Diabetic Mastopathy Masquerading as Breast Cancer

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Diabetic Mastopathy Masquerading as Breast Cancer Sonali Gupta, MD, Pradeep Goyal, MD, Soumya Thumma, MD, Joseph Mattana, MD The American Journal of Medicine Volume 132, Issue 4, Pages e533-e534 (April 2019) DOI: 10.1016/j.amjmed.2018.12.008 Copyright © 2019 Elsevier Inc. Terms and Conditions

Figure 1 Mammogram right breast medio-lateral and spot compression craniocaudal views (A-B) demonstrating heterogeneous dense breast with scattered benign vascular calcifications. Ultrasound was recommended because of dense breast. (C) Ultrasound right breast 12:00 position, 3cm from the nipple demonstrated a 5.3 × 1.9 × 2.0cm, irregular hypo-echoic mass with posterior acoustic shadowing (arrow) and peripheral vascularity, and was given BI-RADS category 5 (highly suggestive of malignancy). (D) Ultrasound-guided biopsy of right breast mass at 12:00 position was performed using 11-G vacuum-assisted needle (arrow). Histopathology (hematoxylin-eosin stain) from biopsy (E-H) demonstrated dense stromal fibrosis (arrow in F), clusters of ductal cells (arrow in G) and periductal lymphocytes (arrow in H), suggestive of diabetic mastopathy. The American Journal of Medicine 2019 132, e533-e534DOI: (10.1016/j.amjmed.2018.12.008) Copyright © 2019 Elsevier Inc. Terms and Conditions