Mastitis differential diagnosis: Difference between revisions
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==Differentiating Mastitis from other diseases== | ==Differentiating Mastitis from other diseases== | ||
Mastitis must be differentiated from other diseases that cause breast pain and swelling as shown below:<ref name="pmid16713771">{{cite journal| author=Greydanus DE, Matytsina L, Gains M| title=Breast disorders in children and adolescents. | journal=Prim Care | year= 2006 | volume= 33 | issue= 2 | pages= 455-502 | pmid=16713771 | doi=10.1016/j.pop.2006.02.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16713771 }} </ref><ref name="pmid23450563">{{cite journal| author=Jahanfar S, Ng CJ, Teng CL| title=Antibiotics for mastitis in breastfeeding women. | journal=Cochrane Database Syst Rev | year= 2013 | volume= | issue= 2 | pages= CD005458 | pmid=23450563 | doi=10.1002/14651858.CD005458.pub3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23450563 }} </ref> <ref name="pmid24791941">{{cite journal| author=Lam E, Chan T, Wiseman SM| title=Breast abscess: evidence based management recommendations. | journal=Expert Rev Anti Infect Ther | year= 2014 | volume= 12 | issue= 7 | pages= 753-62 | pmid=24791941 | doi=10.1586/14787210.2014.913982 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24791941 }} </ref><ref name="pmid11250736">{{cite journal| author=Kleer CG, van Golen KL, Merajver SD| title=Molecular biology of breast cancer metastasis. Inflammatory breast cancer: clinical syndrome and molecular determinants. | journal=Breast Cancer Res | year= 2000 | volume= 2 | issue= 6 | pages= 423-9 | pmid=11250736 | doi=10.1186/bcr89 | pmc=138665 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11250736 }} </ref><ref name="pmid20603440">{{cite journal| author=Dawood S, Merajver SD, Viens P, Vermeulen PB, Swain SM, Buchholz TA et al.| title=International expert panel on inflammatory breast cancer: consensus statement for standardized diagnosis and treatment. | journal=Ann Oncol | year= 2011 | volume= 22 | issue= 3 | pages= 515-23 | pmid=20603440 | doi=10.1093/annonc/mdq345 | pmc=3105293 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20603440 }} </ref><ref name="pmid1588366">{{cite journal| author=Jaiyesimi IA, Buzdar AU, Hortobagyi G| title=Inflammatory breast cancer: a review. | journal=J Clin Oncol | year= 1992 | volume= 10 | issue= 6 | pages= 1014-24 | pmid=1588366 | doi=10.1200/JCO.1992.10.6.1014 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1588366 }} </ref><ref name="pmid17126205">{{cite journal| author=Indelicato DJ, Grobmyer SR, Newlin H, Morris CG, Haigh LS, Copeland EM et al.| title=Delayed breast cellulitis: an evolving complication of breast conservation. | journal=Int J Radiat Oncol Biol Phys | year= 2006 | volume= 66 | issue= 5 | pages= 1339-46 | pmid=17126205 | doi=10.1016/j.ijrobp.2006.07.1388 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17126205 }} </ref><ref name="pmid21855258">{{cite journal| author=Belleflamme M, Penaloza A, Thoma M, Hainaut P, Thys F| title=Mondor disease: a case report in ED. | journal=Am J Emerg Med | year= 2012 | volume= 30 | issue= 7 | pages= 1325.e1-3 | pmid=21855258 | doi=10.1016/j.ajem.2011.06.031 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21855258 }} </ref><ref name="pmid11566698">{{cite journal| author=Shetty MK, Watson AB| title=Mondor's disease of the breast: sonographic and mammographic findings. | journal=AJR Am J Roentgenol | year= 2001 | volume= 177 | issue= 4 | pages= 893-6 | pmid=11566698 | doi=10.2214/ajr.177.4.1770893 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11566698 }} </ref><ref name="pmid23959419">{{cite journal| author=Kadioglu H, Yildiz S, Ersoy YE, Yücel S, Müslümanoğlu M| title=An unusual case caused by a common reason: Mondor's disease by oral contraceptives. | journal=Int J Surg Case Rep | year= 2013 | volume= 4 | issue= 10 | pages= 855-7 | pmid=23959419 | doi=10.1016/j.ijscr.2013.07.026 | pmc=3785854 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23959419 }} </ref> | Mastitis must be differentiated from other diseases that cause [[breast pain]] and [[swelling]] as shown below:<ref name="pmid16713771">{{cite journal| author=Greydanus DE, Matytsina L, Gains M| title=Breast disorders in children and adolescents. | journal=Prim Care | year= 2006 | volume= 33 | issue= 2 | pages= 455-502 | pmid=16713771 | doi=10.1016/j.pop.2006.02.