Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
175 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Postmenopausal, breast cancer

Answered by
Dr. Indranil Ghosh


Practicing since :2004

Answered : 1500 Questions

Posted on Sat, 26 May 2012 in Breast Cancer
Question: BIRADS 3 second time :

I am 50 and postmenopausal. I had a bizarre series of breast issues in 2011. In May, I developed Mondor disease in my right breast (frightening experience, because 4 drs. failed to diagnose it initially). Diagnostic mammograms, extra spot compressions and US for the Mondor's found two suspicious areas in addition to the Mondor's for which I was recalled in 6 months (findings below) The Mondor's has completely resolved, but I understand there is a 2 - 12% correlation with cancer.

From report: "The breast is fatty with fibroglandular densities predominantly in the upper outer quadrant. 1. Again, in the periareolar region of the 9 o'clock position, in the middle third of the breast, there is an oval and parallel to the skin hypoechoic mass. It presents mild posterior acoustic enhancement. It currently measures 9 x 3 x 9 mm. Although previously, it measured 8 x 4 x 7 mm, it is better circumscribed on today's scan.
This probable complicated cyst has slightly increased in size in the interval, although it is better circumscribed. Accordingly, another six-month follow-up right breast ultrasound is recommended.

2. The retroareolar asymmetry originally noted rnammographically has not changed significantly in the interval. The combination of this and the absence of suspicious sonographic findingss on the right breast ultrasound performed in XXXXXXX 2011 is very favorable. Accordingly, and in the absence of any clinical concern, I would recommend the patient to attend for bilateral diagnostic mammography in XXXXXXX 2012. Future recommendations will be given at that time. "

Should I wait 6 more months or get a second opinion right now? I am very anxious about this. I have no family history of breast cancer; no previous abnormal mammo's or recalls.
Answered by Dr. Indranil Ghosh 7 hours later
Thanks for posting your query.
I would like to reassure you that the findings at present are suggestive of a benign (non-cancerous) process

One of the lesions is probably a cyst, which has remained the same more or less over time, and has only become more well-defined over time, which is quite reassuring. The retroareolar thickening has also remained the same. The ultrasonography which was done earlier for this, also showed findings suggestive of a benign process.

As you have already had two mammograms over a period of six months and one ultrasonography to start with and both investigations showed features suggestive of benign findings, there is nothing that you need to be worried about at present. You don’t need a second opinion right now.

Considering the overall picture, I think you are doing absolutely fine. You just need to be on regular follow-up, with maybe a mammogram after six months and then yearly thereafter.

As far as Mondor’s disease is concerned, it is a rare condition of the breast and hence is often diagnosed with difficulty. It occurs due to thrombosis (clot) in the veins with surrounding inflammation. While the exact cause is unknown, however some cases have been associated with breast surgery and even breast cancer. It is not exactly clear how much risk it carries for subsequent breast cancer, as most of the patients who had breast cancer, were diagnosed with cancer either before or at the same time they were diagnosed with Mondor's disease.

I hope I have answered your query.
Wishing you the very best.

Above answer was peer-reviewed by : Dr. Aparna Kohli

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Procedures ,  
Lab Tests ,   ,   ,   ,  

Recent questions on  Mondor’s disease

doctor1 MD

I m a 29 female I have been having these storage twinges in my chest . Mostly on the right side but the happen on both. Also I went to the ER a few...

doctor1 MD

I had surgery 2 mos. ago and now I have a lump in my vein in my arm. The doc. said it was probably a hemotology and would go away but it hasn't. I...

doctor1 MD

Hello, Recently I noticed a lump under my 2 (almost 3)year old boys left breast. I took him to his pediatrician and upon examination there was also...

doctor1 MD

hi.. My sperm count is 70.2 million/ml and sperm motility is progressive motile is 62% and non motile is 38 % and 25% abnormal forms of sperms....

doctor1 MD