Costantini Melania, Belli Paolo, Magistrelli Andrea, Romani Maurizio, Pastore Giovanna
Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Largo A. Gemelli 8, 00168 Roma, Italy.
Rays. 2002 Oct-Dec;27(4):307-12.
A case of diabetic mastopathy studied with MR-mammography is described. It concerns a female patient with long-lasting (10-years) insulin-dependent diabetes mellitus. A non-tender, palpable firm-to hard mass of the left breast was found and studied with mammography, ultrasonography and MR-mammography. Surgical excision of the mass was performed. The mammogram revealed dense fibroglandular tissue bilaterally. Ultrasonography showed hypoechoic solid tissue in the region of palpable breast mass with marked posterior acoustic shadowing. MR-mammography showed a hypointense area of fibrosis with poor enhancement. Quantitative analysis revealed a typically benign gradual type dynamic curve. MR-mammography can be useful to differentiate diabetic mastopathy from malignant lesions. In women with diabetic mastopathy MR-mammography, clinical examination and careful follow-up may prevent surgical excision.
本文描述了一例通过磁共振乳腺成像（MR - mammography）研究的糖尿病性乳腺病病例。该病例为一名患有长期（10年）胰岛素依赖型糖尿病的女性患者。在左侧乳房发现了一个无压痛、可触及的坚实至坚硬肿块，并对其进行了乳腺X线摄影、超声检查和磁共振乳腺成像检查。对该肿块进行了手术切除。乳腺X线摄影显示双侧乳腺组织致密呈纤维腺体型。超声检查显示在可触及的乳房肿块区域有低回声实性组织，伴有明显的后方声影。磁共振乳腺成像显示有纤维化的低信号区，强化不佳。定量分析显示为典型的良性渐进型动态曲线。磁共振乳腺成像有助于鉴别糖尿病性乳腺病与恶性病变。对于患有糖尿病性乳腺病的女性，磁共振乳腺成像、临床检查及仔细的随访观察或许可以避免手术切除。
