Abstract
Fibrous mastopathy is a condition seen mainly in premenopausal, insulin-dependent diabetics. The condition simulates breast cancer and is often poorly recognised. One of the main reasons for reporting this well-described entity is to make radiologists and surgeons more aware of this condition, thereby reducing unnecessary morbidity by establishing a correct diagnosis more efficiently, and differentiating it from breast carcinoma. South African Journal of Radiology Vol. 9 (3) 2005: pp. 26-28
Highlights
Fibrous mastopathy is a condition seen mainly in premenopausal, insulin-dependent diabetics
A premenopausal 49-year-old woman with no risks for breast cancer, no history of trauma, and with a history of previous biopsies of both breasts presented with a 6month history of a lump in the left breast
The patient had been diabetic for more than 10 years on oral hypoglycaemic agents (OHAs) and insulin. Both breasts had a very dense fibroglandular pattern, making it difficult to identify the palpable lesion on the mammogram, the right breast was denser than the left (Figs 2a,b)
Summary
Fibrous mastopathy is a condition seen mainly in premenopausal, insulin-dependent diabetics. A premenopausal 49-year-old woman with no risks for breast cancer, no history of trauma, and with a history of previous biopsies of both breasts presented with a 6month history of a lump in the left breast. The patient had been diabetic for more than 25 years, on insulin and oral hypoglycaemic agents (OHAs). The mammogram showed an increased ill-defined density in the left upper outer
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