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16713771 }} </ref><ref name="pmid23450563">{{cite journal| author=Jahanfar S, Ng CJ, Teng CL| title=Antibiotics for mastitis in breastfeeding women. | journal=Cochrane Database Syst Rev | year= 2013 | volume= | issue= 2 | pages= CD005458 | pmid=23450563 | doi=10.1002/14651858.CD005458.pub3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23450563 }} </ref> <ref name="pmid24791941">{{cite journal| author=Lam E, Chan T, Wiseman SM| title=Breast abscess: evidence based management recommendations. | journal=Expert Rev Anti Infect Ther | year= 2014 | volume= 12 | issue= 7 | pages= 753-62 | pmid=24791941 | doi=10.1586/14787210.2014.913982 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24791941 }} </ref><ref name="pmid11250736">{{cite journal| author=Kleer CG, van Golen KL, Merajver SD| title=Molecular biology of breast cancer metastasis. Inflammatory breast cancer: clinical syndrome and molecular determinants. | journal=Breast Cancer Res | year= 2000 | volume= 2 | issue= 6 | pages= 423-9 | pmid=11250736 | doi=10.1186/bcr89 | pmc=138665 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11250736 }} </ref><ref name="pmid20603440">{{cite journal| author=Dawood S, Merajver SD, Viens P, Vermeulen PB, Swain SM, Buchholz TA et al.| title=International expert panel on inflammatory breast cancer: consensus statement for standardized diagnosis and treatment. | journal=Ann Oncol | year= 2011 | volume= 22 | issue= 3 | pages= 515-23 | pmid=20603440 | doi=10.1093/annonc/mdq345 | pmc=3105293 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20603440 }} </ref><ref name="pmid1588366">{{cite journal| author=Jaiyesimi IA, Buzdar AU, Hortobagyi G| title=Inflammatory breast cancer: a review. | journal=J Clin Oncol | year= 1992 | volume= 10 | issue= 6 | pages= 1014-24 | pmid=1588366 | doi=10.1200/JCO.1992.10.6.1014 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1588366 }} </ref><ref name="pmid17126205">{{cite journal| author=Indelicato DJ, Grobmyer SR, Newlin H, Morris CG, Haigh LS, Copeland EM et al.| title=Delayed breast cellulitis: an evolving complication of breast conservation. | journal=Int J Radiat Oncol Biol Phys | year= 2006 | volume= 66 | issue= 5 | pages= 1339-46 | pmid=17126205 | doi=10.1016/j.ijrobp.2006.07.1388 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17126205 }} </ref><ref name="pmid21855258">{{cite journal| author=Belleflamme M, Penaloza A, Thoma M, Hainaut P, Thys F| title=Mondor disease: a case report in ED. | journal=Am J Emerg Med | year= 2012 | volume= 30 | issue= 7 | pages= 1325.e1-3 | pmid=21855258 | doi=10.1016/j.ajem.2011.06.031 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21855258 }} </ref><ref name="pmid11566698">{{cite journal| author=Shetty MK, Watson AB| title=Mondor's disease of the breast: sonographic and mammographic findings. | journal=AJR Am J Roentgenol | year= 2001 | volume= 177 | issue= 4 | pages= 893-6 | pmid=11566698 | doi=10.2214/ajr.177.4.1770893 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11566698 }} </ref><ref name="pmid23959419">{{cite journal| author=Kadioglu H, Yildiz S, Ersoy YE, Yücel S, Müslümanoğlu M| title=An unusual case caused by a common reason: Mondor's disease by oral contraceptives. | journal=Int J Surg Case Rep | year= 2013 | volume= 4 | issue= 10 | pages= 855-7 | pmid=23959419 | doi=10.1016/j.ijscr.2013.07.026 | pmc=3785854 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23959419 }} </ref> | ||
{| | {| | ||
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!Itching | !Itching | ||
|- | |- | ||
