Diabetic Mastopathy

Imaging features and the role of image-guided biopsy in its diagnosis

Jonghyeon Kim, Eunkyung Kim, minjung Kim, Hee Jung Moon, Jung Hyun Yoon

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: 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. Methods: 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. Results: 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 vacuumassisted biopsy was performed in seven patients and all were diagnosed with DMP. Conclusion: The US features of DMP were generally suspicious for malignancy, whereas the mammographic findings were often negative or showed only focal asymmetry. Core biopsy is an adequate method for initial pathological diagnosis. However, since it yields non-diagnostic results in a considerable number of cases, the evaluation of correlations between imaging and pathology plays an important role in the diagnostic process.

Original languageEnglish
Pages (from-to)140-147
Number of pages8
JournalUltrasonography
Volume35
Issue number2
DOIs
Publication statusPublished - 2016 Jan 1

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Image-Guided Biopsy
Ultrasonography
Biopsy
Information Systems
Breast
Pathology
Neoplasms

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Kim, Jonghyeon ; Kim, Eunkyung ; Kim, minjung ; Moon, Hee Jung ; Yoon, Jung Hyun. / Diabetic Mastopathy : Imaging features and the role of image-guided biopsy in its diagnosis. In: Ultrasonography. 2016 ; Vol. 35, No. 2. pp. 140-147.
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abstract = "Purpose: 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. Methods: 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. Results: 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 vacuumassisted biopsy was performed in seven patients and all were diagnosed with DMP. Conclusion: The US features of DMP were generally suspicious for malignancy, whereas the mammographic findings were often negative or showed only focal asymmetry. Core biopsy is an adequate method for initial pathological diagnosis. However, since it yields non-diagnostic results in a considerable number of cases, the evaluation of correlations between imaging and pathology plays an important role in the diagnostic process.",
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Diabetic Mastopathy : Imaging features and the role of image-guided biopsy in its diagnosis. / Kim, Jonghyeon; Kim, Eunkyung; Kim, minjung; Moon, Hee Jung; Yoon, Jung Hyun.

In: Ultrasonography, Vol. 35, No. 2, 01.01.2016, p. 140-147.

Research output: Contribution to journalArticle

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