesalius A (1998) Humani Corporis Fabrica Libri Septem, Basel, 1543. Octavo Corporation, Palo Alto CA

    Google Scholar 

  10. Richardson WF, Carman JB (1999) Andreas Vesalius on the fabric of the human body, book V: the organs of nutrition and generation San Francisco. Norman Publishing, CA

    Google Scholar 

  11. Richardson WF, Carman JB (1999) Andreas Vesalius on the fabric of the human body, book II: the ligaments and muscles. Norman, San Francisco

    Google Scholar 

  12. Brinkman R, Hage J (2015) Andreas Vesalius’ 500th anniversary: initiation of the superficial fascial system and superficial musculoaponeurotic system concepts. Ann Plast Surg 76:138–142

    Article  Google Scholar 

  13. Cooper AP (1845) The anatomy and diseases of the breast. Lea Blanchard, Philadelphia

    Google Scholar 

  14. Gardner E, Gray DJ, O’Rahilly R (1975) Veins, lymphatic drainage, and breast. In: Gardner E, Gray DJ, O’Rahilly R (eds) Anatomy: a regional study of human structure. Saunders, Philadelphia, pp 98–103

    Google Scholar 

  15. Vesalius A (1543) De Fabrica Corporis Humani Libri Septem. 1st ed, Oporinus, Basel

Download references

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Correspondence to J. Joris Hage.

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Brinkman, R.J., Hage, J.J. Andreas Vesalius’ 500th Anniversary: First Description of the Mammary Suspensory Ligaments. World J Surg 40, 2144–2148 (2016). https://doi.org/10.1007/s00268-016-3481-6

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  • DOI: https://doi.org/10.1007/s00268-016-3481-6

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