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Year : 2006  |  Volume : 72  |  Issue : 3  |  Page : 252

Linear cord-like lesion on the chest wall

Indira Gandhi Co-operative Hospital, Kochi, India

Correspondence Address:
Mary Muthachen
C4C Willingdon Enclave, Thevera, Kochi 682 013, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.25801

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How to cite this article:
Muthachen M. Linear cord-like lesion on the chest wall. Indian J Dermatol Venereol Leprol 2006;72:252

How to cite this URL:
Muthachen M. Linear cord-like lesion on the chest wall. Indian J Dermatol Venereol Leprol [serial online] 2006 [cited 2021 Jan 21];72:252. Available from:

A 53-year-old male patient, a laborer by profession, presented with a 3-week history of a cord-like lesion on the anterior chest wall. On examination, there was a skin-colored linear cord starting from the inferolateral quadrant of the right breast, crossing the lower margin of the rib cage on the same side and ending at a level just above the umbilicus [Figure - 1]. In its lower part, the cord forked and took on an inverted-V shape. It was about 3 mm in width and about 25 cm in length. It was attached to the skin but not to the subcutaneous tissue. On stretching the skin, a shallow groove became apparent alongside the cord [Figure - 2]. Examination of the breast and axillary region did not reveal any palpable masses.

A routine hematology work-up and an ultrasound scan were normal. A mammogram was reported as showing no evidence of spiculated mass lesions or suspicious microcalcifications.

  What is the diagnosis? Top

Diagnosis: Mondor's disease or sclerosing periphlebitis of the chest wall

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  References Top

1.Jaberi M, Willey S, Bremm R. Stereotactic vacuum assisted Breast biopsy-An unusual cause of Mondor's disease. Am J Roentgenol 2002;179:185-6.  Back to cited text no. 1    
2.Cutaneous Vascular diseases. In : Odom RB, James WD, Berger TG editors. Andrews' Diseases of the skin - Clinical Dermatology. 9th ed. WB Saunders: Philadelphia; 2000. p. 1026.  Back to cited text no. 2    
3.Burns DA. The Breast. In : Champion RH, Burton JL, Burns DA. Breathnach SM, editors. Rook/ Wilkinson/ Ebling Textbook of dermatology. 6th ed. Blackwell Science: Oxford; 1998. p. 67.15-6.  Back to cited text no. 3    
4.Hogan GF. Mondor's disease. Arch Intern Med 1964;113:881-5.  Back to cited text no. 4  [PUBMED]  
5.Barnhill R, Busam K. Vascular diseases. In : Elder D, Elenitsas R, Jaworsky C, Johnson B, editors. Lever's Histopathology of the skin. 8th ed. Lippincott-Raven: Philadelphia; 1997. p. 192-3.  Back to cited text no. 5    
6.Shetty MK, Watson AB. Mondor's disease of the breast: sonographic and Mammographic findings. Am J Roentgenol 2001;177:893-6.  Back to cited text no. 6    


[Figure - 1], [Figure - 2]


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