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Image features in correlation with biopsy in diabetic mastopathy associated with diabetes type 2
Ana Lilia Remírez-Castellanos, Karen Jazmín Herrera-Juárez, Marina Quintana-Civera
1bInstituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Oncología, Departamento de Patología. Ciudad de México, México
Background:
Diabetic mastopathy is an uncommon complication of diabetes mellitus (DM) of long-term evolution which can be confused with breast cancer. Therefore, it is important to know this entity.
Clinical Case:
The aim of the present study is to show the characteristics of mastography and breast ultrasound (US) in a 64-year-old Mexican woman with DM of 27 years of evolution treated with insulin. This patient presented increased volume in both breasts secondary to diabetic mastopathy. We describe the utility of the US-guided core-needle biopsy as well.
Conclusion:
Diabetic mastopathy is a rare morphological change, which requires clinical correlation and sets out the differential diagnosis in physical examination and imaging studies of breast cancer. Breast US is the most useful diagnostic tool to evaluate a palpable nodule in a patient with suspected diabetic mastopathy and the biopsy is the gold standard test which allows the diagnosis.
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