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Chapter 41 Breast Disorders
Lauren Abern, MD
❍ What is Mondor disease?
A painful string-like thrombophlebitis within a cutaneous vein of the chest wall or breast. A tender cord is usually
palpable and visible in the lateral aspect of the breast.
❍ What is the treatment of Mondor disease?
Warm compresses, elevation of the breast in a well-fitting bra, and use of anti-inflammatory medications.
❍ What is the most common cause of nipple discharge in the nonlactating breast?
Fibrocystic changes.
❍ What are other causes of nipple discharge in the nonlactating breast?
Intraductal papilloma, duct ectasia, galactorrhea, and, rarely, carcinoma.
❍ What is the most common cause of bloody nipple discharge?
Intraductal papilloma, which is a benign process. Carcinoma can also cause bloody discharge.
❍ When do patients typically present with symptoms of an intraductal papilloma?
When they are perimenopausal.
❍ What is the most important histopathologic feature that distinguishes a benign papilloma from a papillary
carcinoma?
The presence of a myoepithelial layer.
❍ Is there an increased risk of carcinoma in a patient with a single, central intraductal papilloma?
No.