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  • • Thrombophlebitis of the thoracoepigastric vein over breast or upper abdomen

    • More common in women

    • Self-limited, often within 3 wks

    • Little to no risk of thromboembolism

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Epidemiology

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  • • Occasionally follows radical mastectomy

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Symptoms and Signs

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  • • Breast pain

    • Superficial abdominal pain

    • Localized tender, cord-like structure in subcutaneous tissue of abdomen, thorax, or axilla

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Rule Out

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  • • Infectious process

    • Stasis of venous return due to neoplasm

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  • • Physical exam

    • Occasionally, soft-tissue US; usually not necessary

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  • • Supportive symptomatic treatment only

    • Warm compresses

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Surgery

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Indications

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  • • Only if concern for malignancy

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Medications

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  • • NSAIDs

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Prognosis

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  • • Good

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References

Bejanga BI. Mondor's disease: analysis of 30 cases. J R Coll Surg Edinb. 1992;37:322.  [PubMed: 1282551]

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