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Mondor's disease of the breast. A retrospective review

机译：乳房的蒙多氏病。回顾性审查

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Background: Mondor's disease is a rare benign clinical entity characterized by thrombophlebitis of the superficial veins of the anterolateral thoraco-abdominal wall. Although several predisposing factors have been reported, the exact pathogenesis remains unclear. nnPatients and methods: We retrospectively reviewed the medical records of all patients older than 14 years who were diagnosed with Mondor's disease of the breast at the Breast Cancer Surgery Unit of Army General Hospital over a 3-year period. nnResults: Five cases of Mondor's disease were identified among 5717 breast examinations performed during the study period. In 4 patients the disease was considered to be idiopathic. Ultrasonography established the diagnosis in all patients but mammography was inconclusive in two cases due to the presence of dense breast tissue. Four patients received symptomatic treatment. All patients had complete clinical resolution within 2–8 weeks of presentation, and they are well without any evidence of recurrence for 3 to 32 months later. No cases were associated with breast cancer. nnConclusions: Mondor's disease of the breast is a rare benign self-limiting clinical entity. Ultrasonography is the diagnostic modality of choice but mammography may be inconclusive in the presence of dense breast tissue. Awareness of this rare entity is mandatory to prevent an unnecessary biopsy whereas the patients should be reassured of the benign nature of this disorder. Thorough evaluation is however necessary to rule out an underlying breast cancer or another systemic disease.
机译：背景：蒙多氏病是一种罕见的良性临床实体，其特征为前外侧胸腹壁浅静脉血栓性静脉炎。尽管已经报道了几种诱发因素，但确切的发病机理仍不清楚。 nn患者和方法：我们回顾了在军队总医院乳腺癌外科三年内被诊断出患有乳房Mondor病的所有14岁以上患者的病历。结果：在研究期间进行的5717次乳房检查中，鉴定出5例蒙多尔病。在4名患者中，该疾病被认为是特发性的。超声检查可确诊所有患者，但由于存在致密的乳腺组织，因此在两个病例中，乳房X光检查尚无定论。对四例患者进行了对症治疗。所有患者在就诊后2至8周内均已完全治愈，并且在3至32个月后无任何复发迹象。没有病例与乳腺癌有关。结论：乳房的蒙多氏病是一种罕见的良性自限性临床个体。超声检查是首选的诊断方式，但是在存在致密的乳腺组织的情况下，乳房X光检查可能尚无定论。必须认识到这种稀有实体，以防止进行不必要的活检，而应让患者放心这种疾病的良性。但是，有必要进行全面评估以排除潜在的乳腺癌或其他全身性疾病。

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