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Levi Richardson
Levi Richardson

Mature Breast Pics

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Immatures from Florida have heavier brown streaking on the breast than on the belly. The flight feathers and the tail have narrow bands of brown and white, more subtle than the black-and-white patterning of adults.

Note fairly long tail, slim body, and squared-off wings with translucent crescents at the tips. Immatures of the California subspecies have dark patterning on the wings and strongly banded tails, in addition to brown streaks on the breast.

Adults are colorful hawks with dark-and-white checkered wings and warm reddish barring on the breast. The tail is black with narrow white bands. Immatures are brown above and white below streaked with brown. All ages show narrow, pale crescents near the wingtips in flight.

Male Eastern Bluebirds are vivid, deep blue above and rusty or brick-red on the throat and breast. Blue in birds always depends on the light, and males often look plain gray-brown from a distance. Females are grayish above with bluish wings and tail, and a subdued orange-brown breast.

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After breasts and testicles start growing, body hair will start to grow in and become thicker. For both boys and girls, new hair will start growing in the armpits and pubic area around the genitals. Arm and leg hair gets thicker. Boys also may start developing chest and facial hair.

About a year after puberty begins, girls have a growth spurt. A girl will get taller and start to get wider hips and fuller breasts. Some curve-related fat will appear on their stomach, buttocks, and legs. Girls usually reach adult height by their mid- to late teens.

Some kids become sexually mature at a very early age. Early or precocious puberty is when a child reaches a physical or hormonal milestone -- breast, testes, or pubic hair growth -- before age 6 to 8 in girls or 9 in boys. Early puberty is linked with obesity in girls. Early puberty rarely is due to hormone exposure or a problem with the thyroid, ovaries, or brain. Talk to your doctor if you're concerned.

Although we could expect that the elderly will be treated with similarly intensive treatment as applied in younger age groups, the elderly patients with breast cancer are frequently undertreated, even after adjustment for confounding factors, such as comorbidities, need for social support, and functional status. Elderly women are less likely to undergo breast conserving therapy and axillary lymph node dissection; radiation therapy (RT) is more likely to be omitted after breast conserving surgery and elderly patients also less frequently receive systemic therapy, particularly chemotherapy. In contrast, the use of adjuvant hormonal therapy has been reported to be independent of patient age.

Despite growing research interest in management of breast cancer in women over the age of 65, no internationally agreed recommendations exist for this population. However, a task force from the International Society of Geriatric Oncology (SIOG) has provided evidence-based recommendations for diagnosis and treatment of breast cancer in elderly individuals.

The SIOG task force concluded that women older than 70 years of age should be offered the same surgical options as younger women. Breast-conservation therapy (BCT), lumpectomy, axillary lymph node sampling, and postoperative RT are recommended as the standard of care for patients of all ages with early breast cancer. Studies of elderly women have found that they also prefer BCT over mastectomy, and BCT is often associated with better quality of life.

The National Comprehensive Cancer Network (NCCN) guidelines for breast cancer management recommend the use of a geriatric assessment tool when management of patients aged over 70 years is being planned.

The SIOG guidelines recommend 4 courses of an anthracycline-containing regimen over cyclophosphamide/methotrexate/5-fluorouracil (CMF) in elderly patients with breast cancer. As in younger women, high-risk, fit elderly women may benefit from addition of a taxane. Among patients with increased cardiac risk, docetaxel/cyclophosphamide (TC) or CMF may replace anthracycline-based therapy.14

The importance of dose intensity in chemotherapy for breast cancer was established in the landmark study of Bonadonna et al., a 20-year follow-up of 386 patients who had been treated with surgery with or without adjuvant chemotherapy consisting of 12 cycles of CMF. The main findings are that survival was significantly increased in the patients who were given adjuvant chemotherapy but the benefit in older women who were given chemotherapy was less because they were given lower doses. The threshold for therapeutic effectiveness was the delivery of at least 85% of the planned chemotherapy dose. Subsequent research emphasizes the importance of not only total dose delivered but also dose intensity as a key determinant of outcome in breast cancer.

