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Mondor's disease in the breast
M F Hou1, C J Huang, Y S Huang
1Department of Surgery, Kaohsiung Medical University, Taiwan, Republic of China.
The Kaohsiung Journal of Medical Sciences
|January 12, 2000
Summary
Mondor's disease, a breast vein condition, is uncommon but linked to specific surgical techniques. Avoiding circumareolar incisions with tunnel procedures can reduce its incidence, especially for lesions further from the areola.
Area of Science:
- Breast Surgery
- Vascular Surgery
- Oncology
Background:
- Mondor's disease, or superficial thrombophlebitis of the breast, is a rare, self-limiting condition.
- Previously identified causes include surgical procedures and trauma.
- Understanding its incidence and risk factors in breast operations is crucial.
Purpose of the Study:
- To evaluate the incidence of Mondor's disease following various breast operations.
- To identify specific surgical factors and clinical features associated with Mondor's disease.
- To investigate the relationship between Mondor's disease and breast cancer.
Main Methods:
- Retrospective analysis of 84 Mondor's disease cases from 9657 new patients over 6 years.
- Data collected from Kaohsiung Medical University Hospital's breast clinic.
- Comparison of incidence rates based on surgical technique, incision type, lesion distance, and breast quadrant.
Main Results:
- Overall incidence was 0.84%-0.96% annually.
- Highest incidence (1.52%) observed with circumareolar incision and tunnel procedures, particularly for lesions >3 cm from the areola (4.28%).
- Breast-conserving surgery (1.56%) had a higher incidence than mastectomy (0.37%).
Conclusions:
- The tunnel procedure in breast biopsy, especially with circumareolar incisions for lesions >3 cm from the areola, is associated with a high incidence of Mondor's disease.
- Avoiding this specific technique may prevent Mondor's disease.
- The incidence of Mondor's disease associated with breast cancer is low, but awareness is recommended.