Diabetic mastopathy in an elderly woman misdiagnosed as breast cancer: A case report and review of the literature

BACKGROUND Diabetic mastopathy is a rare benign disease in clinical practice that mainly occurs in young and middle-aged women with type 1 diabetes.It has also been reported that this disease can be found in patients with type 2 diabetes and other autoimmune diseases,such as Hashimoto's thyroiditis,as well as in men.The pathogenesis of diabetic mastopathy is not yet clear,and it is easily confused with breast cancer due to their similar clinical manifestations and imaging features.CASE SUMMARY A 69-year-old female patient was admitted because of painless breast masses,with a history of type 2 diabetes.The imaging and physical examination suggested a high risk of breast cancer.Further histopathological analysis showed dense lymphocytes infiltrating around the lobules of the breast,and extensive fibrosis of the surrounding stroma.Finally,diabetic mastopathy was diagnosed.CONCLUSION The diagnosis of diabetic mastopathy in elderly patients with painless breast masses is difficult to distinguish from breast cancer,and its imaging manifestations are not specific.

Overview of Research on Zhuangyi in Treating Gynecological Pain

Pain Syndrome is a kind of unpleasant subjective feeling caused by poor Qi and blood circulation for many factors inside and outside the body or physical examination found abnormal signs,which is widely scattered in clinical departments.In recent years,Zhuangyi has made much progress in the treatment of gynecological pain diseases,and its curative effect has unique advantages,especially for gynecological diseases such as dysmenorrhea,pelvic inflammatory disease and mammary gland hyperplasia,for the treatment of gynecological diseases of pain,bruising has a significant effect.The characteristic therapy of Zhuangyi has various kinds with obvious characteristics,safe operation,remarkable effect and wide application prospect.

Epidermal Inclusion Cyst: A Rare Benign Breast Lesion

Epidermal inclusion cyst in the breast is an uncommon condition. It may be congenital, originating from hair follicles or occurring after trauma (breast reduction or breast cytology puncture) or consists of squamous metaplasia of the regular columnar epithelium within an ectatic ductus galactophorus. We report the case of a 22-year-old woman, with two pregnancies and with no particular pathological history, who presented with a 3 cm nodule of the right breast at the union of the upper quadrants, firm, mobile and painless. The skin, areola and nipple were unaffected. The axillary areas and the contralateral breast were unremarkable. The breast ultrasound showed a heterogeneous and well circumscribed hypoechoic mass classified as ACR3. Macroscopic examination revealed a unilocular cyst with a discretely thickened wall, abundant yellowish contents and measuring 2 cm on a long axis. Histologically, it was a cystic cavity whose wall was lined with a pseudo stratified keratinized squamous epithelium with a granular layer and whose lumen contained keratin lamellae. This cyst is surrounded by a more or less fibrous pallial tissue containing regular, sometimes dilated or even cystic milk ducts. The diagnosis of epidermal inclusion cyst of the breast on a background of fibrocystic mastopathy was thus concluded. The importance of this benign lesion lies in the differentiation between other non-neoplastic and neoplastic breast lesions.