糖尿病性乳腺病：乳腺超声检查中的诊断挑战。
Diabetic mastopathy: a diagnostic challenge in breast sonography.
作者信息
Moschetta Marco, Telegrafo Michele, Triggiani Vincenzo, Rella Leonarda, Cornacchia Ilaria, Serio Gabriella, Ianora Amato Antonio Stabile, Angelelli Giuseppe
机构信息
DIM, Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, Aldo Moro University of Bari Medical School, Piazza Giulio Cesare 11, 70124, Bari, Italy.
出版信息
J Clin Ultrasound. 2015 Feb;43(2):113-7. doi: 10.1002/jcu.22246. Epub 2014 Oct 18.
PURPOSE
Our purpose was to retrospectively evaluate the incidence and morphologic features of diabetic mastopathy in a group of patients with diabetes, searching for specific sonographic characteristics of diabetic mastopathy.
METHODS
One hundred twenty diabetic patients underwent breast clinical examination, mammography, and sonography. All detected breast lesions were confirmed histopathologically.
RESULTS
Breast lesions were found in 11 of the 120 patients (9%), including two cases of invasive ductal carcinomas and nine cases of diabetic mastopathy. In seven of those nine cases (77%), diabetic mastopathy appeared as a hypoechoic solid mass with irregular margins, inhomogeneous echotexture, and marked posterior shadowing. In the other two cases (23%), it appeared as a mildly inhomogeneous, hypoechoic solid mass.
CONCLUSIONS
Diabetic mastopathy is a diagnostic challenge and needs to be suspected in all patients with diabetes mellitus. Imaging features are nonspecific and highly susggestive on breast sonography in most cases. Core-needle biopsy confirmation remains mandatory for a definitive diagnosis.
目的
我们的目的是回顾性评估一组糖尿病患者中糖尿病性乳腺病的发病率和形态学特征，寻找糖尿病性乳腺病的特定超声特征。
方法
120例糖尿病患者接受了乳腺临床检查、乳腺X线摄影和超声检查。所有检测到的乳腺病变均经组织病理学证实。
结果
120例患者中有11例（9%）发现乳腺病变，包括2例浸润性导管癌和9例糖尿病性乳腺病。在这9例中的7例（77%），糖尿病性乳腺病表现为低回声实性肿块，边界不规则，回声不均匀，后方伴有明显声影。在另外2例（23%）中，表现为轻度不均匀的低回声实性肿块。
结论
糖尿病性乳腺病是一个诊断难题，所有糖尿病患者均需怀疑此病。其影像学特征不具有特异性，在大多数情况下乳腺超声检查高度可疑。明确诊断仍需空心针活检确认。
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