|style="background: #DCDCDC; padding: 5px; text-align: center;" |Breast abscess | |style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Breast abscess]] | ||
|style="background: #F5F5F5; padding: 5px;" | + for bacteria | |style="background: #F5F5F5; padding: 5px;" | + for bacteria | ||
|style="background: #F5F5F5; padding: 5px;" |✘ | |style="background: #F5F5F5; padding: 5px;" |✘ | ||
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|style="background: #F5F5F5; padding: 5px;" | | |style="background: #F5F5F5; padding: 5px;" | | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Inflammatory breast cancer | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Inflammatory breast cancer]] | ||
| style="background: #F5F5F5; padding: 5px;" |✘ | | style="background: #F5F5F5; padding: 5px;" |✘ | ||
| style="background: #F5F5F5; padding: 5px;" |✔ | | style="background: #F5F5F5; padding: 5px;" |✔ | ||
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<nowiki>*</nowiki>Metastasis is common. | <nowiki>*</nowiki>Metastasis is common. | ||
|- | |- | ||
|style="background: #DCDCDC; padding: 5px; text-align: center;" |Galactocele | |style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Galactocele]] | ||
|style="background: #F5F5F5; padding: 5px;" |✘ | |style="background: #F5F5F5; padding: 5px;" |✘ | ||
|style="background: #F5F5F5; padding: 5px;" |✘ | |style="background: #F5F5F5; padding: 5px;" |✘ | ||
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|style="background: #F5F5F5; padding: 5px;" | | |style="background: #F5F5F5; padding: 5px;" | | ||
|- | |- | ||
|style="background: #DCDCDC; padding: 5px; text-align: center;" |Mondor's syndrome | |style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Mondor's disease|Mondor's]] syndrome | ||
|style="background: #F5F5F5; padding: 5px;" | | |style="background: #F5F5F5; padding: 5px;" | | ||
|style="background: #F5F5F5; padding: 5px;" | | |style="background: #F5F5F5; padding: 5px;" | | ||
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|style="background: #F5F5F5; padding: 5px;" |Retracted breast skin and elevation of the skin may be observed. | |style="background: #F5F5F5; padding: 5px;" |Retracted breast skin and elevation of the skin may be observed. | ||
|- | |- | ||
|style="background: #DCDCDC; padding: 5px; text-align: center;" |Cellulitis | |style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cellulitis]] | ||
|style="background: #F5F5F5; padding: 5px;" |✘ | |style="background: #F5F5F5; padding: 5px;" |✘ | ||
|style="background: #F5F5F5; padding: 5px;" | | |style="background: #F5F5F5; padding: 5px;" | | ||
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|style="background: #F5F5F5; padding: 5px;" | | |style="background: #F5F5F5; padding: 5px;" | | ||
|- | |- | ||
|style="background: #DCDCDC; padding: 5px; text-align: center;" |Fibroadenoma | |style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Fibroadenoma]] | ||
|style="background: #F5F5F5; padding: 5px;" |✘ | |style="background: #F5F5F5; padding: 5px;" |✘ | ||
|style="background: #F5F5F5; padding: 5px;" |✔ | |style="background: #F5F5F5; padding: 5px;" |✔ | ||
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Other differential diagnosis of mastitis may include: | Other differential diagnosis of mastitis may include: | ||
*Cystosarcoma phyllodes | *[[Cystosarcoma phyllodes]] | ||
*Breast cyst | *[[Breast cyst]] | ||
*Breast carcinoma | *[[Breast carcinoma]] | ||
*Lymphangioma | *[[Lymphangioma]] | ||
* Furuncle | * [[Furuncle]] | ||
* Impetigo | * [[Impetigo]] | ||
*Neonatal breast hypertrophy | *Neonatal breast hypertrophy | ||
*Breasst engorgement | *Breasst engorgement | ||
*Lipoma | *[[Lipoma]] | ||
==References== | ==References== |
Revision as of 16:52, 7 March 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
Mastitis must be differentiated from other diseases that cause breast pain and/or swelling, such as galactocele[1][2], breast engorgement[3][4] [5], mastodynia[6][7][8], fibrocystic breast disease, breast cancer, fibroadenoma, mondor's disease[9][10] and breast trauma.
