Membrilla Estela, Jimeno Mireya, Martínez Miguel, Maria Corominas Josep, Solsona Jordi, Grande Luis
Servicio de Cirugía General y del Aparato Digestivo, Unidad de Patología Mamaria, Hospital Universitario del Mar, Passeig Marítim, 25-29, 08003 Barcelona, España.
Endocrinol Nutr. 2009 Jan;56(1):43-6. doi: 10.1016/S1575-0922(09)70193-7. Epub 2009 Mar 1.
Diabetic mastopathy is a little known entity and can easily be mistaken for breast carcinoma. This entity has mainly been described in patients with diabetes type 1 and, to a much lesser extent, in those with other endocrine disorders. We describe a case of diabetic mastopathy associated with diabetes mellitus type 2, which showed a rapid clinical course. Lack of awareness of this entity can lead to inappropriate management. Because there are no specific histological or clinical features for diabetic mastopathy, patients may receive an incorrect diagnosis or undergo unnecessary investigations. A high index of suspicion is required to reach a correct diagnosis and provide appropriate treatment. The results of diagnostic tests are non-specific and the key to diagnosis is core needle biopsy.
糖尿病性乳腺病是一种鲜为人知的病症，很容易被误诊为乳腺癌。该病症主要在1型糖尿病患者中被描述，在患有其他内分泌疾病的患者中描述较少。我们报告一例与2型糖尿病相关的糖尿病性乳腺病病例，其临床病程进展迅速。对该病症缺乏认识可能导致治疗不当。由于糖尿病性乳腺病没有特定的组织学或临床特征，患者可能会得到错误的诊断或接受不必要的检查。需要高度的怀疑指数才能做出正确诊断并提供适当的治疗。诊断性检查结果不具有特异性，诊断的关键是粗针活检。
