- 期刊
Mondor's Disease in the Breast
乳房之孟得爾疾病
摘要
Mondor’s disease, superficial thrombophebitis of the breast, is an uncommon self-limiting condition. Surgical procedures and trauma were the common known causes. The objective of this study was to evaluate the incidence of Mondor’s dis-ease in different breast operations in lower risk of breast cancer area over a 6-year period and to identify its causes, clinical features, related surgical factors and asso-ciated breast cancer. Eighty-four cases of Mond’s disease were obtained from 9675 new patients in the breast clinic of Kaohsiung Medical University Hospital between January 1991 and December 1996. The incidence per year was close (0.84%-0.96%) although the number has been increasing each year. In 23 cases, no definite cause was diagnosed, whereas in 61 cases, the disorder was secondary because the pathogensis could be discerned. The identitied causes included forty-three cases caused by breast surgery, two cases associated with breast cancer and sixteen cases with other benign causes. Although the incidence did not differ signiticantly be-tween breast surgery (0.95%) and non-surgical causes (0.79%), the highest incidence, 1.52%, occurred when excision through circumareolar incision and tunnel proce-dure for cosmesis (25 cases in 1634 excisions) were used, and the lowest 0.69% when excisions through direct incisison (14 cases in 2004 excisions) were performed. (P＜0.05) The other incidence rates were 1.56% breast conserving surgery which is higher than 0.37% following mastectomy. The incidence of the disease was higher(4.28%) when the distance of the breast lesion was more than 3cm form the areolar edge, compared to 1.20% for the 2cm group and 0.32% for the lcm group (p＞0.05) in tunel procedures. The incidence of Mondor’s disease during breast surgery was not significantly different in different breast quardrabts. Although Mondor’s dis-ease is a benign, self-limiting condition, a high incidence developed in the excision biopsy through circumareolar incision with tunel procedure when the distance from the breast lesion to the areolar edge was more than 3cm. To prevent this complication, the tunnel procedure in breast biopsy should be avoided. The incidence of Mondor’s disease associated with breast cancer was low (2.4%) in the lower-incidence breast cancer area from this series, but awareness of the condition is recommended.
關鍵字
無資料並列摘要
Mondor’s disease, superficial thrombophebitis of the breast, is an uncommon self-limiting condition. Surgical procedures and trauma were the common known causes. The objective of this study was to evaluate the incidence of Mondor’s dis-ease in different breast operations in lower risk of breast cancer area over a 6-year period and to identify its causes, clinical features, related surgical factors and asso-ciated breast cancer. Eighty-four cases of Mond’s disease were obtained from 9675 new patients in the breast clinic of Kaohsiung Medical University Hospital between January 1991 and December 1996. The incidence per year was close (0.84%-0.96%) although the number has been increasing each year. In 23 cases, no definite cause was diagnosed, whereas in 61 cases, the disorder was secondary because the pathogensis could be discerned. The identitied causes included forty-three cases caused by breast surgery, two cases associated with breast cancer and sixteen cases with other benign causes. Although the incidence did not differ signiticantly be-tween breast surgery (0.95%) and non-surgical causes (0.79%), the highest incidence, 1.52%, occurred when excision through circumareolar incision and tunnel proce-dure for cosmesis (25 cases in 1634 excisions) were used, and the lowest 0.69% when excisions through direct incisison (14 cases in 2004 excisions) were performed. (P＜0.05) The other incidence rates were 1.56% breast conserving surgery which is higher than 0.37% following mastectomy. The incidence of the disease was higher(4.28%) when the distance of the breast lesion was more than 3cm form the areolar edge, compared to 1.20% for the 2cm group and 0.32% for the lcm group (p＞0.05) in tunel procedures. The incidence of Mondor’s disease during breast surgery was not significantly different in different breast quardrabts. Although Mondor’s dis-ease is a benign, self-limiting condition, a high incidence developed in the excision biopsy through circumareolar incision with tunel procedure when the distance from the breast lesion to the areolar edge was more than 3cm. To prevent this complication, the tunnel procedure in breast biopsy should be avoided. The incidence of Mondor’s disease associated with breast cancer was low (2.4%) in the lower-incidence breast cancer area from this series, but awareness of the condition is recommended.