A report of three cases of diabetic mastopathy.

  • OHKUBO Sumiko
    Department of Breast and Thyroid Surgery, Kouchi Municipal Hospital
  • YAMAKAWA Takashi
    Department of Breast and Thyroid Surgery, Kouchi Municipal Hospital

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  • Diabetic mastopathyの3例

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Abstract

Diabetic mastopathy has been rarely reported in Japan. It is an uncommon lesion which resembles breast cancer clinically. Therefore, we find difficulty in diagnosing diabetic mastopathy. We report three cases of diabetic mastopathy herein.<br> All cases were women with the ages ranged from 53 to 77 (mean 62.3) years old. Therapeutic duration for diabetes mellitus ranged from 5 to 30 (mean 18.3) years. Two cases had been receiving insulin therapy. On palpation, all patients had a breast tumor with the diameter ranging from 11 to 45 (mean 23.6) mm. Ultrasonography showed unclear border and heterogeneous lesion. Mammography revealed an iso dense mass in one case. Preoperative fine needle aspiration biopsy were all negative. The pathologic examination revealed epithelioid fibroblasts, lymphocytic lobulitis and keloid like features in all case.<br> In the treatment of patient with long-standing diabetes mellitus, we should keep diabetic mastopathy in mind.

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