Remírez-Castellanos Ana Lilia, Herrera-Juárez Karen Jazmín, Quintana-Civera Marina, Candanedo-González Fernando
bInstituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Oncología, Departamento de Patología. Ciudad de México, México
Rev Med Inst Mex Seguro Soc. 2018 Oct 25;56(3):323-328.
Diabetic mastopathy is an uncommon complication of diabetes mellitus (DM) of long-term evolution which can be confused with breast cancer. Therefore, it is important to know this entity.
The aim of the present study is to show the characteristics of mastography and breast ultrasound (US) in a 64-year-old Mexican woman with DM of 27 years of evolution treated with insulin. This patient presented increased volume in both breasts secondary to diabetic mastopathy. We describe the utility of the US-guided core-needle biopsy as well.
Diabetic mastopathy is a rare morphological change, which requires clinical correlation and sets out the differential diagnosis in physical examination and imaging studies of breast cancer. Breast US is the most useful diagnostic tool to evaluate a palpable nodule in a patient with suspected diabetic mastopathy and the biopsy is the gold standard test which allows the diagnosis.
糖尿病性乳腺病是长期糖尿病（DM）的一种罕见并发症，可能与乳腺癌相混淆。因此，了解这一病症很重要。
本研究的目的是展示一名64岁、患糖尿病27年且接受胰岛素治疗的墨西哥女性的乳腺钼靶摄影和乳腺超声（US）检查结果。该患者因糖尿病性乳腺病导致双侧乳房体积增大。我们还描述了超声引导下粗针穿刺活检的作用。
糖尿病性乳腺病是一种罕见的形态学改变，需要结合临床情况，并在乳腺癌的体格检查和影像学检查中进行鉴别诊断。乳腺超声是评估疑似糖尿病性乳腺病患者可触及结节最有用的诊断工具，而活检是确诊的金标准检查。
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