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一个由常见原因导致的罕见病例:口服避孕药引起的蒙多氏病。

An unusual case caused by a common reason: Mondor's disease by oral contraceptives.

作者信息

Kadioglu Huseyin, Yildiz Seyma, Ersoy Yeliz Emine, Yücel Serap, Müslümanoğlu Mahmut

机构信息

Bezmialem Vakif University, Medical Faculty, Turkey.

出版信息

Int J Surg Case Rep. 2013;4(10):855-7. doi: 10.1016/j.ijscr.2013.07.026. Epub 2013 Aug 3.

Abstract

INTRODUCTION

Mondor's disease (MD) of the breast is a rare condition at breast clinics. We do not have enough data to establish its real prevalence. As a known data, most of the patients that were admitted to breast clinics are not breast cancer. Also MD is a rare entity and diagnosing this entity and informing the patient about it is very important. We present here this case to remind breast clinic practitioners that MD can be seen without trauma (neither surgical nor physical). Also clinical and radiological findings and the treatmentof the MD were discussed.

PRESENTATION OF CASE

A 35 year old woman was admitted our clinic with cutaneous breast retraction. She had no risk for thrombosis else using oral contraceptives. Mondor's Disease was diagnosed and supported by radiological findings. Rheumatologic and hematologic causes were also explored. Patient healed in four weeks only with non-steroidal anti-inflammatory drug.

DISCUSSION

Mondor's Disease is rarely related with breast cancer. This rare entity can be diagnosed with doubt and patient should be informed about it. Anti-coagulant treatment does not required if disease is idiopathic.

CONCLUSION

Mondor's Disease should be reminded at a patient with retracted breast skin.

摘要

引言

乳腺蒙多氏病(MD)在乳腺门诊较为罕见。我们没有足够的数据来确定其实际发病率。作为已知数据,大多数到乳腺门诊就诊的患者并非患有乳腺癌。此外,MD是一种罕见病症,诊断该病症并告知患者非常重要。我们在此呈现此病例,以提醒乳腺门诊医生,MD可在无创伤(既非手术创伤也非物理创伤)的情况下出现。同时还讨论了MD的临床和影像学表现及治疗方法。

病例介绍

一名35岁女性因乳腺皮肤凹陷入住我院门诊。除服用口服避孕药外,她无血栓形成风险。经诊断为蒙多氏病,影像学检查结果也支持这一诊断。同时还排查了风湿和血液学病因。患者仅使用非甾体类抗炎药,四周后痊愈。

讨论

蒙多氏病很少与乳腺癌相关。这种罕见病症可能会被误诊,应告知患者相关情况。如果疾病是特发性的,则不需要抗凝治疗。

结论

对于乳腺皮肤凹陷的患者,应考虑到蒙多氏病。

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