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糖尿病性乳腺病表现为影像学检查隐匿但可触及的乳腺肿块。

Diabetic mastopathy as a radiographically occult palpable breast mass.

作者信息

Thanarajasingam Uma, Chen Beiyun, Tortorelli Cindy L, Jakub James W, Ghosh Karthik

机构信息

Department of General Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

Case Rep Med. 2011;2011:162350. doi: 10.1155/2011/162350. Epub 2011 Nov 3.

DOI:10.1155/2011/162350
PMID:22110508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3216295/
Abstract

Diabetic mastopathy is an uncommon, benign disease of the breast that can occur in women with diabetes and clinically mimic breast cancer. We describe a patient with long-standing type 1 diabetes who presented with a palpable breast mass with negative imaging findings on mammography, ultrasonography, and breast MRI. Surgical biopsy and histopathology confirmed diabetic mastopathy. We use this case to highlight the recognition, radiographic features, pathology, and management of this benign breast condition and emphasize that, in diabetic patients, the differential diagnosis of a new breast mass should include diabetic mastopathy.

摘要

糖尿病性乳腺病是一种罕见的乳腺良性疾病,可发生于糖尿病女性患者,临床上可酷似乳腺癌。我们描述了一位患有长期1型糖尿病的患者,她出现了可触及的乳腺肿块,而乳腺X线摄影、超声检查和乳腺MRI的影像学检查结果均为阴性。手术活检和组织病理学检查确诊为糖尿病性乳腺病。我们通过这个病例来强调对这种乳腺良性疾病的认识、影像学特征、病理学及治疗方法,并强调在糖尿病患者中,新发乳腺肿块的鉴别诊断应包括糖尿病性乳腺病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b7/3216295/69bcc66c62b4/CRIM2011-162350.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b7/3216295/e3e0c4fa24f9/CRIM2011-162350.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b7/3216295/93a295218b8e/CRIM2011-162350.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b7/3216295/69bcc66c62b4/CRIM2011-162350.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b7/3216295/e3e0c4fa24f9/CRIM2011-162350.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b7/3216295/93a295218b8e/CRIM2011-162350.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b7/3216295/69bcc66c62b4/CRIM2011-162350.003.jpg

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本文引用的文献

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[Diabetic mastopathy in diabetes mellitus type 2].[2型糖尿病中的糖尿病性乳腺病]
Endocrinol Nutr. 2009 Jan;56(1):43-6. doi: 10.1016/S1575-0922(09)70193-7. Epub 2009 Mar 1.
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A rare case of diabetic mastopathy in a Japanese man with type 2 diabetes mellitus.一名患有2型糖尿病的日本男性患糖尿病性乳腺病的罕见病例。
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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.一名老年日本2型糖尿病女性双侧乳房的糖尿病性乳腺病:病例报告及日本文献综述
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Diabetic fibrous mastopathy: sonographic-pathologic correlation.糖尿病性纤维性乳腺病:超声与病理对照
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MR imaging of diabetic mastopathy.糖尿病性乳腺病的磁共振成像
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Ultrasound and MR imaging of diabetic mastopathy.糖尿病性乳腺病的超声及磁共振成像
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"Diabetic mastopathy," or sclerosing lymphocytic lobulitis, is strongly associated with type 1 diabetes.“糖尿病性乳腺病”,即硬化性淋巴细胞性小叶炎,与1型糖尿病密切相关。
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