No significant increase in RT toxicity has been seen in older women. Therefore, among healthy older women, standard fractionation RT with a boost to the lumpectomy cavity is considered a standard component of breast-conserving therapy.

Studies in older women have found no important increase in RT toxicity. The SIOG panel recommends that RT after breast-conserving surgery and adjuvant systemic treatment should be considered in all older women with breast cancer. Factors that should be taken into account include life expectancy, patient health and functional status, mortality risk from comorbidities (especially cardiac or vascular), and risk for local recurrence.19

Since absolute risk for local recurrence is lower in older women, the benefits of RT may decline with age. In addition, the schedule and duration of conventional RT may be challenging for older women who have limited mobility or transportation. Alternatives that demonstrate promising early results include hypofractionated RT schedules, more rapid fractionation, and partial-breast rather than whole-breast irradiation.20

Until recently, tamoxifen was the only hormonal therapy option for postmenopausal women with breast cancer. Other data suggest that aromatase inhibitors (AIs), such as anastrozole, letrozole, or exemestane, are more effective than tamoxifen.

As a girl approaches her teen years, the first visible signs of breast development begin. When the ovaries start to produce and release (secrete) estrogen, fat in the connective tissue starts to collect. This causes the breasts to enlarge. The duct system also starts to grow. Often these breast changes happen at the same that pubic hair and armpit hair appear.

Once ovulation and menstruation begin, the maturing of the breasts begins with the formation of secretory glands at the end of the milk ducts. The breasts and duct system continue to grow and mature, with the development of many glands and lobules. The rate at which breasts grow is different for each young woman.

Each month, women go through changes in the hormones that make up the normal menstrual cycle. The hormone estrogen is produced by the ovaries in the first half of the menstrual cycle. It stimulates the growth of milk ducts in the breasts. The increasing level of estrogen leads to ovulation halfway through the cycle. Next, the hormone progesterone takes over in the second half of the cycle. It stimulates the formation of the milk glands. These hormones are believed to be responsible for the cyclical changes that many women feel in their breasts just before menstruation. These include swelling, pain, and soreness.

During menstruation, many women also have changes in breast texture. Their breasts may feel very lumpy. This is because the glands in the breast are enlarging to get ready for a possible pregnancy. If pregnancy does not happen, the breasts go back to normal size. Once menstruation starts, the cycle begins again.

Many healthcare providers believe the breasts are not fully mature until a woman has given birth and made milk. Breast changes are one of the earliest signs of pregnancy. This is a result of the hormone progesterone. In addition, the dark areas of skin around the nipples (the areolas) begin to swell. This is followed by the rapid swelling of the breasts themselves. Most pregnant women feel soreness down the sides of the breasts, and nipple tingling or soreness. This is because of the growth of the milk duct system and the formation of many more lobules.

By the fifth or sixth month of pregnancy, the breasts are fully capable of producing milk. As in puberty, estrogen controls the growth of the ducts, and progesterone controls the growth of the glandular buds. Many other hormones also play vital roles in milk production. These include follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, oxytocin, and human placental lactogen (HPL).

Other physical changes happen as well. These include the blood vessels in the breast becoming more visible and the areola getting larger and darker. All of these changes are in preparation for breastfeeding the baby after birth.

Long before your baby is in your arms, your body is preparing for their first meal. That means you may notice leaking breasts during the last few weeks of your pregnancy. This can happen any time, but it's more common when your nipples are stimulated, say if you're exercising or having sex.

If your leaky breasts are bothering you or leaving marks, slip nursing pads into your bra to absorb the liquid. And if you aren't leaking, don't worry. That's perfectly normal, too, and it isn't a sign that your breasts won't be ready to do their job! 041b061a72


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