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Case Reports
. 2024 May 29:48:28.
doi: 10.11604/pamj.2024.48.28.42960. eCollection 2024.

Diabetic mastopathy: about two cases

Karam Harou  1 , Amirath Adoufè Sanni  1 , Illyass Essaoudy  1 , Soukaina El Aziz  1 , Abderrahim Aboulfalah  1 , Hamid Asmouki  1 , Abderraouf Soummani  1
Affiliations
Case Reports

Diabetic mastopathy: about two cases

Karam Harou et al. Pan Afr Med J. .

Abstract

Diabetic mastopathy is a rare and benign pathology affecting young individuals with type 1 diabetes or autoimmune diseases. It clinically resembles breast cancer, necessitating a histological examination for a definitive diagnosis. These cases underscore the diagnostic challenges and the importance of histological examination. This report details two cases of diabetic mastopathy at Mohammed VI Hospital in Marrakech. The first case involved a 35-year-old with type 1 diabetes and mastodynia, revealing a 4 x 3 cm nodule in the left breast. Biopsies confirmed fibrous breast tissue with lymphocytic infiltrates, characteristic of diabetic mastopathy, with no recurrence during follow-up. The second case featured a 38-year-old with trisomy 21 and type 1 diabetes presenting with a right breast abscess. Drainage revealed lymphocytic infiltrates, confirming diabetic mastopathy. Though diagnostically challenging, diabetic mastopathy lacks a direct link to breast cancer. Long-term cancer risks in affected patients mirror the general population.

Keywords: Mastopathy; case report; diabetes; insulin.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
left upper outer quadrant (QSE) nodule of the right breast
Figure 2
Figure 2
profile and front mammography (A, B)
Figure 3
Figure 3
breast 1 month after surgery
Figure 4
Figure 4
inflammatory breast and necrosectomy
See this image and copyright information in PMC

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