Pinto Rita Mesquita, Manso Pedro, Urzal Cecília, Batista Joana, Aragão Carlos, Vaz Francisco Cortez
Department of Gynecology and Obstetrics, Centro Hospitalar de Tondela-Viseu, Hospital S. Teotónio, Viseu, Portugal.
Department of Medical Imaging, Centro Hospitalar de Tondela-Viseu, Hospital S. Teotónio, Viseu, Portugal.
Rev Bras Ginecol Obstet. 2014 Mar;36(3):139-41. doi: 10.1590/s0100-72032014000300008.
Mondor's disease is a rare entity characterized by sclerosing thrombophlebitis classically involving one or more of the subcutaneous veins of the breast and anterior chest wall. It is usually a self-limited, benign condition, despite of rare cases of association to cancer. We present the case of a 32 year-old female, breast-feeding, who went to emergency due to left mastalgia for the past week. She was taking antibiotics and non-steroidal anti-inflammatory drugs, previously prescribed for suspicious of mastitis, for three days, with no clinical improvement. Physical examination showed an enlarged left breast, an axillary lump and a painful cord-like structure in the upper outer quadrant of the same breast. Ultrasound scan showed a markedly dilated superficial vein in the upper outer quadrant of left breast. The patient was given a ventropic therapy and was kept in anti-inflammatory, with progressive pain improvement. Ultrasound control was performed after four weeks, showing reperfusion.
蒙多氏病是一种罕见病症，其特征为硬化性血栓性静脉炎，典型表现为累及乳房和前胸壁的一条或多条皮下静脉。尽管与癌症相关的病例罕见，但它通常是一种自限性的良性疾病。我们报告一例32岁哺乳期女性病例，她因过去一周左侧乳房疼痛而去急诊。她之前因怀疑乳腺炎而服用抗生素和非甾体类抗炎药三天，临床症状无改善。体格检查发现左侧乳房肿大、腋窝有肿块以及同侧乳房外上象限有一条疼痛的条索状结构。超声扫描显示左侧乳房外上象限有一条明显扩张的浅表静脉。该患者接受了促静脉回流治疗，并持续抗炎，疼痛逐渐改善。四周后进行超声复查，显示血管再通。
