Abstract
Diabetic mastopathy is a complication of longstanding diabetes mellitus (DM). It consists of breast nodules that can mimic a malignant process. Imaging tests are nonspecific. Biopsy reveals dense fibrosis and lymphoid infiltrates without signs of malignant disease. There is no risk of malignant transformation of the lesions. A 32-year-old woman with DM type 1 presented with a 4-cm, hard, palpable mass in the subareolar region of the left breast. The nodule was mobile and irregularly shaped, without signs of inflammation. Diagnosis was based on percutaneous biopsy. Management was conservative through periodic follow-up visits and surgical resection was ruled out. In conclusion, although diabetic mastopathy can mimic cancer, it is always a benign process. Diagnosis must be made with core biopsy and treatment should avoid surgery.
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