Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Management of Granulomatous Lobular Mastitis: An International Multidisciplinary Consensus (2021 Edition) Publisher Pubmed



Yuan QQ1 ; Xiao SX2 ; Farouk O3 ; Du YT4 ; Sheybani F5 ; Tan QT6 ; Akbulut S7 ; Cetin K8 ; Alikhassi A9 ; Yaghan RJ10 ; Durursubasi I11 ; Altintoprak F12 ; Eom TI13 ; Alper F14 Show All Authors
Authors
  1. Yuan QQ1
  2. Xiao SX2
  3. Farouk O3
  4. Du YT4
  5. Sheybani F5
  6. Tan QT6
  7. Akbulut S7
  8. Cetin K8
  9. Alikhassi A9
  10. Yaghan RJ10
  11. Durursubasi I11
  12. Altintoprak F12
  13. Eom TI13
  14. Alper F14
  15. Hasbahceci M15
  16. Martinezramos D16
  17. Oztekin PS17
  18. Kwong A18
  19. Pluguezturull CW20
  20. Brownson KE21
  21. Chandanwale S22
  22. Habibi M23
  23. Lan LY1
  24. Zhou R1
  25. Zeng XT24
  26. Bai J25
  27. Bai JW26
  28. Chen QR27
  29. Chen X28
  30. Zha XM29
  31. Dai WJ30
  32. Dai ZJ31
  33. Feng QY1
  34. Gao QJ32
  35. Gao RF33
  36. Han BS34
  37. Hou JX1
  38. Hou W35
  39. Liao HY36
  40. Luo H37
  41. Liu ZR38
  42. Lu JH39
  43. Luo B40
  44. Ma XP41
  45. Qian J42
  46. Qin JY43
  47. Wei W44
  48. Wei G1
  49. Xu LY45
  50. Xue HC46
  51. Yang HW47
  52. Yang WG48
  53. Zhang CJ49
  54. Zhang F50
  55. Zhang GX51
  56. Zhang SK52
  57. Zhang SQ53
  58. Zhang YQ54
  59. Zhang YP25
  60. Zhang SC55
  61. Zhao DW56
  62. Zheng XM57
  63. Zheng LW1
  64. Xu GR1
  65. Zhou WB58
  66. Wu GS1
Show Affiliations
Authors Affiliations
  1. 1. Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China
  2. 2. Department of Pathology, University of Chicago Pritzker School of Medicine, Chicago, 60637, IL, United States
  3. 3. Department of Surgical Oncology and Breast Surgery, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, 35516, Egypt
  4. 4. Department of Breast Surgery, Beijing University of Chinese Medicine, Beijing, 100700, China
  5. 5. Department of Infectious Diseases and Tropical Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, 9177899191, Iran
  6. 6. Breast Department, KK Women’s and Children’s Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore
  7. 7. Department of Surgery, Department of Public Health, Department of Biostatistics, Bioinformatics and Medical Informatics, Inonu University Faculty of Medicine, Malatya, 44280, Turkey
  8. 8. Department of General Surgery, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, 17020, Turkey
  9. 9. Department of Radiology, Cancer Institute, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, 1419733141, Iran
  10. 10. Department of Surgery, College of Medicine and Medical Sciences, Arabian Gulf University-Bahrain, Manama, 26671, Bahrain
  11. 11. Department of Radiology, International Faculty of Medicine, Istanbul Medipol University, Istanbul, 34810, Turkey
  12. 12. Department of General Surgery, Faculty of Medicine, Sakarya University, Sakarya, 54050, Turkey
  13. 13. Department of Surgery, HiU Clinic, 170, Gwongwang-ro, Paldal-gu, Suwon, 16488, South Korea
  14. 14. Department of Radiology, Faculty of Medicine, Ataturk University, Erzurum, 25240, Turkey
  15. 15. Academic Support and Education Center, Hirkai Serif District, Kececi Cesmesi Str, Doktorlar Building, B/7, Istanbul, 34091, Turkey
  16. 16. Department of General and Digestive Surgery, Hospital General Castellon, Avda Benicassim S/N, Castellon, 12812004, Spain
  17. 17. Radiology Department, Ankara Training and Research Hospital, Ankara, 305018, Turkey
  18. 18. Department of Surgery, The University of Hong Kong, China
  19. 19. The University of Hong Kong-Shenzhen Hospital, Shenzhen, 518053, China
  20. 20. University of Miami Health System and Miller School of Medicine, 1475 NW 12th Avenue, Miami, 33136, FL, United States
  21. 21. Department of Surgery, University of Utah, Huntsman Cancer Institute, Salt Lake City, 84112, UT, United States
  22. 22. Department of Pathology, Dr D Y Patil Medical College Hospital and Research Centre, Pimpri, Pune, 603203, India
  23. 23. Department of Surgery, Johns Hopkins Breast Center at Bayview Campus, 4940 Eastern Avenue, Rm. A-562, Baltimore, 21224, MD, United States
