Case presentation A 36-year-old woman presented with a painful swelling in her left breast that had developed two days earlier. She denied systemic symptoms such as fever or weight loss.
Notably, she reported a similar episode six weeks ago, which was managed with incision and drainage. Medical history Type 2 diabetes mellitus (T2DM) for 12 years and hypothyroidism On metformin (twice daily) and levothyroxine (once daily) No prior insulin use No history of smoking, alcohol, or recreational drug use Regular menstrual cycles No pregnancy-related complications No family history of breast or ovarian cancer Physical examination A nodular subareolar mass was noted in the lower outer quadrant of the left breast, measuring 4 × 5 cm, tender, firm, and poorly mobile No overlying skin changes such as erythema, dimpling, or peau d’orange No axillary lymphadenopathy The right breast was normal…
