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Mondor Disease (Thrombophlebitis of the Thoracoepigastric Vein)

  • • 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

Epidemiology

  • • Occasionally follows radical mastectomy

Symptoms and Signs

  • • Breast pain

    • Superficial abdominal pain

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

Rule Out

  • • Infectious process

    • Stasis of venous return due to neoplasm

  • • Physical exam

    • Occasionally, soft-tissue US; usually not necessary

  • • Supportive symptomatic treatment only

    • Warm compresses

Surgery

Indications

  • • Only if concern for malignancy

Medications

  • • NSAIDs

Prognosis

  • • Good

References

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

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