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A breast lump that scares a doctor and the patient equally: unexpected and complicated surgical consequences of long-standing diabetes

  • R. Ponniah Iyyappan
  • Anjana Vasudevan
  • T. H. BhuvaneswariEmail author
  • V. Rajasenthil
  • C. Kaliyappa
  • P. Senthilkumar
Original Article
  • 2 Downloads

Abstract

Aim

This study analyzes a number of diabetic mastopathy cases in long-standing type 1 diabetes to obtain a detailed history and examination findings from these patients and to reach a possible conclusion of arriving at the diagnosis.

Subjects and methods

A 10-year retrospective study was done from January 2008 to December 2018 on patients who attended the diabetic outpatient department diagnosed for type 1 diabetes mellitus and presented with breast complaints. Complete history and examination of all these patients were noted. The collected data were analyzed with IBM SPSS Statistics software version 16.0.

Results

All of the patients had a similar presentation and had undergone excision biopsy of the lump. Histopathology examination reports have confirmed a diagnosis of diabetic mastopathy. The clinical and imaging findings are inconclusive and these lesions are often misdiagnosed as breast carcinomas.

Conclusion

The recognition of this rare but benign disease is crucial to avoid surgical biopsies, which are performed more often than necessary.

Keywords

Breast tumor Surgical consequences Long-standing diabetes Diabetic mastopathy 

Notes

Acknowledgements

The authors acknowledge the support and help provided by Sri Ramachandra Institute of Higher Education and Research, Chennai, India (IEC/PG/16/Dec/07/44).

This article has not been submitted, published, or presented previously to any journal. The results of a pilot study (not a completed research work) were presented in conference proceedings as an abstract.

Compliance with ethical standards

Informed consent

As per the institutional review board, this study did not require any informed consent from patients directly. The institutional review board approved the study and data were collected retrospectively from a clinical database.

Human rights

The study “A breast lump that scares a doctor and the patient equally: unexpected and complicated surgical consequences of long-standing diabetes” was conducted in agreement with the institutional ethical review board of Sri Ramachandra Institute of Higher Education and Research, Chennai, India (CSP/17/June/49/2017). This study did not require informed consent from patients.

Sample statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and/or with the Helsinki Declaration of 1964 and later versions. Informed consent or substitute was not required to be obtained from patients included in the study.

Conflict of interest

The authors do not have anything to disclose and declare no conflict of interest.

Financial support and sponsorship

No financial support was obtained for this research.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • R. Ponniah Iyyappan
    • 1
  • Anjana Vasudevan
    • 1
  • T. H. Bhuvaneswari
    • 1
    Email author
  • V. Rajasenthil
    • 1
  • C. Kaliyappa
    • 1
  • P. Senthilkumar
    • 2
  1. 1.General SurgerySri Ramachandra Institute of Higher Education and ResearchPorur, ChennaiIndia
  2. 2.General Surgery DepartmentKanyakumari Government Medical CollegeKanyakumariIndia

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