机构：[1]Department of Thyroid and Breast Surgery, Zhongnan Hospital of WuhanUniversity, Wuhan 430071, China[2]Department of Pathology, University of ChicagoPritzker School of Medicine, Chicago, IL 60637, USA[3]Department of SurgicalOncology and Breast Surgery, Oncology Center, Faculty of Medicine,Mansoura University, Mansoura 35516, Egypt[4]Department of Breast Surgery,Beijing University of Chinese Medicine, Beijing 100700, China[5]Departmentof Infectious Diseases and Tropical Medicine, Faculty of Medicine, MashhadUniversity of Medical Sciences, Mashhad 9177899191, Iran[6]BreastDepartment, KK Women’s and Children’s Hospital, 100 Bukit Timah Road,Singapore 229899, Singapore[7]Department of Surgery, Department of PublicHealth, Department of Biostatistics, Bioinformatics and Medical Informatics,Inonu University Faculty of Medicine, 44280 Malatya, Turkey[8]Departmentof General Surgery, Faculty of Medicine, Çanakkale Onsekiz Mart University,17020 Çanakkale, Turkey[9]Department of Radiology, Cancer Institute, ImamKhomeini Hospital, Tehran University of Medical Sciences, Tehran 1419733141,Iran[10]Department of Surgery, College of Medicine and Medical Sciences,Arabian Gulf University-Bahrain, Manama 26671, Bahrain[11]Departmentof Radiology, International Faculty of Medicine, Istanbul Medipol University,34810 Istanbul, Turkey[12]Department of General Surgery, Faculty of Medicine,Sakarya University, 54050 Sakarya, Turkey[13]Department of Surgery,HiU Clinic, 170, Gwongwang‑ro, Paldal‑gu, Suwon 16488, Korea[14]Departmentof Radiology, Faculty of Medicine, Ataturk University, 25240 Erzurum,Turkey[15]Academic Support and Education Center, Hırkai Serif District, KececiCesmesi Str, Doktorlar Building, B/7, 34091 Istanbul, Turkey[16]Departmentof General and Digestive Surgery, Hospital General Castellon, Avda BenicassimS/N, 12812004 Castellón, Spain[17]Radiology Department, Ankara Trainingand Research Hospital, 305018 Ankara, Turkey[18]Department of Surgery,The University of Hong Kong, China.The University of Hong Kong-ShenzhenHospital, Shenzhen 518053, China深圳市康宁医院深圳医学信息中心[19]University of Miami Health Systemand Miller School of Medicine, 1475 NW 12th Avenue, Miami, FL 33136, USA[20]Department of Surgery, University of Utah, Huntsman Cancer Institute, SaltLake City, UT 84112, USA[21]Department of Pathology, Dr D Y Patil Medical CollegeHospital and Research Centre, Pimpri, Pune 603203, India[22]Departmentof Surgery, Johns Hopkins Breast Center at Bayview Campus, 4940 EasternAvenue, Rm.A‑562, Baltimore, MD 21224, USA[23]Center for Evidence‑Basedand Translational Medicine, Zhongnan Hospital of Wuhan University,Wuhan 430071, China[24]Department of Diagnostic Ultrasound, ZhongnanHospital of Wuhan University, Wuhan 430071, China[25]Department of Surgery,Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010110,China[26]Center for Pathology and Molecular Diagnostics, Wuhan University,Wuhan 430071, China[27]Department of General Surgery, Fujian ProvincialHospital, Fuzhou 350001, China[28]The First Affiliated Hospital with NanjingMedical University, Nanjing 210029, China[29]Key Laboratory of HepatosplenicSurgery and the First Department of General Surgery, First Affiliated Hospitalof Harbin Medical University, Harbin 150007, China[30]Department of BreastSurgery, Zhejiang University School of Medicine First Affiliated Hospital,Hangzhou 310003, China浙江大学医学院附属第一医院[31]Department of General Surgery, The AffiliatedHospital of Guizhou Medical University, Guiyang 550004, China[32]Departmentof General Surgery, Shanxi Provincial People’s Hospital, Taiyuan 030012,China[33]Department of Breast Surgery, Xinhua Hospital