Mondor Disease Clinical Presentation

Updated: May 13, 2019
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
  • Print
Presentation

History

Mondor disease is most often observed as a cordlike indurated plaque on the upper anterolateral aspect of the chest wall. [14, 16] No systemic symptoms are usually present, although rarely there may be chest pain. [17]

Ask the patient about the following:

  • Recent breast surgery: In one report, 7 of 15 patients had a radical mastectomy prior to the onset of Mondor thrombophlebitis on the ipsilateral side. [18] Mondor disease may occur after breast reduction surgery. [19]

  • Possible physical strain, [20] as might be experienced by bodybuilders [7]

  • Tight dressings and tight-fitting bras [21]

  • Axillary shaving [22]

  • Blood dyscrasia [23]

Subcutaneous penile vein thrombosis of other sites has also been described. [2] It is first evident as sudden and almost painless indurations on the penile dorsal surface. [24] In the axillae, it may occur after axillary lymph node dissection and sentinel lymph node biopsy. [4]

Next:

Physical Examination

Mondor disease has a characteristic clinical picture of a sudden appearance of a linear, cordlike, thrombosed vein. At first, this vein is red and tender, and then, it subsequently changes into a painless, tough, fibrous band. The cord is accentuated by traction, elevation of the breast, or abduction of the ipsilateral arm. It may also be evident as retracted breast skin. [25]

If the patient does not seek medical attention upon the initial presentation, the tenderness gradually subsides, while the thrombus organizes and recanalizes, leaving a nontender, hard, ropelike band. This band remains for varying periods up to several weeks. [5]

Previous
Next:

Complications

Mondor phlebitis is not migratory and does not recur.

Previous