I've dealt with dozens of cases of varicosed leg veins and thrombosed
rectal hemorrhoidal veins, though none on the breast.

If it becomes painful or the swelling does not resolve, my first thought
would be that the vein either needs to be opened to remove the thrombosis--
 which I would think would be easy based on performing this in the ER on
rectal hemorrhoids, just numb the skin with a little local, a tiny
incision, and pop the clot out.  Or, remove the vein like a lower
extremity vein stripping -- again, one or two small incisions (less than 1
cm) and essentially pull it out.

This is all conjecture, but I think it would be a fairly quick and easy
solution to the problem, if one develops, though the word "surgery" may
scare the mom a little.

Shannon T. McElearney, MD
PGY4, General Surgery
Univ. of Virginia
mom to 16 mo old nursing Jack who finds mama's veiny breasts amusing

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