Mondor Disease

Introduction

• Description: Mondor disease, or superficial angiitis, is a superficial thrombophlebitis of the breast.

• Prevalence: Uncommon, considered to occur in up to 0.8% of women.

• Predominant Age: 30–60 years.

• Genetics: No genetic pattern.

Etiology and Pathogenesis

• Causes: Phlebitis is most often linked to recent pregnancy, trauma, or operative procedures but may spontaneously occur. It most often involves the thoracoepigastric veins of the breast.

• Risk Factors: Pregnancy, trauma or operative procedures, thrombophilias.

Signs and Symptoms

• Pain (acute, generally upper outer quadrant)

• Dimpling of the skin or a distinct cord with erythematous margins

• Shallow groove seen extending upward toward the axilla when the arm is raised

Diagnostic Approach