Differentiating Mastitis from other diseases
Mastitis must be differentiated from other diseases that cause breast pain and swelling as shown below:[11][12] [13][14][15][16][17][10][18][19]
Diseases | Laboratory Findings | Physical Examination | History and Symptoms | Other Findings | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Breast milk culture | Biopsy | Breast tenderness | Skin induration | Cordlike vein appearance | History of trauma | Nipple retraction | Nipple discharge | Erythema | Fever | Warmth | Lymphadenopathy | Itching | ||
Breast abscess | + for bacteria | ✘ | ✔ | ✔ | ✘ | ✔ | ✘ | ✔ | ✔ | ✔ | ✔ | ✘ | ✘ | |
Mastitis | + for bacteria | ✘ | ✔ | ✘ | ✔ | ✘ | ✔ | ✔ | ✔ | ✔ | ✔ | ✘ | ||
Inflammatory breast cancer | ✘ | ✔ | ✔ | ✔ | ✘ | ✔ | ✘ | ✔ | ✘ | ✔ | ✔ | ✔ | *Peau d' orange appearance of the skin
*Metastasis is common. | |
Galactocele | ✘ | ✘ | ✘ | ✘ | ✘ | ✘ | ✔ | ✘ | ✘ | ✘ | ✘ | ✘ | It is differentiated from other masses by US. | |
Plugged duct | ✘ | ✘ | ✔ | ✘ | ✘ | ✘ | ✘ | ✘ | ✘ | ✘ | ✘ | ✘ | ||
Mondor's syndrome | ✔ | ✔ | ✔ | ✘ | Retracted breast skin and elevation of the skin may be observed. | |||||||||
Cellulitis | ✘ | ✔ | ✔ | ✔ | ✘ | ✔ | ✔ | ✘ | ||||||
Fibroadenoma | ✘ | ✔ | ✘ | ✘ | ✘ | ✘ | ✔ | *Peau d' orange skin apperance.
*Enlarged veins on the skin |
Other differential diagnosis of mastitis may include:
- Cystosarcoma phyllodes
- Breast cyst
- Breast carcinoma
- Lymphangioma
- Furuncle
- Impetigo
- Neonatal breast hypertrophy
- Breasst engorgement
- Lipoma
References
- ↑ Langer A, Mohallem M, Berment H, Ferreira F, Gog A, Khalifa D; et al. (2015). "Breast lumps in pregnant women". Diagn Interv Imaging. 96 (10): 1077–87. doi:10.1016/j.diii.2015.07.005. PMID 26341843.
- ↑ Canlorbe G, Bendifallah S (2015). "[Rare benign breast tumors including Abrikossoff tumor (granular cell tumor), erosive adenomatosis of the nipple, cytosteatonecrosis, fibromatosis (desmoid tumor), galactocele, hamartoma, hemangioma, lipoma, juvenile papillomatosis, pseudoangiomatous hyperplasia, and syringomatous adenoma: Guidelines for clinical practice]". J Gynecol Obstet Biol Reprod (Paris). 44 (10): 1030–48. doi:10.1016/j.jgyn.2015.09.034. PMID 26530177.
- ↑ Pustotina O (2016). "Management of mastitis and breast engorgement in breastfeeding women". J Matern Fetal Neonatal Med. 29 (19): 3121–5. doi:10.3109/14767058.2015.1114092. PMID 26513602.
- ↑ Leung SS (2016). "Breast pain in lactating mothers". Hong Kong Med J. doi:10.12809/hkmj154762. PMID 27313273.
