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Surgery Miscellaneous (Breast) 271caa97

Mondors disease involves which of the following-

A
Axilla
B
Neck
C
Thymus
D
Breast
High-Yield Explanation
Ans. is 'd' i.e., Breast Mondor's diseaseo Thrombophlebitis of the superficial veins of anterior chest wall and breast although it has also been seen in the arm.o Frequently involved veins are lateral thoracic vein, thoracoepigastric vein and superficial epigastric veins,o Aetiology is unknowno Also known as 'string phlebitis\ it presents as a tender cord-like structure.o The women may present with acute pain in the lateral asepct of breast or the anterior chest wall. A tender cordlike superficial thrombosed vein is formed and when the skin over the breast is stretched by raising the arm, a narrowr shallow subcutaneous groove alongside the cord becomes apparent,o Rarely it may be bilateral.Managemento It's a benign self-limited disorder.o The differential diagnosis is lymphatic permeation from an occult carcinoma of breast.o When the diagnosis is uncertain or a mass is present near the cord, a biopsy may be done.Treatmento Antiinflammatory drugs and warm compresseso Restricted arm movements as well as brassiere support of breasto It usually resolves within 4 to 6 weeks.o When symptoms persists or are refractory to treatment, the involved vein segment may be excised.

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