Breast: Mondor’s Disease

Chapter 153 Breast: Mondor’s Disease

INTRODUCTION

Description: Mondor’s disease, or superficial angiitis, is a superficial thrombophlebitis of the breast.
Prevalence: Uncommon.
Predominant Age: 30 to 60.
Genetics: No genetic pattern.

ETIOLOGY AND PATHOGENESIS

Causes: Phlebitis is most often linked to recent pregnancy, trauma, or operative procedures but may occur spontaneously. It most often involves the thoracoepigastric veins of the breast.
Risk Factors: Pregnancy, trauma or operative procedures, thrombophilias.

CLINICAL CHARACTERISTICS

Signs and Symptoms

• Pain (acute, generally upper outer quadrant)
• Dimpling of the skin or a distinct cord with erythematous margins
• Shallow groove seen extending upward toward the axilla when the arm is raised

DIAGNOSTIC APPROACH

Differential Diagnosis

• Breast abscess
• Duct ectasia
• Carcinoma (may be distinguished from inflammatory cancer of the breast by the presence of sudden pain, early skin adherence, and progressive improvement)
• Mastitis
• Fat necrosis
• Scarring from previous surgery (biopsy, augmentation, or reduction)

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Jun 6, 2016 | Posted by in GYNECOLOGY | Comments Off on Breast: Mondor’s Disease

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