Mondor Disease

Ans. C

Explanation:

Mondor’s disease is a variant of thrombophlebitis that involves the superficial veins of the anterior chest wall and breast.

In 1939, Mondor described the condition as “string phlebitis,” a thrombosed vein presenting as a tender, cord-like structure.

Frequently involved veins include the lateral thoracic vein, the thoracoepigastric vein, and, less commonly, the superficial epigastric vein.

Typically, a woman presents with acute pain in the lateral aspect of the breast or the anterior chest wall.

A tender, firm cord is found to follow the distribution of one of the major superficial veins

Q. 2

Mondor’s disease is ‑

A		Thrombophlebitis of the Superficial veins of Breast
B		Carcinoma of the breast
C		Premalignant condition of the breast
D		Filariasis of the breast

Ans.

Explanation:

Ans is ‘a’ i.e., Thrombophlebitis of Superficial veins of Breast

Mondor’s disease
is thrombophlebitis of the superficial veins of anterior chest wall and breast although it has also been seen in the arm.
frequently involved veins are lateral thoracic vein, thoracoepigastric vein and superficial epigastric veins.
aetiology is unknown
also known as ‘string phlebitis’, it presents as a tender cord-like structure.
The women may present with acute pain in the lateral asepct of breast or the anterior chest wall. A tender cord-like superficial thrombosed vein is formed and when the skin over the breast is stretched by raising the arm, a narrow shallow subcutaneous groove alongside the cord becomes apparent.
rarely it may be bilateral.
Management

it’s a benign self-limited disorder

The differential diagnosis is lymphatic permeation from an occult carcinoma of breast

When the diagnosis is uncertain or a mass is present near the cord, a biopsy may be done. Treatment

antiinflammatory drugs and warm compresses
restricted arm movements as well as brassiere support of breast
it usually resolves within 4 to 6 weeks. When symptoms persists or are refractory to treatment, the involved vein segment may be excised.

Q. 3 About Mondor’s disease –

A		Superficial thrombophlebitis
B		Lymphatic infiltration tumour cell
C		Cord like apperance of subcutanous veins
D		a and c

Ans.

Explanation:

Answer (a) Superficial thrombophlebitis; (c) Cord like apperance of sub. cut. veins

In Mondor’s disease the thrombophlebitis is mostly limited to areas around the breast and there is no evidence of thrombophlebitis in other parts of body.
Lymphatic infiltration from tumor cells is a differential diagnosis of Mondor’s disease.