Affiliated to ShanghaiJiaotong University School of Medicine, Shanghai 200092, China[34]Departmentof Cardiothoracic Surgery, Zaoyang People’s Hospital, Zaoyang 441299,Hubei, China[35]Department of Thyroid and Breast Surgery, The Second Hospitalof Hebei Medical University, Shijiazhuang 050004, China[36]Departmentof General Surgery, Guangshan County People’s Hospital, Guangshan County,Xinxiang 465499, Henan, China[37]Department of Breast Surgery, First AffiliatedHospital of Nanchang University, Nanchang 330006, China[38]ChineseAcademy of Sciences, Beijing 100045, China[39]Department of General Surgery,School of Clinical Medicine, Tsinghua University, Beijing Tsinghua ChanggungHospital, Beijing 102218, China[40]Department of Breast and ThyroidSurgery, The First Affiliated Hospital of University of Science and Technologyof China, Anhui Provincial Hospital, Hefei 230001, China[41]Departmentof Thyroid Surgery, First Affiliated Hospital of Kunming Medical University,Kunming 650032, China昆明医科大学附属第一医院[42]Department of Oncology, Liwan Central Hospitalof Guangzhou, Guangzhou 510150, China[43]Department of Breast Surgery,Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong, China北京大学深圳医院深圳市康宁医院深圳医学信息中心[44]Department of Computed Tomography, Zhongnan Hospital of WuhanUniversity, Wuhan 430071, China[45]Department of General Surgery, XinxiangMedical University First Affiliated Hospital, Xinxiang 453100, Henan, China[46]Department of Breast Surgery, Guangxi Medical University Cancer Hospital,Nanning 530021, China[47]Department of General Surgery, ZhongshanHospital Fudan University, Shanghai 200032, China[48]Department of Breastand Thyroid Surgery, Hunan Provincial People’s Hospital/The First AffiliatedHospital of Hunan Normal University, Changsha 410005, China[49]Departmentof Breast and Thyroid Surgery, Chongqing General Hospital, Universityof Chinese Academy of Sciences, Chongqing 400013, China[50]Departmentof General Surgery, Qinghai Province People’s Hospital, Xining 810007, China[51]Department of Thyroid and Breast Surgery, Qingdao Women and Children’sHospital, Qingdao 266000, Shandong, China[52]Department of Oncology,Xi’an Jiaotong University Second Affiliated Hospital, Xi’an 710004, China[53]Department of Cardiothoracic Surgery, Zaoyang First People’s Hospital,Zaoyang 441299, Hubei, China[54]Department of Thyroid and Breast Surgery,Yichang Central People’s Hospital, Yichang 443003, Hubei, China[55]Departmentof Thyroid Surgery, The Second Affiliated Hospital, Guizhou MedicalUniversity, Kaili 556000, Guizhou, China[56]Department of General Surgery,Shanghai Changzheng Hospital, Shanghai 200003, China[57]Departmentof Surgery, Dongfeng General Hospital Affiliated with Hubei Medical College,Shiyan 442001, Hubei, China
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.
基金：
Ability of Diagnosis and Treatment
of Difficult Diseases (ZLYNXM202009).
第一作者机构：[1]Department of Thyroid and Breast Surgery, Zhongnan Hospital of WuhanUniversity, Wuhan 430071, China
通讯作者：
推荐引用方式(GB/T 7714)：
Qian‑Qian Yuan,Shu‑Xuan Xiao,Omar Farouk,et al.Management of granulomatous lobular mastitis: an international multidisciplinary consensus (2021 edition)[J].MILITARY MEDICAL RESEARCH.2022,9(1):doi:10.1186/s40779-022-00380-5.
APA：
Qian‑Qian Yuan,Shu‑Xuan Xiao,Omar Farouk,Yu‑Tang Du,Fereshte Sheybani...&Gao‑Song Wu.(2022).Management of granulomatous lobular mastitis: an international multidisciplinary consensus (2021 edition).MILITARY MEDICAL RESEARCH,9,(1)
MLA：
Qian‑Qian Yuan,et al."Management of granulomatous lobular mastitis: an international multidisciplinary consensus (2021 edition)".MILITARY MEDICAL RESEARCH 9..1(2022)
医学