Mastopatia diabética - um inusitado diagnóstico diferencial: relato de caso* Diabetic mastopathy - an unusual differential diagnosis: a case report

A mastopatia diabetica acomete mulheres na pre-menopausa com diabetes mellitus tipo 1 de longa data.Seu diagnostico e feito associando achados clinicos (espessamento ou nodulo mamario endurecidos, uni oubilateral), radiologicos (aumento da densidade mamaria), ultra-sonograficos (acentuada sombra acustica pos-terior) e histopatologicos (fibrose e infiltrado linfocitico perivascular e periductal). Pode simular carcinoma.Neste artigo relata-se um caso de paciente com mastopatia diabetica.Unitermos: Mastopatia diabetica; Diabetes mellitus; Doenca benigna da mama.Diabetic mastopathy affects premenopausal women with longstanding type 1 diabetes mellitus. The diagnosisis based on clinical findings (uni or bilateral hardened, palpable mass) associated with radiological (increasein breast density), sonographic (marked posterior acoustic shadowing), and histopathological (fibrosis andperivascular and periductal lymphocytic infiltration) findings. This disease may clinically simulate a breastcarcinoma. The case of a patient with diabetic mastopathy is reported.Keywords: Diabetic mastopathy; Diabetes mellitus; Breast benign disease.