Discussion of Diabetic mastopathy
- Diabetic mastopathy is characterized by the presence of benign breast masses in women with long-standing insulin-dependent diabetes.
- Diabetic mastopathy manifests clinically as a large, painless, hard breast mass that is usually indistinguishable from breast cancer.
- Multicentric or bilateral involvement is a relatively frequent phenomenon, often occurring in late stages of the disease.
- Although surgical excision was usually performed in the past to exclude malignancy, core biopsy is currently accepted as adequate for the diagnosis of this disease.
- It has recently been reported that surgery may increase the number and extent of recurrences.
- Diabetic mastopathy is usually a self-limited disease that does not require treatment, although recurrences are common
 Imaging Findings for Diabetic mastopathy
- The most common mammographic findings are ill-defined masses or asymmetric densities. Such lesions are often masked by dense glandular tissue, making mammographic evaluation difficult.
- US often reveals the most characteristic imaging findings of the disease: irregular hypoechoic masses with marked posterior acoustic shadowing.
- Reported MR imaging findings are variable, ranging from decreased diffuse contrast material enhancement to rapid, intense enhancement that is indistinguishable from breast carcinoma.
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 External Links
 References for Diabetic mastopathy
- Josep M. Sabaté, Montse Clotet, Antonio Gómez, Pilar De las Heras, Sofia Torrubia, and Teresa Salinas. Radiologic Evaluation of Uncommon Inflammatory and Reactive Breast Disorders. RadioGraphics 2005 25: 411-424.