Diabetic mastopathy: imaging features and the role of image-guided biopsy in its diagnosis

Ultrasonography
Jonghyeon KimJung Hyun Yoon

Abstract

The goal of this study was to evaluate the imaging features of diabetic mastopathy (DMP) and the role of image-guided biopsy in its diagnosis. Two experienced radiologists retrospectively reviewed the mammographic and sonographic images of 19 pathologically confirmed DMP patients. The techniques and results of the biopsies performed in each patient were also reviewed. Mammograms showed negative findings in 78% of the patients. On ultrasonography (US), 13 lesions were seen as masses and six as non-mass lesions. The US features of the mass lesions were as follows: irregular shape (69%), oval shape (31%), indistinct margin (69%), angular margin (15%), microlobulated margin (8%), well-defined margin (8%), heterogeneous echogenicity (62%), hypoechoic echogenicity (38%), posterior shadowing (92%), parallel orientation (100%), the absence of calcifications (100%), and the absence of vascularity (100%). Based on the US findings, 17 lesions (89%) were classified as Breast Imaging Reporting and Data System category 4 and two (11%) as category 3. US-guided core biopsy was performed in 18 patients, and 10 (56%) were diagnosed with DMP on that basis. An additional vacuum-assisted biopsy was performed in seven patients and all were diagnosed...Continue Reading

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Citations

Oct 3, 2017·Journal of Pathology Informatics·Navid FarahaniLiron Pantanowitz
May 26, 2017·AJR. American Journal of Roentgenology·Andrew S TaliaferroPriscilla J Slanetz
Jan 20, 2021·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Lucy Tiemi SatoHenrique Manoel Lederman
Feb 11, 2021·Personal and Ubiquitous Computing·Dandan ZhangHongmei Zhang
Mar 3, 2021·Clinical Imaging·Ted GohPriscilla J Slanetz

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Methods Mentioned

BETA
biopsy
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