Mondor's Disease of the Breast-three Cases Report

乳房孟得爾氏疾病：參例報告

10.6452/KJMS.199204.0231

侯明鋒(Ming-Feng Hou)；黃錦華(Chin-Hwa Hwang)；陳漢文(Hon-Man Chan)；黃裕勝(Yu-Sheng Huang)；謝建勳(Jan-Sing Hsieh)；黃宗人(Tsung-Jen Huang)

Mondor's disease ； breast ； thrombophiebitis

The Kaohsiung Journal of Medical Sciences

8卷4期（1992 / 04 / 01）

231 - 235

英文

乳房孟得爾氏疾病乃是一種少見的胸腹上靜脈或外胸靜脈的表淺靜脈炎，臨床症狀顯示突發性乳房外側疼痛，併隨可動性的索狀物並合併線狀乳房表皮深溝，它大部份發生於中年女性，其原因不知，可能與外傷、手術、感染、太緊衣物內衣、繃帶有關。大部份病例的乳房X光攝影均未顯示異常，而超音波可見到相對病灶的高回音性索狀物，對此病只要症狀治療即可。手術則針對有惡性懷疑或嚴重疼痛牽引，大部份病例在2至8週可痊癒。 我們提出三例乳房孟得爾氏疾病且相信這是台灣的首次報告。

Mondor’s disease is a rare and relatively little known clinical entity. Clinical features include sudden development of localized pain in the breast, followed by visible and papable, tender, cordlike, branching cutaneous grooves. It involves superficial thrombophiebitis of the thoracoepigastric or lateral thoracic vein occurring mostly in middle-age women. The etiology of Mondor’s disease is unknown, and it may be related to trauma, operation, infection, bandaging, or tight clothes. The mammogram of most cases showed no abnormality, but the ultrasonography revealed hyperechoic cordlike pattern in the lesions. The symptomatic treatment is required and surgery will be indicated when it is associated with malignancy or severe painful cord due to pain and traction. It usually resolves over a period of 2 to 8 weeks. We report three cases of Mondor’s disease and that we believe to be the first reported cases in Taiwan.