A CLINICAL CASE REPORT OF MONDOR'S DISEASE OF THE BREAST
DOI:
https://doi.org/10.11603/24116-4944.2024.1.14754Keywords:
breast, acute thrombophlebitis, diagnosis, breast cancerAbstract
The aim of the study – to describe a rare clinical case of Mondor's disease of the breast, whose clinical symptoms can mimic breast cancer, and to analyze the diagnostic value of different imaging methods in this case.
Materials and Methods. A rare clinical case of Mondor's disease of the breast is described, a clinical examination of the patient was performed with the appointment of the necessary diagnostic methods, patient was treated according to current clinical protocols, and dynamic observation was performed. Assessment of the state of the mammary glands was carried out according to the standardized scale for evaluating the results of mammography, ultrasound and MRI according to the degree of risk of the occurrence of malignant neoplasms of the mammary glands BI-RADS (Breast Imaging-Reporting and Data System). Materials from the scientific databases PubMed, Google Scholar, Web of Science, and Scopus were processed to search for up-to-date information on methods of diagnosing pathology and approaches to treatment.
Results and Discussion. Mondor's disease is a rare pathology of the breast gland, manifested by acute thrombophlebitis of the superficial veins of the front and lateral walls of the chest and epigastrium, in particular, its symptoms can be manifested on the breasts. The report describes a clinical case of Mondor's disease of the left breast in a 40-year-old woman, which occurred after an acute respiratory infection. Clinical symptoms simulated breast cancer. The significance of various diagnostic methods is shown. Mammography turned out to be uninformative in this case. Ultrasound made it possible to visualize the thrombosed superficial vein of the breast. There were no changes in laboratory tests. Conservative treatment (general and local anti-inflammatory) proved to be effective.
Conclusions. Mondor's disease of the breast has a benign course and a favorable prognosis. A number of common symptoms with breast cancer require careful examination of the patient according to current protocols. Ultrasound with doppler is a more informative diagnostic method for this pathology than mammography. Awareness of the possibility of the occurrence of such a rare pathology can prevent the performance of unnecessary biopsy procedures in this case. Given the small frequency of pathology, each described case is interesting for study.
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