What is the focus of clinical history to evaluate Mondor disease?

Updated: Apr 28, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

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. [20] Mondor disease may occur after breast reduction surgery. [21]

  • Possible physical strain, [22] as might be experienced by bodybuilders [8]

  • Tight dressings and tight-fitting bras [23]

  • Axillary shaving [24]

  • Blood dyscrasia [25]

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. [26] In the axillae, it may occur after axillary lymph node dissection and sentinel lymph node biopsy. [5]


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