PDF(Pubmed)
Abstract：
Breast pain is a common concern among women in primary care clinics. A rare cause of breast pain is Mondor\'s disease (MD), which can present as an acute, painful, erythematous, cord-like induration on the breast or anterior chest wall. The disorder is caused by sclerosing superficial thrombophlebitis of the anterolateral thoracoabdominal wall veins. There does not appear to be a racial or ethnic propensity for this condition; however, it is important to understand that it may be more difficult to see in darker skin types (Fitzpatrick skin types IV-VI) and requires close attention on physical exam. The cause of MD is poorly understood but may be related to direct trauma, strenuous exercise, or hormone changes. We review a case of a 54-year-old woman who presented with an anterior chest wall palpable cord, better visualized with adequate lighting and skin traction, ultimately diagnosed as MD based on clinical findings and imaging studies. Mondor\'s disease often resolves spontaneously with supportive care, as in this patient\'s case; however, clinicians should be aware of this rare cause of breast pain and its association with hypercoagulable state, vasculitis, and breast cancer.
摘要：
乳房疼痛是初级保健诊所妇女普遍关心的问题。乳房疼痛的一个罕见原因是Mondor病（MD），它可以表现为急性，痛苦,红斑,在乳房或前胸壁上的索状硬化。该疾病是由前外侧胸腹壁静脉的硬化性浅表血栓性静脉炎引起的。这种情况似乎没有种族或族裔倾向；然而，重要的是要明白，它可能更难以看到在较深的皮肤类型（Fitzpatrick皮肤类型IV-VI），并需要密切关注的身体检查。MD的病因尚不清楚，但可能与直接创伤有关，剧烈运动,或激素变化。我们回顾了一例54岁的女性，该女性表现为胸壁前可触及的脐带，通过足够的照明和皮肤牵引，更好地可视化，最终根据临床发现和影像学检查诊断为MD。Mondor病通常在支持性治疗下自发消退，就像这个病人的情况一样；然而，临床医生应该意识到这种罕见的乳房疼痛原因及其与高凝状态的关联，血管炎,和乳腺癌。
