Tsuchiya Atsuo, Tsunoda Rikiya, Seino Kageyoshi, Akuzawa Kazuo
Division of Surgery, Fukushima Dai-Ichi Hospital, Fukushima, Japan.
Fukushima J Med Sci. 2010 Jun;56(1):57-62. doi: 10.5387/fms.56.57.
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.
我们报告一例老年II型糖尿病女性的糖尿病性乳腺病病例。该患者为一名66岁女性，有6年糖尿病病史，一直在服用口服降糖药。她在两个月前发现右乳有一个肿块。乳房钼靶检查显示为低密度肿块，但无微钙化或结构扭曲。病变的超声检查显示为边界清晰的低回声肿块。进行了细针穿刺细胞学检查，但未获取到足够的组织。然而，发现了一簇细胞核肿胀且染色质增多的小上皮细胞。进行了切除活检，组织学检查证实为糖尿病性乳腺病。
