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Imaging findings in Mondor's disease
Bahar Yanik1, Işik Conkbayir, Ozgür Oner
1Department of Radiology, Social Security Ankara Hospital, TR-06110 Dişkapi, Ankara, Turkey.
Journal of Clinical Ultrasound : JCU
|January 23, 2003
Summary
Mondor's disease, a rare condition affecting breast veins, was diagnosed using imaging. Ultrasound, especially with Doppler, effectively identified the venous thrombosis and monitored its resolution.
Area of Science:
- Radiology
- Vascular Medicine
Background:
- Mondor's disease, or acute thrombophlebitis of superficial breast veins, is uncommon.
- Limited medical literature exists on its imaging characteristics.
Observation:
- A 59-year-old woman presented with a painful, palpable breast cord and skin discoloration.
- Mammography showed a linear density; grayscale sonography revealed a noncompressible, hypoechoic tubular structure.
- Color Doppler imaging demonstrated absent flow within the structure, with adjacent arterial flow.
Findings:
- The imaging findings were consistent with Mondor's disease.
- Symptomatic treatment led to resolution of venous thrombosis within six weeks.
- Sonography, particularly color Doppler, proved valuable in diagnosis and monitoring.
Implications:
- This case highlights the utility of ultrasound in diagnosing Mondor's disease.
- Color Doppler imaging is crucial for differentiating thrombosed veins from patent vessels.
- Effective diagnosis and monitoring can guide symptomatic management of Mondor's disease.