[ XXXX : clinical presentation, imaging and histologic findings, and treatment].

@entity1 @entity0 @entity6 @entity1271 @entity9384
OBJECTIVE: @entity6 is an uncommon @entity6 that must be considered in the differential diagnosis with @entity0 . We report the clinical presentation and course, the imaging and histologic findings, and the treatment of the @entity1 diagnosed with @entity6 at our hospital. MATERIAL AND METHODS: In an 11-year period, we studied six insulin-dependent @entity6 @entity1 (five @entity1 and one @entity1 ) with @entity6 . Imaging studies included mammography, ultrasonography, and magnetic resonance imaging. A definitive histologic diagnosis was reached after core needle or surgical biopsy in all cases. Fine-needle aspiration cytology was not used in any of the cases. The mean follow-up period was 7 years. RESULTS: The most common clinical presentation was a palpable @entity9384 (67%). The imaging findings were a) at mammography: asymmetrical density (50%), b) at ultrasonography: a solid, hypoechoic @entity9384 measuring between 1cm and 5cm in diameter, with ill-defined margins, acoustic shadowing, and no Doppler signal (50%), and c) at MRI: enhancement after the administration of contrast media (66%). The most common histologic finding was lymphocytic @entity1271 in the initial stages (83%). All @entity1 underwent surgical treatment (100%). CONCLUSIONS: @entity6 is an uncommon disease that should be included in the differential diagnosis with @entity0 in @entity6 @entity1 . The diagnosis is complex because it requires knowledge of the @entity1 's history, clinical presentation, and the imaging and histologic findings, Conservative surgery is the treatment of choice because the condition does not respond to medical treatment.
