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乳腺蒙多氏病:病例系列

Mondor's disease of the breast: a case series.

作者信息

Ben Hamida K, Ghalleb M, Triki A, Jebir I, Makhlouf R, Touinsi H

机构信息

Surgery Department, Mohamed Taher El Maamouri Hospital, Nabeul, Tunisia.

Faculty of Medicine of Tunis, Tunis, Tunisia.

出版信息

J Med Case Rep. 2021 Apr 2;15(1):188. doi: 10.1186/s13256-021-02708-6.

Abstract

BACKGROUND

Mondor's disease of the breast (MDB) is a rare and benign disorder of the breast. It is characterized by thrombophlebitis of the superficial veins of the chest wall. Clinically, it manifests as a cord-like induration of the breast area. MDB resolves spontaneously without sequela.

CASE PRESENTATION

We report cases of three Caucasian African patients aged 29, 40 and 34, respectively. One patient was under progestative contraception. All the patients had a cord-like induration on the chest wall. Ultrasonography was performed in all patients and was normal in two cases and showed a thrombotic vein in one case. All the patients had symptomatic treatment with total resolution of symptoms within 1 to 4 weeks. No relapse was observed.

CONCLUSION

MDB is benign in most cases. However, it is not to be taken lightly, because it can be the manifestation of an underlying disease such as breast cancer. The diagnosis is based on clinical findings; ultrasonography can be helpful for the diagnosis. Treatment is based on analgesic and anti-inflammatory drugs.

摘要

背景

乳腺蒙多氏病(MDB)是一种罕见的乳腺良性疾病。其特征为胸壁浅静脉血栓性静脉炎。临床上,表现为乳腺区域条索状硬结。MDB可自行缓解且无后遗症。

病例报告

我们报告了分别为29岁、40岁和34岁的三名白种非洲患者的病例。一名患者正在使用孕激素避孕。所有患者胸壁均有条索状硬结。所有患者均接受了超声检查,其中两例结果正常,一例显示有血栓形成的静脉。所有患者均接受了对症治疗,症状在1至4周内完全缓解。未观察到复发情况。

结论

大多数情况下,MDB是良性的。然而,不能轻视它,因为它可能是潜在疾病如乳腺癌的表现。诊断基于临床发现;超声检查有助于诊断。治疗以止痛和抗炎药物为主。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e71/8019160/b596bb49ebd2/13256_2021_2708_Fig1_HTML.jpg

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