양측 유방의 파라핀종 환자에서 양측 유방 절제술 후 발생한 Mondor병 (표재성 혈전정맥염) 1례 (Mondor's disease after bilateral mastectomy in both breast paraffinoma patient)

서지정보

· 발행기관 : 대한성형외과학회
· 수록지 정보 : Archives of Plastic Surgery / 37권 / 5호 / 699 ~ 701페이지
· 저자명 : 오현수, 정승일, 양원용, 강상윤

초록

Purpose: Mondor's disease is a rare benign condition which involves thrombophlebitis of the superficial veins of the breast and anterior chest wall after breast surgery, breast tissue biopsy, inflammatory reaction, breast cancer, trauma. The affected veins include the lateral thoracic, axillary veins, thoracoepigastric veins and superior epigastric veins.
Methods: A 49 - year - old woman presented to the outpatient department with complaints of the sudden appearance of a subcutaneous cord just under the skin at left lower lateral abdominal wall 1 month later of bilateral mastectomy due to both severe breast paraffinoma. The cord was initially red and tender and subsequently became a painless, tough, fibrous band that was accompanied by tension and skin retraction.
Results: On ultrasonographic findings, palpable thread - like structures at both lateral superficial abdominal wall after bilateral mastectomy were noted. Superficial short elongated hypoechoic tubular structures were noted just under the skin at palpable lower lateral abdominal wall. It was compatible to Mondor's disease of thoracoepigastric vein.
Conclusion: The increase of breast surgery will give rise to the increase of the frequency of Mondor’s disease clinically. Mondor’s disease can be diagnosed with clinical symptoms and image findings and the disease has proved to be benign and self - limited.

영어초록

Purpose: Mondor's disease is a rare benign condition which involves thrombophlebitis of the superficial veins of the breast and anterior chest wall after breast surgery, breast tissue biopsy, inflammatory reaction, breast cancer, trauma. The affected veins include the lateral thoracic, axillary veins, thoracoepigastric veins and superior epigastric veins.
Methods: A 49 - year - old woman presented to the outpatient department with complaints of the sudden appearance of a subcutaneous cord just under the skin at left lower lateral abdominal wall 1 month later of bilateral mastectomy due to both severe breast paraffinoma. The cord was initially red and tender and subsequently became a painless, tough, fibrous band that was accompanied by tension and skin retraction.
Results: On ultrasonographic findings, palpable thread - like structures at both lateral superficial abdominal wall after bilateral mastectomy were noted. Superficial short elongated hypoechoic tubular structures were noted just under the skin at palpable lower lateral abdominal wall. It was compatible to Mondor's disease of thoracoepigastric vein.
Conclusion: The increase of breast surgery will give rise to the increase of the frequency of Mondor’s disease clinically. Mondor’s disease can be diagnosed with clinical symptoms and image findings and the disease has proved to be benign and self - limited.

참고자료

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