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

Oh, Hyun Soo; Chung, Seung Il; Yang, Won Yong; Kang, Sang Yoon

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Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(5):699-701.
Published online September 1, 2010.

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

Hyun Soo Oh, Seung Il Chung, Won Yong Yang, Sang Yoon Kang

¹Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. nuelk@nate.com
²Art Plastic Surgery Clinic, Seoul, Korea.

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: Mondor's disease; Bilateral mastectomy; Paraffinoma; Thrombophlebitis

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