DIABETIC MASTOPATHY IN AN ELDERLY WOMAN: A CASE REPORT
We report a case of diabetic mastopathy in an elderly woman with type II diabetes. The patient, a 66-year-old woman with a 6-year history of diabetes mellitus, has been received an oral diabetic agent. She noticed a lump in her right breast two months previously. Mammography of the breast showed a l...
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Published in: | FUKUSHIMA JOURNAL OF MEDICAL SCIENCE Vol. 56; no. 1; pp. 57 - 62 |
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01-06-2010
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Abstract | We report a case of diabetic mastopathy in an elderly woman with type II diabetes. The patient, a 66-year-old woman with a 6-year history of diabetes mellitus, has been received an oral diabetic agent. She noticed a lump in her right breast two months previously. Mammography of the breast showed a low density mass, but there was no microcalcification or architectural distortion. Ultrasonography of the lesion revealed a hypoechoic mass with a distinct margin. Fine needle aspiration cytology was performed but sufficient tissue was not obtained. However, a cluster of small epithelial cells with nucleus swelling and increased chromatin was demonstrated. Excisional biopsy was performed and diabetic mastopathy was demonstrated histologically. |
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AbstractList | We report a case of diabetic mastopathy in an elderly woman with type II diabetes. The patient, a 66-year-old woman with a 6-year history of diabetes mellitus, has been received an oral diabetic agent. She noticed a lump in her right breast two months previously. Mammography of the breast showed a low density mass, but there was no microcalcification or architectural distortion. Ultrasonography of the lesion revealed a hypoechoic mass with a distinct margin. Fine needle aspiration cytology was performed but sufficient tissue was not obtained. However, a cluster of small epithelial cells with nucleus swelling and increased chromatin was demonstrated. Excisional biopsy was performed and diabetic mastopathy was demonstrated histologically. |
Author | AKUZAWA, KAZUO TSUCHIYA, ATSUO TSUNODA, RIKIYA SEINO, KAGEYOSHI |
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Cites_doi | 10.1016/0046-8177(94)90253-4 10.1097/00000658-198705000-00011 10.2169/internalmedicine.46.6191 10.2337/diacare.25.1.121 10.1016/S0140-6736(84)92114-7 10.1309/K5HM-9603-PQ5T-KY3F 10.1016/0046-8177(92)90348-7 10.1111/j.1365-2559.1991.tb00889.x 10.2325/jbcs.13.205 10.1148/radiology.172.3.2672091 10.1007/BF01625734 |
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References | 11. Camuto PM, Zetrenne E, Ponn T. Diabetic mastopathy: a report of 5 cases and a review of literature. Arch Surg, 135: 1190-1193, 2000. 15. Kudva YC, Reynolds C, O'Brien T, Powell C, Oberg AL, Crotty TB. “Diabetic Mastopathy”, or Sclerosing Lymphocytic Lobulitis, is strongly associated with type 1 diabetes. Diabetes Care, 25: 121-126, 2002. 13. Sternberg M, Cohen-Fortere L, Peyroux J. Connective tissue in diabetes mellitus: biochemical alterations of the extracellular matrix with special reference to proteoglycans, collagens and basement membranes. Diabetes Metab, 11: 27-50, 1985. 2. Tomaszewski JE, Brooks JSJ, Hicks D, Livolsi VA. Diabetic mastopathy. A distinctive clinicopathologic entity. Human Pathol, 23: 780-786, 1992. 6. Seidman JD, Schnaper LA, Phillips LE. Mastopathy in insulin-requring diabetes mellitus. Hum Pathol, 25: 819-824, 1994. 7. Logan WW, Hoffman NY. Diabetic fibrous breast disease. Radiology, 172: 667-670, 1989. 1. Soler NG, Khardori R. Fibrous disease of the breast, thyroiditis and cheiroarthropathy in type I diabetes mellitus. Lancet, 1: 193-195, 1984. 3. Morgan MC, Meaver MG, Crowe JP, Abdul-Karim FW. Diabetic mastopathy: a clinicopathologic study in palpable and nonpalpable breast lesions. Mod Pathol, 8: 349-354, 1995. 10. Honda M, Mori Y, Nishi T, Mizuguchi K, Ishibashi M. Diabetic mastopathy of bilateral breasts in an elderly Japanese woman with type 2 diabetes: A case report and a review of the literature in Japan. Internal Medicine, 46: 1573-1576, 2007. 4. Ely KA, Tse G, Simpson JF, Clarfeld R, Page DL. Diabetic masthopathy. A clinicopathogic review. Am J Clin Pathol, 113: 541-545, 2000. 12. Byrd BF, Hartman WH, Graham LS, Hogle HH. Mastopathy in insulin-dependent diabetes. Ann Surg, 205: 529-532, 1987. 5. Foschini MP, Cavazza A, Macedo Pinto IM, Eusebi V. Diabetic fibrous mastopathy. Report of two cases. Virchows Arch A Pathol Anat Histopathol, 417: 529-532, 1990. 14. Lammie GA, Bobrow LG, Staunton MDM, Levison DA, Page G, Millis RR. Sclerosing lymphocytic lobulitis of the breast—Evidence for an autoimmune pathogenesis. Histopathol, 19: 13-20, 1991. 9. Sotome K, Ohnishi T, Miyoshi R, Nakamaru M, Furukawa A, Miyazaki H, Morozumi K, Tanaka Y, Iri H. An uncommon case of diabetic mastopathy in type II non-insulin dependent diabetes mellitus. Breast cancer, 13: 205-209, 2006. 8. Rode S, Favre C, Hivolet C. Diabetic mastopathy: a frequent source of confusion with lobular breast carcinoma. Diabetes Care, 21: 322, 1998. 11 12 13 14 15 1 2 3 4 5 6 7 8 9 10 |
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SubjectTerms | Aged B-Lymphocytes - pathology Breast Diseases - complications Breast Diseases - diagnosis Breast Diseases - pathology breast neoplasm Diabetes Complications - diagnosis Diabetes Complications - pathology diabetes mellitus Diabetes Mellitus, Type 2 - complications diabetic mastopathy Female Fibrosis Humans |
Title | DIABETIC MASTOPATHY IN AN ELDERLY WOMAN: A CASE REPORT |
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