MR Imaging of Diabetic Mastopathy

Sakuhara, Yusuke; Shinozaki, Takahiro; Hozumi, Yasuo; Ogura, Shigeto; Omoto, Kiyoka; Furuse, Makoto

doi:10.2214/ajr.179.5.1791201

Cited by 44 publications

(28 citation statements)

References 6 publications

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“…However, in some cases, it is difficult to differentiate diabetic mastopathy from breast cancer using magnetic resonance images. In these cases, FNAB or surgical excisional biopsy shall be undertaken (6).…”

Section: Discussionmentioning

confidence: 99%

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Regression of the fibrous disease of the breast in a non-diabetic woman after pregnancy and breastfeeding

Pereira

Segura

Santos

et al. 2007

Arq Bras Endocrinol Metab

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Fibrous mastopathy, also known as diabetic mastopathy and lymphocytic mastopathy, may mimic breast cancer at the physical examination, mammography, and ultrasound. We report a case of a woman who presented a non-tender mass clinically suggestive of breast carcinoma; however, the fine-needle aspiration cytology indicated atypia and the core needle biopsy revealed lymphocytic mastopathy. The magnetic resonance imaging of the breast showed a lesion with benign features. It was not demonstrated diabetics mellitus and autoimmune diseases. The patient got pregnant, breastfed, and it was observed the progressive regression of the lesion, with complete disappearance of the solid mass. Three years and three months later, there was no palpable mass at the clinical examination and ultrasound. In conclusion, fibrous mastopathy shall be considered for all breast lesions, regardless of the diagnosis of diabetes mellitus. Once a definitive diagnosis of this pathology is reached, it is recommended clinical, imaging studies and fine-needle aspiration biopsy follow-up of the patient, avoiding unnecessary surgical procedures. RESUMO Regressão de Mastopatia Fibrótica após Gravidez e Amamentação em uma Mulher Não Diabética.A mastopatia fibrótica, também conhecida como mastopatia diabética e mastopatia linfocítica, pode, ao exame clínico, mamografia e ultra-som, simular um carcinoma mamário. Descrevemos o relato de uma mulher na qual o nódulo foi inicialmente suspeito de carcinoma mamário, mas o diagnóstico pela punção aspirativa com agulha fina foi de atipia, e o com biópsia com agulha grossa foi de mastopatia linfocítica. A ressonância magnética da mama mostrou a lesão com características de benignidade. Não foram demonstradas diabetes mellitus e doenças auto-imunes. A paciente engravidou, amamentou e foi observada regressão progressiva da lesão, com desaparecimento da mesma. A paciente persiste sem lesão na mama ao exame clínico e de ultra-som após acompanhamento de três anos e três meses. Em conclusão, a mastopatia fibrótica deve ser considerada para todas as lesões de mama, mesmo em pacientes sem diabetes mellitus. Quando o diagnóstico definitivo da patologia for realizado, é recomendável o acompanhamento da paciente com estudos clínicos e de imagem e biópsia com agulha fina, evitando-se procedimentos cirúrgicos desnecessários.

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Section: Discussionmentioning

confidence: 99%

“…Cellular material from fineneedle aspiration biopsy (FNAB) shows usually scarce cellularity, making the cytological diagnosis difficult (2). Ultrasound guided core needle biopsy, in the majority of the cases, is helpful in making the diagnosis but, in some situations, it is necessary to undergo surgical biopsy (6,7).…”

mentioning

confidence: 99%

Regression of the fibrous disease of the breast in a non-diabetic woman after pregnancy and breastfeeding

Pereira

Segura

Santos

et al. 2007

Arq Bras Endocrinol Metab

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“…Until recently, most researchers have reported that diabetic mastopathy usually occurs in patients who have suffered from type diabetes mellitus of long duration [4][5][6][7] . Although there have been some reports of diabetic mastopathy in a patient with type diabetes mellitus, there have been few cases in non-insulin dependent patients 3,[8][9][10][11][12] . Here we report an unusual case of diabetic mastopathy in a type non insulin dependent patient.…”

mentioning

confidence: 99%

An Uncommon Case of Diabetic Mastopathy in Type II Non-Insulin Dependent Diabetes Mellitus

Sotome¹,

Ohnishi²,

Miyoshi³

et al. 2006

Breast Cancer

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“…The case in the present study had similar ultrasonographic and mammographic presentations compared with those described in other studies. Attitudes towards the effectiveness of breast magnetic resonance imaging (MRI) for the diagnosis of DMP vary (9); however, few individual case reports in the literature have covered the use, they concluded that MRI is not always useful in differentiating these lesions (10). Our patient's MRI was also ineffective, the lesion was reported as an intramammarian lymph node.…”

Section: Discussionmentioning

confidence: 80%

Diabetic Mastopathy and Breast Cancer in Type-2 Diabetes Mellitus Patient: A Case Report

Güler¹,

Bulut²,

Özaslan³

et al. 2016

Acta Oncol Tur.

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MR Imaging of Diabetic Mastopathy

Cited by 44 publications

References 6 publications

Regression of the fibrous disease of the breast in a non-diabetic woman after pregnancy and breastfeeding

Regression of the fibrous disease of the breast in a non-diabetic woman after pregnancy and breastfeeding

An Uncommon Case of Diabetic Mastopathy in Type II Non-Insulin Dependent Diabetes Mellitus

Diabetic Mastopathy and Breast Cancer in Type-2 Diabetes Mellitus Patient: A Case Report

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