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RE: [IPk] Re lumps and bumps



Got me thinking... Just done a quick medline enquiry breast lumps and
diabetes - case of 2 poorly control insulin dependent patients stated
that they had fibrous mastopathy. it did not necessarily state they were
more prone to it. Another study from 1984:  Fibrous breast lumps were
noted in 12 women with longstanding type I diabetes mellitus who had
multiple diabetic complications. The coexistence of cheiroarthropathy
and fibrosis of the breasts raises the possibility of a common link
related to the connective-tissue abnormalities observed in diabetes.
Although autoimmunity may also be a factor, HLA histocompatibility
typing did not indicate that these patients formed a distinct subgroup
of type I diabetics.
Another article is listed below:


Diabetic fibrous breast disease. Logan WW, Hoffman NY  Breast Clinic of
Rochester, NY 14620.

Women with long-standing insulin-dependent diabetes mellitus (IDDM) and
radiographically dense mammary glandular tissue can have benign breast
masses clinically resembling cancer. The authors have identified 36
patients, aged 20-54 years, with this little-known condition, which the
authors call diabetic fibrous breast disease (DFBD). For a diagnosis of
DFBD, the patient must fulfill certain stringent requirements: a
long-term history of IDDM; radiographically dense glandular tissue; and
one or more hard, irregular, easily movable, discrete, painless,
palpable breast masses with strong ultrasonographic acoustical shadowing
and firm resistance to the back-and-forth motion of the needle used for
fine-needle aspiration cytology (FNAC). Patients meeting all criteria
can be monitored with serial FNAC procedures to prevent them from
undergoing multiple surgical biopsies. During an average of 6 years of
monitoring these 36 women, breast cancer did not develop in any mass
fulfilling all requirements for DFBD.
In summary it would seem  - this means you could have lumps, but they
don't necessarily mean you are going to need it removed or that it will
turn malignant. A small relief - if you hit the criteria!
	Hope that helps Carol,
	 jules

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