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Breast Imaging

Mondor's disease

(Henri Mondor, 1885 - 1962, French surgeon), thrombophlebitis of subcutaneous veins in the breast. The most commonly affected veins are the thoraco epigastric veins and the lateral thoracic veins. The patient usually presents with tenderness and pain; on physical examination skin retraction is usually noted over a cord-like structure which sometimes extends on to the chest wall (Fig.1). The clinical presentation may be mistaken for carcinoma. On mammography, a beaded subcutaneous vein may be seen together with skin retraction on proper images (Fig.2). Rarely, the vein calcifies.

On ultrasonography, a tubular, hypoechoic structure corresponding to the thrombosed vein may be seen.

 

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Fig.1

Linear retraction along the lateral aspect of the breast (open arrowheads) under which a cord-like structure extending on to the chest wall could be felt (closed arrowheads).
Mondor's disease, Fig.1
Mondor's disease, Fig.2