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Mondor's Disease of the Breast Can Also Occur After a Sonography-Guided Core Biopsy

Aventura Breast Diagnostic Center Aventura Hospital and Medical Center Aventura, FL 33180

It was interesting to read the case report by Jaberi et al. [1] regarding Mondor's disease caused by a stereotactic vacuum-assisted breast biopsy. Although Mondor's disease has been described in association with trauma, breast surgery, and breast cancer [2], Jaberi et al. found no prior reports of Mondor's disease as a complication of a minimally invasive core biopsy procedure. I saw a similar case after a sonography-guided breast procedure.

In 2001, I performed a freehand 14-gauge sonography-guided core biopsy on a 35-year-old woman who had a palpable mass in the right breast at the 9-o'clock position. The pathologic diagnosis was a benign lymph node. Two weeks after the biopsy, the patient complained of sudden pain, and a new palpable cordlike mass was found in the right inferolateral area of her breast. Focal non-Doppler sonography (Fig. 3) revealed a beaded, predominately anechoic, superficial structure at the site of the palpable cord. I told the patient that this finding likely represented thrombophlebitis of a superficial vein, a condition known as Mondor's disease, and that symptoms could be controlled with warm compresses and nonsteroidal antiinflammatory agents. The patient subsequently reported to me that the pain and palpable cord resolved in 6 weeks and that the warm compresses and antiinflammatory medications had been beneficial.

View larger version (125K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3. —35-year-old woman with Mondor's disease. Sonogram of right breast shows dilated superficial vein.

All interventional breast imagers should be aware of Mondor's disease as a possible complication of core biopsy and should be able to counsel their patients on its conservative management in the event that this complication occurs. As more cases are reported, one could even consider including Mondor's disease under the subsection of vascular complications on the consent form for invasive breast procedures.

References

1. Jaberi M, Willey SC, Brem RF. Stereotactic vacuum-assisted breast biopsy: an unusual cause of Mondor's disease. AJR 2002;179:185 -186[Free Full Text]
2. Shetty MK, Watson AB. Mondor's disease of the breast: sonographic and mammographic findings. AJR 2001;177:893 -896[Abstract/Free Full Text]

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This Article Figures Only Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Harris, A. T. Search for Related Content PubMed PubMed Citation Articles by Harris, A. T. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?