Diabetic Mastopathy: A Systematic Review of Surgical Management of a Rare Breast Disease

Nneamaka Barbara Agochukwu, Lesley Wong

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations

Abstract

Diabetic mastopathy is a benign condition of the breast that typically manifests in patients with diabetes mellitus. Lymphocytic mastopathy is the term used to describe this condition in patients without diabetes mellitus. Most patients undergo excisional biopsy, but the use of mastectomy, even in cases of diffuse, bilateral disease, is rarely reported. We present a 32-year-old female patient with type 1 diabetes and bilateral diabetic mastopathy. Because of pain, and concern for limitations in future cancer detection, she underwent bilateral nipple-sparing mastectomies with immediate direct-To-implant reconstruction. A systematic literature review was performed to examine the treatment options for this disease, particularly from a plastic surgery perspective. Sixty articles were reviewed which contained information regarding 313 patients. Of these patients, only 4 underwent mastectomy. This case is the first report of bilateral nipple sparing mastectomy and immediate implant reconstruction for a patient with bilateral, symptomatic diabetic mastopathy.

Original languageEnglish
Pages (from-to)471-475
Number of pages5
JournalAnnals of Plastic Surgery
Volume78
Issue number4
DOIs
StatePublished - Apr 1 2017

Bibliographical note

Publisher Copyright:
© 2017 Wolters Kluwer Health, Inc. All rights reserved.

Keywords

  • breast cancer
  • breast reconstruction
  • diabetes breast disease
  • diabetic breast
  • diabetic mastopathy
  • lymphocytic lobulitis
  • lymphocytic mastopathy
  • sclerosing lymphocytic lobulitis

ASJC Scopus subject areas

  • Surgery

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