- ↑ Anderson L, Kynoch K (2016). "Implementation of an education package on breast engorgement aimed at lactation consultants and midwives to prevent conflicting information for postnatal mothers". Int J Evid Based Healthc. doi:10.1097/XEB.0000000000000090. PMID 27465926.
- ↑ van Bogaert LJ (1986). "[Mastodynia and fibrocystic disease of the breast. Perspectives and methods of medical treatment]". J Gynecol Obstet Biol Reprod (Paris). 15 (6): 805–11. PMID 3794218.
- ↑ Songtish D, Akranurakkul P (2015). "Mastalgia: Characteristics and Associated Factors in Thai Women". J Med Assoc Thai. 98 Suppl 9: S9–15. PMID 26817204.
- ↑ Sen M, Kilic MO, Cemeroglu O, Icen D (2015). "Can mastalgia be another somatic symptom in fibromyalgia syndrome?". Clinics (Sao Paulo). 70 (11): 733–7. doi:10.6061/clinics/2015(11)03. PMC 4642489. PMID 26602519.
- ↑ Cox EM, Siegel DM (1997). "Mondor disease: an unusual consideration in a young woman with a breast mass". J Adolesc Health. 21 (3): 183–5. doi:10.1016/S1054-139X(97)00044-X. PMID 9283940.
- ↑ 10.0 10.1 Belleflamme M, Penaloza A, Thoma M, Hainaut P, Thys F (2012). "Mondor disease: a case report in ED". Am J Emerg Med. 30 (7): 1325.e1–3. doi:10.1016/j.ajem.2011.06.031. PMID 21855258.
- ↑ Greydanus DE, Matytsina L, Gains M (2006). "Breast disorders in children and adolescents". Prim Care. 33 (2): 455–502. doi:10.1016/j.pop.2006.02.002. PMID 16713771.
- ↑ Jahanfar S, Ng CJ, Teng CL (2013). "Antibiotics for mastitis in breastfeeding women". Cochrane Database Syst Rev (2): CD005458. doi:10.1002/14651858.CD005458.pub3. PMID 23450563.
- ↑ Lam E, Chan T, Wiseman SM (2014). "Breast abscess: evidence based management recommendations". Expert Rev Anti Infect Ther. 12 (7): 753–62. doi:10.1586/14787210.2014.913982. PMID 24791941.
- ↑ Kleer CG, van Golen KL, Merajver SD (2000). "Molecular biology of breast cancer metastasis. Inflammatory breast cancer: clinical syndrome and molecular determinants". Breast Cancer Res. 2 (6): 423–9. doi:10.1186/bcr89. PMC 138665. PMID 11250736.
- ↑ Dawood S, Merajver SD, Viens P, Vermeulen PB, Swain SM, Buchholz TA; et al. (2011). "International expert panel on inflammatory breast cancer: consensus statement for standardized diagnosis and treatment". Ann Oncol. 22 (3): 515–23. doi:10.1093/annonc/mdq345. PMC 3105293. PMID 20603440.
- ↑ Jaiyesimi IA, Buzdar AU, Hortobagyi G (1992). "Inflammatory breast cancer: a review". J Clin Oncol. 10 (6): 1014–24. doi:10.1200/JCO.1992.10.6.1014. PMID 1588366.
- ↑ Indelicato DJ, Grobmyer SR, Newlin H, Morris CG, Haigh LS, Copeland EM; et al. (2006). "Delayed breast cellulitis: an evolving complication of breast conservation". Int J Radiat Oncol Biol Phys. 66 (5): 1339–46. doi:10.1016/j.ijrobp.2006.07.1388. PMID 17126205.
- ↑ Shetty MK, Watson AB (2001). "Mondor's disease of the breast: sonographic and mammographic findings". AJR Am J Roentgenol. 177 (4): 893–6. doi:10.2214/ajr.177.4.1770893. PMID 11566698.
- ↑ Kadioglu H, Yildiz S, Ersoy YE, Yücel S, Müslümanoğlu M (2013). "An unusual case caused by a common reason: Mondor's disease by oral contraceptives". Int J Surg Case Rep. 4 (10): 855–7. doi:10.1016/j.ijscr.2013.07.026. PMC 3785854. PMID 23959419.