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Correspondence |

Axillary Web Syndrome or Cording, a Variant of Mondor Disease, Following Axillary Surgery

Emma Craythorne, MBChB, MRCP; Emma Benton, MBChB, MRCP; Sarah Macfarlane, MBChB, MRCP
Arch Dermatol. 2009;145(10):1199-1200. doi:10.1001/archdermatol.2009.239.
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Cording, an unusual form of superficial sclerosing thrombophlebitis, is a variant of the disease described by Henri Mondor in 1939.1 Similar lesions have also been found in the penis, groin, abdomen, arm, and axilla and have been reported under a variety of names, depending on which body site is affected. In the axilla, the condition is called axillary web syndrome (AWS) and is frequently seen following axillary lymph node clearance and sentinel lymph node biopsy. We report a case of AWS after wide local excision of a microcystic adnexal carcinoma.

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Figure 1

Elevation of the arm reveals a cordlike structure in the left axilla extending superolaterally.

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Figure 2

Two months after the picture was taken for Figure 1, and following gentle exercise, the cords have resolved.

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