一個罕見的乳房良性腫瘤：Mondor病－－病例報告

A Rare Benign Breast Lesion -- Mondor's Disease: A Case Report

Mondor病（Mondor's disease）為一種罕見的病徵，大部分的病灶發生在女性的乳房，目前造成此症狀的原因為表淺栓塞靜脈炎，病徵為出現突發性的索狀皮下硬塊。罹患此症者大多沒有症狀，有些病人會感覺患部疼痛或皮下緊繃的感覺。診斷方式以臨床症狀、理學檢查和超音波為主。發生Mondor病的原因目前尚未完全明瞭，有學者認為和一些系統性疾病，如惡性腫瘤或凝血功能異常有關，因此臨床上可針對此另做檢查。治療方式原則上若非復發或嚴重疼痛者，皆以內科保守療法為主。由於此病症為自限性且病程很短，許多人的症狀也並不明顯，導致甚少案例報告被提及，本文藉此病例報告和最近幾年的文獻回顧，探討Mondor病的危險因子、病程演變、治療方式和預後，讓第一線醫師對此病能有更多的認識。

Mondor's disease is a rare condition with a majority of cases occurring in the female breast. It is caused by thrombophlebitis of superficial veins, and the clinical picture is a sudden appearance of a subcutaneous cord-like mass. Most of the patients are asymptomatic, but local tenderness or tightness has been reported. The diagnosis is based on clinical presentation, breast examination, and breast ultrasonography. The definitive causes of Mondor's disease are still not completely understood. Some authors think that it may be related to systemic diseases such as coagulation disorders or malignancies. It is usually treated conservatively with analgesics unless there is a recurrence or severe pain. Mondor's disease is self-limited, usually of short duration, and with mild or no symptoms. It may therefore be underreported, and that may explain why so few reports exist. In this report, we describe a case and review the recent literature on the risk factors, clinical course, management and prognosis of this disease.