Dr. Alfredo da Costa Maternity, Rua Viriato, 1069-089 Lisbon, Portugal.
Clin Imaging. 2012 Nov-Dec;36(6):829-32. doi: 10.1016/j.clinimag.2012.01.003. Epub 2012 Jun 8.
Diabetic mastopathy (DMP) is an uncommon collection of clinical, radiological, and histological features, classically described in premenopausal women with long-term insulin-dependent diabetes mellitus. This entity can mimic breast carcinoma, but, in the appropriate clinical and imaging setting, the diagnosis can be made by core biopsy, avoiding unnecessary surgeries. We report the case of a 34-year-old female, with a 12-year history of type 1 diabetes, who presented with bilateral breast lumps. Mammography, ultrasonography, and magnetic resonance imaging could not exclude the suspicion of malignancy, and a core biopsy was performed showing the typical histologic features of DMP. The literature is briefly reviewed.
糖尿病性乳腺病（DMP）是一种罕见的临床、放射学和组织学特征的集合，经典地描述于长期胰岛素依赖型糖尿病的绝经前妇女中。该实体可模拟乳腺癌，但在适当的临床和影像学环境下，通过核心活检可做出诊断，从而避免不必要的手术。我们报告了 1 例 34 岁女性的病例，患有 12 年的 1 型糖尿病，表现为双侧乳腺肿块。乳腺 X 线摄影、超声和磁共振成像不能排除恶性肿瘤的怀疑，进行了核心活检，显示出 DMP 的典型组织学特征。简要回顾了文献。