  24. 24. Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China
  25. 25. Department of Diagnostic Ultrasound, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China
  26. 26. Department of Surgery, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, 010110, China
  27. 27. Center for Pathology and Molecular Diagnostics, Wuhan University, Wuhan, 430071, China
  28. 28. Department of General Surgery, Fujian Provincial Hospital, Fuzhou, 350001, China
  29. 29. The First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, China
  30. 30. Key Laboratory of Hepatosplenic Surgery and the First Department of General Surgery, First Affiliated Hospital of Harbin Medical University, Harbin, 150007, China
  31. 31. Department of Breast Surgery, Zhejiang University School of Medicine First Affiliated Hospital, Hangzhou, 310003, China
  32. 32. Department of General Surgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China
  33. 33. Department of General Surgery, Shanxi Provincial People’s Hospital, Taiyuan, 030012, China
  34. 34. Department of Breast Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, 200092, China
  35. 35. Department of Cardiothoracic Surgery, Zaoyang People’s Hospital, Hubei, Zaoyang, 441299, China
  36. 36. Department of Thyroid and Breast Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050004, China
  37. 37. Department of General Surgery, Guangshan County People’s Hospital, Henan, Guangshan County, Xinxiang, 465499, China
  38. 38. Department of Breast Surgery, First Affiliated Hospital of Nanchang University, Nanchang, 330006, China
  39. 39. Chinese Academy of Sciences, Beijing, 100045, China
  40. 40. Department of General Surgery, School of Clinical Medicine, Tsinghua University, Beijing Tsinghua Changgung Hospital, Beijing, 102218, China
  41. 41. Department of Breast and Thyroid Surgery, The First Affiliated Hospital of University of Science and Technology of China, Anhui Provincial Hospital, Hefei, 230001, China
  42. 42. Department of Thyroid Surgery, First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China
  43. 43. Department of Oncology, Liwan Central Hospital of Guangzhou, Guangzhou, 510150, China
  44. 44. Department of Breast Surgery, Peking University Shenzhen Hospital, Guangdong, Shenzhen, 518036, China
  45. 45. Department of Computed Tomography, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China
  46. 46. Department of General Surgery, Xinxiang Medical University First Affiliated Hospital, Henan, Xinxiang, 453100, China
  47. 47. Department of Breast Surgery, Guangxi Medical University Cancer Hospital, Nanning, 530021, China
  48. 48. Department of General Surgery, Zhongshan Hospital Fudan University, Shanghai, 200032, China
  49. 49. Department of Breast and Thyroid Surgery, Hunan Provincial People’s Hospital/The First Affiliated Hospital of Hunan Normal University, Changsha, 410005, China
  50. 50. Department of Breast and Thyroid Surgery, Chongqing General Hospital, University of Chinese Academy of Sciences, Chongqing, 400013, China
  51. 51. Department of General Surgery, Qinghai Province People’s Hospital, Xining, 810007, China
  52. 52. Department of Thyroid and Breast Surgery, Qingdao Women and Children’s Hospital, Shandong, Qingdao, 266000, China
  53. 53. Department of Oncology, Xi’an Jiaotong University Second Affiliated Hospital, Xi’an, 710004, China
  54. 54. Department of Cardiothoracic Surgery, Zaoyang First People’s Hospital, Hubei, Zaoyang, 441299, China
  55. 55. Department of Thyroid and Breast Surgery, Yichang Central People’s Hospital, Hubei, Yichang, 443003, China
  56. 56. Department of Thyroid Surgery, The Second Affiliated Hospital, Guizhou Medical University, Guizhou, Kaili, 556000, China
  57. 57. Department of General Surgery, Shanghai Changzheng Hospital, Shanghai, 200003, China
  58. 58. Department of Surgery, Dongfeng General Hospital Affiliated with Hubei Medical College, Hubei, Shiyan, 442001, China

Source: Military Medical Research Published:2022


Abstract

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. © 2022, The Author(s).
Other Related Docs