Journal of Diabetes and Its Complications
Volume 18, Issue 6 , Pages 363-366, November 2004

Breast arterial calcifications associated with diabetes and hypertension

  • Meltem Çetin

      Affiliations

    • Corresponding Author InformationCorresponding author. Taşkent Caddesi 47/4, 06500 Bahçelievler, Ankara, Turkey. Tel.: +90-312-223-38-25; fax: +90-312-223-38-25, available after 6:00 p.m. (GM: +2)
    • Department of Radiology, Ankara Oncology Research and Training Hospital, Ankara, Turkey
    • ,
  • Recep Çetin

      Affiliations

    • Department of Surgical Oncology, Süleyman Demirel University School of Medicine, Isparta, Turkey
    • ,
  • Numan Tamer

      Affiliations

    • Department of Endocrinology, Süleyman Demirel University School of Medicine, Isparta, Turkey
    • ,
  • Sefa Kelekçi

      Affiliations

    • Süleymaniye Maternity Hospital, Istanbul, Turkey

Received 17 June 2003; received in revised form 19 April 2004; accepted 20 April 2004.

Abstract 

Aim

To investigate the relationship between breast arterial calcifications (BACs) and systemic hypertension (HT) and diabetes mellitus (DM).

Methods

Mammograms and patient records of 2406 women who were screened for breast cancer or had undergone diagnostic mammography were reviewed retrospectively. Mammograms were evaluated for the presence of arterial calcification and results were coded. Patients who had been using insulin or oral hypoglycemic agents were included in the diabetic group; patients who had been using antihypertensive agents were included in the hypertensive group. Diabetes was defined as use of oral hypoglycemic agents or insulin and hypertension was defined as use of antihypertensive agents.

Results

The prevalence of BACs among diabetics (25.4) was higher than among hypertensives (17.6%). The prevalence in the nondiabetic, nonhypertensive (NDNH) group was lowest (7.3%). The prevalence increased with age. BAC was seen almost four times more in diabetic patients and three times more in hypertensive patients than in NDNH controls.

Conclusion

BACs are associated with diabetes and hypertension. BAC on a mammogram may indicate unsuspected diabetes or hypertension, especially after 59 years of age.

Keywords:  Breast arterial calcification, Diabetes, Hypertension

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PII: S1056-8727(04)00040-6

doi:10.1016/j.jdiacomp.2004.04.004

Journal of Diabetes and Its Complications
Volume 18, Issue 6 , Pages 363-366, November 2004

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