作者
Qianqian Yuan,Shu‐Yuan Xiao,Omar Farouk,Yu-Tang Du,Fereshte Sheybani,Qing Tan,Sami Akbulut,Kenan Çetin,Afsaneh Alikhassi,Rami J. Yaghan,İrmak Durur-Subasi,Fatih Altıntoprak,Tae Ik Eom,Fatih Alper,Mustafa Hasbahçecı,David Martínez‐Ramos,Pelin Seher Öztekin,Ava Kwong,Cedric W. Pluguez-Turull,Kirstyn E. Brownson,ShirishS Chandanwale,Mehran Habibi,Liu-Yi Lan,Rui Zhou,Xian‐Tao Zeng,Jiao Bai,Junwen Bai,Qiongrong Chen,Xing Chen,Xiaoming Zha,Wenjie Dai,Zhijun Dai,Qinyu Feng,Qingjun Gao,Runfang Gao,Baosan Han,Jinxuan Hou,Wei Hou,Haiying Liao,Hong Luo,Zheng‐Ren Liu,Jing-Hua Lu,Bin Luo,Xiaopeng Ma,Jun Qian,Jian-Yong Qin,Wei Wei,Gang Wei,Liying Xu,Hui-Chao Xue,Huawei Yang,Weige Yang,Chaojie Zhang,Fan Zhang,Guanxin Zhang,Shaokun Zhang,Shu-Qun Zhang,Ye-Qiang Zhang,Yuepeng Zhang,Sheng-Chu Zhang,Daiwei Zhao,Xiang-Min Zheng,Lewei Zheng,Gaoran Xu,Wenbo Zhou,Gaosong Wu
摘要
Granulomatous lobular mastitis (GLM) is a rare and chronic benign inflammatory disease of the breast. Difficulties exist in the management of GLM for many front-line surgeons and medical specialists who care for patients with inflammatory disorders of the breast. This consensus is summarized to establish evidence-based recommendations for the management of GLM. Literature was reviewed using PubMed from January 1, 1971 to July 31, 2020. Sixty-six international experienced multidisciplinary experts from 11 countries or regions were invited to review the evidence. Levels of evidence were determined using the American College of Physicians grading system, and recommendations were discussed until consensus. Experts discussed and concluded 30 recommendations on historical definitions, etiology and predisposing factors, diagnosis criteria, treatment, clinical stages, relapse and recurrence of GLM. GLM was recommended as a widely accepted definition. In addition, this consensus introduced a new clinical stages and management algorithm for GLM to provide individual treatment strategies. In conclusion, diagnosis of GLM depends on a combination of history, clinical manifestations, imaging examinations, laboratory examinations and pathology. The approach to treatment of GLM should be applied according to the different clinical stage of GLM. This evidence-based consensus would be valuable to assist front-line surgeons and medical specialists in the optimal management of GLM.