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Diabetic mastopathy: a case report
Carla Francisco1, Catarina Júlio, Ana Luísa Fontes
1Dr. Alfredo da Costa Maternity, Rua Viriato, 1069-089 Lisbon, Portugal. carla.francisco@gmail.com
Clinical Imaging
|November 17, 2012
Summary
Diabetic mastopathy (DMP) is a rare breast condition in women with long-standing diabetes. This case highlights how core biopsy can confirm DMP, preventing misdiagnosis of breast cancer.
Area of Science:
- Endocrinology
- Oncology
- Radiology
Background:
- Diabetic mastopathy (DMP) is a rare, benign breast condition.
- It typically affects premenopausal women with long-standing insulin-dependent diabetes mellitus.
- DMP can clinically and radiologically mimic breast carcinoma.
Observation:
- A 34-year-old female with a 12-year history of type 1 diabetes presented with bilateral breast lumps.
- Mammography, ultrasonography, and MRI raised suspicion for malignancy.
- Core biopsy was performed for diagnosis.
Findings:
- Histological examination revealed typical features of diabetic mastopathy.
- The diagnosis was confirmed via core biopsy, avoiding surgical intervention.
- This case underscores the importance of considering DMP in diabetic patients with breast abnormalities.
Implications:
- Accurate diagnosis of DMP through core biopsy is crucial to prevent unnecessary surgeries for suspected breast cancer.
- Radiologists and pathologists should be aware of DMP's presentation in diabetic patients.
- Early recognition can lead to appropriate management and patient reassurance.
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