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An uncommon case of diabetic mastopathy in type II non-insulin dependent diabetes mellitus

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Abstract

Diabetic mastopathy is an uncommon tumor-like proliferation of fibrous tissue of the breast that usually occurs in a patient who has suffered from type I diabetes mellitus of long duration. Here we report a rare case of diabetic mastopathy that occurred in type II non-insulin dependent diabetes mellitus. This patient was a 63-year-old postmenopausal woman. Mammography, ultrasonography and MR imaging could not distinguish it from breast cancer. Although the core needle biopsy specimen showed fibrosis without evidence of malignancy, excisional biopsy was performed. Histological findings demonstrated typical diabetic mastopathy with keloid-like fibrosis, perivascular lymphocytic infiltration, and lymphocytic lobulitis without evidence of malignancy. These lymphocytes were composed predominantly of B-cells. Five months after surgical biopsy, a nodular formation approximately 4 cm in diameter recurred adjacent to the resected end of the biopsy.

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References

  1. Tomaszewski JE, Brooks JSJ, Hicks D, Livolsi VA: Diabetic mastopathy. A distinctive clinicopathologic entity.Hum Pathol 23:780–786, 1992.

    Article  PubMed  CAS  Google Scholar 

  2. Seidman JD, Schnaper LA, Phillips LE: Mastopathy in insulin-requiring diabetes mellitus.Hum Pathol 25:819–824, 1994.

    Article  PubMed  CAS  Google Scholar 

  3. Ely KA, Tse G, Simpson JF, Clarfeld R, Page DL: Diabetic mastopathy. A clinicopathologic review.Am J Clin Pathol 113:541–545, 2000.

    Article  PubMed  CAS  Google Scholar 

  4. Kudva YC, Reynolds C, O’Brien T, Powell C, Oberg AL, Crotty TB: Diabetic mastopathy or sclerosing lymphocytic lobulitis, is strongly associated with type 1 diabetes.Diabetic Care 25:121–126, 2002.

    Article  Google Scholar 

  5. Byrd BF, Hartmann WH, Graham LS, Hogle HH: Mastopathy in insulin-dependent diabetics.Ann Surg 205:529–532, 1987.

    Article  PubMed  Google Scholar 

  6. Logan WW, Hoffman NY: Diabetic fibrous breast disease.Radiology 172:667–670, 1989.

    PubMed  CAS  Google Scholar 

  7. Gump FE, McDermott J: Fibrous disease of the breast in juvenile diabetes.NY State J Med 90:356–357, 1990.

    CAS  Google Scholar 

  8. Andrew-Tang D, Diamond AB, Rogers L, Butler D: Diabetic mastopathy: Adjunctive use of ultrasonography and utility of core biopsy in diagnosis.Breast J 6:183–188, 2000.

    Article  Google Scholar 

  9. Nagao I, Kashiki Y, Shibuya T: Three cases of diabetic mastopathy.Nippon Nousonigaku 47:433, 1998 (in Japanese).

    Google Scholar 

  10. Yamashita T, Itoh H, Zennami S, Taniwaki S, Terashita Y, Iwase H, Touyama T, Yamashita K: Two cases of diabetic mastopathy.Nippon Rinshou Geka Gakkai Zasshi 62:363–367, 2001 (in Japanese).

    Google Scholar 

  11. Sakuhara Y, Shinozaki T, Hozumi Y, Ogura S, Omoto K, Furuse M: MR imaging of diabetic mastopathy.AJR Am J Roentgenol 179:1201–1203, 2002.

    PubMed  Google Scholar 

  12. Morgan MC, Weaver MG, Crowe JP, Abdul-Karim FW: Diabetic mastopathy: a clinicopathologic study in palpable and nonpalpable breast lesions.Mod Pathol 8:349–354, 1995.

    PubMed  CAS  Google Scholar 

  13. Costantini M, Belli P, Magistrelli A, Romani M, Pastore G: MRI in insulin-dependent diabetic mastopathy. A case report.Rays 27:307–312, 2002.

    PubMed  Google Scholar 

  14. Utada Y, Watanabe T, Kajiwara T, Shimizu T, Imamura H, Watanabe O, Kinoshita J, Okabe T, Kimura K, Hirano A, Ogawa K: A case of diabetic mastopathy with mimicking breast cancer.Breast Cancer 10:371–373, 2003.

    Article  PubMed  Google Scholar 

  15. Pluchinotta AM, Talenti E, Lodovichetti G, Tiso E, Biral M: Diabetic fibrous breast disease. A clinical entity that mimics cancer.Eur J Surg Oncol 21:207–209, 1995.

    Article  PubMed  CAS  Google Scholar 

  16. Soler NG, Khardori R: Fibrous disease of he breast, thyroiditis and cheiroarthropathy in type 1 diabetes mellitus.Lancet 1:193–195, 1984.

