[Diabetic mastopathy: a recurrent benign breast disease]

Area of Science:

• Endocrinology
• Oncology
• Pathology

Background:

• Diabetic mastopathy is a rare, benign breast condition predominantly affecting young women with type 1 diabetes.
• Clinical and radiological presentations are often non-specific, frequently leading to misdiagnosis as breast carcinoma.

Observation:

• Histological examination is key for diagnosis, revealing characteristic features such as dense keloid-like fibrosis, lymphocytic lobulitis, and perivascular inflammation.
• The case highlights the diagnostic utility of core biopsy in identifying diabetic mastopathy.

Findings:

• The histological hallmarks of diabetic mastopathy include dense fibrosis and specific inflammatory patterns.
• Core biopsy proved effective for diagnosing this condition in the presented case.

Implications:

• Accurate diagnosis via core biopsy can prevent unnecessary surgical interventions for diabetic mastopathy.
• Understanding the pathological features is crucial for differentiating diabetic mastopathy from malignant breast lesions.