Diabetic mastopathy: A clinical and radiological challenge

SA Journal of Radiology

Field Value
Title Diabetic mastopathy: A clinical and radiological challenge
Creator Meerkotter, Debra Ardath Rubin, Grace
Subject Radiolgy;Surgery;Medicine breast;mammography;ultrasound;diabetes
Description A 41-year-old woman presented with a lump above the right areola. She also complained of a burning and heavy sensation of the right breast of recent onset. On further history, the patient was an insulin-dependent diabetic of 35 years’ duration. She had no family history of breast disease. On examination, a palpable thickening above the right areola was detected.

Bilateral mammography revealed dense fibro-glandular tissue, denser in the right retro-areolar region than the left, with right peri-areolar skin thickening. There was no discreet mass nor suspicious microcalcifications or axillary adenopathy. Ultrasound (US) demonstrated an ill-defined peri-areolar region of decreased echogenicity and posterior shadowing. Core biopsy under US guidance showed abundant thick collagen bands containing epitheloid fibroblasts and a stroma with small capillary-sized and larger muscularised blood vessls, some of which contained peri-vascular lymphocytic inflammatory cells. Small ductal elements and an occasional lobule showed a peri-ductal and a peri- and intra-lobular lymhocytic and plasma cell infiltrate. These features were in keeping with sclerosing lymphocytic mastitis, known also as diabetic mastopathy.
Publisher AOSIS
Date 2010-12-07
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion —
Format application/pdf
Identifier 10.4102/sajr.v14i4.457
Source South African Journal of Radiology; Vol 14, No 4 (2010); 113 2078-6778 1027-202X
Language eng
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https://sajr.org.za/index.php/sajr/article/view/457/595 https://sajr.org.za/index.php/sajr/article/downloadSuppFile/457/928 https://sajr.org.za/index.php/sajr/article/downloadSuppFile/457/929 https://sajr.org.za/index.php/sajr/article/downloadSuppFile/457/930 https://sajr.org.za/index.php/sajr/article/downloadSuppFile/457/931 https://sajr.org.za/index.php/sajr/article/downloadSuppFile/457/932
Rights Copyright (c) 2010 Debra Ardath Meerkotter, Grace Rubin https://creativecommons.org/licenses/by/4.0