    Article  PubMed  CAS  Google Scholar 

  17. Camuto PM, Zetrenne E, Ponn T: Diabetic mastopathy: A report of 5 cases and a review of the literature.Arch Surg 135:1190–1193, 2000.

    Article  PubMed  CAS  Google Scholar 

  18. Valdez R, Thorson J, Finn WG, Schnitzer B, Kleer CG: Lymphocytic mastitis and diabetic mastopathy: a molecular, immunophenotypic, clinicopathologic evaluation of 11 cases.Mod Pathol 16:223–228, 2003.

    Article  PubMed  Google Scholar 

  19. Rode S, Favre C, Thivolet C: Diabetic mastopathy. A frequent source of confusion with lobular breast carcinoma.Diabetes Care 21:322, 1998.

    PubMed  CAS  Google Scholar 

  20. Yajima S, Fukutomi T, Akashi-Tanaka S, Nanasawa T, Miyakawa K, Hasegawa T: Diabetic mastopathy: A case report with reference to the findings of enhanced computed tomography.Breast Cancer 8:246–249, 2001.

    Article  PubMed  CAS  Google Scholar 

  21. Schwartz IS, Strauchen JA: Lymphocytic mastopathy. An autoimmune disease of the breast?Am J Clin Pathol 93:725–730, 1990.

    PubMed  CAS  Google Scholar 

  22. Lammie GA, Bobrow LG, Staunton MDM, Levinson DA, Page G, Millis RR: Sclerosing lymphocytic lobulitis of the breast-Evidence for an autoimmune pathogenesis.Histopathology 19:13–20, 1991.

    Article  PubMed  CAS  Google Scholar 

  23. Ashton MA, Lefkowitz M, Tavassoli FA: Epithelioid stromal cells in lymphocytic mastitis — a source of confusion with invasive carcinoma.Mod Pathol 7:49–54, 1994.

    PubMed  CAS  Google Scholar 

  24. Hunger RE, Hristic M, Mueller C, Rappeler A, Altermatt HJ: Detection of perforin and tumor necrosis factor α mRNA expressing cells in sclerosing lymphocytic lobulitis of the breast.J Clin Pathol 50:310–313, 1997.

    Article  PubMed  CAS  Google Scholar 

  25. Boullu S, Andrac L, Piana L, Darmon P, Dutour A, Oliver C: Diabetic mastopathy, complication of type 1 diabetes mellitus: report of two cases and a review of the literature.Diabetes Metab 24:448–454, 1998.

    PubMed  CAS  Google Scholar 

  26. Foschini MP, Cavazza A, Macedo Pinto IM, Eucebi V: Diabetic fibrous mastopathy.Virchows Archiv A Pathol Anat 417:529–532, 1990.

    Article  CAS  Google Scholar 

  27. Peppoloni L, Buttaro FM, Cristallini EG: Diabetic mastopathy. A case report of two cases diagnosed by aspiration cytology.Acta Cytol 41:1349–1352, 1997.

    PubMed  CAS  Google Scholar 

  28. Giunta A, Vigneri R, Manusia M, Squatrito S, Toma-selli L: Diabetic mastopathy: a case report.J Endocrinol Invest 26:683–685, 2003.

    PubMed  CAS  Google Scholar 

  29. Mak CW, Chou CK, Chen SY, Lee PS, Chang JM: Case report: diabetic mastopathy.Br J Radiol 76:192–194, 2003.

    Article  PubMed  CAS  Google Scholar 

  30. Kuno T, Fukutomi T, Akashi-Tanaka S, Nanasawa T, Kanai Y, Tsuda H: Insulin-dependent diabetic mastopathy: A case report.Breast Cancer 4:175–177, 1997.

    Article  PubMed  Google Scholar 

  31. Hibi T, Yasue M, Nishimura K, Sato T, Uenishi H, Yamamori T, Furuichi N, Misawa K, Ohashi H, Iwata H, Sasaoka I: Two cases of diabetic mastopathy in insulin-dependent diabetic mellitus.Jpn J Breast Cancer 13:208–212, 1998.

    Google Scholar 

  32. Kojima T, Kammori M, Hashimoto M, Ogawa T, Yasuda H, Takazawa Y, Takubo K, Kaminishi M: Diabetic mastopathy in an advanced elderly woman with insulin-dependent type 2 diabetes mellitus.Breast Cancer 10:374–377, 2003.

    Article  PubMed  Google Scholar 

  33. Kudva YC, Reynolds CA, O’Brien T, Crotty TB: Mastopathy and diabetes.Curr Diab Rep 3:56–59, 2003.

    Article  PubMed  Google Scholar 

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Correspondence to Keiichi Sotomez.

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Sotomez, K., Ohnishi, T., Miyoshi, R. et al. An uncommon case of diabetic mastopathy in type II non-insulin dependent diabetes mellitus. Breast Cancer 13, 205–209 (2006). https://doi.org/10.1007/BF02966656

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  • DOI: https://doi.org/10.1007/BF02966656

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