Mondor's Disease after Bilateral Mastectomy in Both Breast Paraffinoma Patient

양측 유방의 파라핀종 환자에서 양측 유방절제술 후 발생한 Mondor병(표재성 혈전정맥염) 1례

  • Oh, Hyun-Soo (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University) ;
  • Chung, Seung-Il (Art Plastic Surgery Clinic) ;
  • Yang, Won-Yong (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University) ;
  • Kang, Sang-Yoon (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University)
  • 오현수 (경희대학교 의과대학 성형외과학교실) ;
  • 정승일 (아트 성형외과) ;
  • 양원용 (경희대학교 의과대학 성형외과학교실) ;
  • 강상윤 (경희대학교 의과대학 성형외과학교실)
  • Received : 2010.04.02
  • Accepted : 2010.06.24
  • Published : 2010.09.10

Abstract

Purpose: Mondor's disease is a rare benign condition which involves thrombophlebitis of the superficial veins of the breast and anterior chest wall after breast surgery, breast tissue biopsy, inflammatory reaction, breast cancer, trauma. The affected veins include the lateral thoracic, axillary veins, thoracoepigastric veins and superior epigastric veins. Methods: A 49-year-old woman presented to the outpatient department with complaints of the sudden appearance of a subcutaneous cord just under the skin at left lower lateral abdominal wall 1 month later of bilateral mastectomy due to both severe breast paraffinoma. The cord was initially red and tender and subsequently became a painless, tough, fibrous band that was accompanied by tension and skin retraction. Results: On ultrasonographic findings, palpable threadlike structures at both lateral superficial abdominal wall after bilateral mastectomy were noted. Superficial short elongated hypoechoic tubular structures were noted just under the skin at palpable lower lateral abdominal wall. It was compatible to Mondor's disease of thoracoepigastric vein. Conclusion: The increase in breast surgery will give rise to the increase in the frequency of Mondor's disease clinically. Mondor's disease can be diagnosed with clinical symptoms and image findings and the disease has proved to be benign and self-limited.

Keywords

References

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