Diagnosis, Approach, and Clinical Classification of Idiopathic Granulomatous Mastitis: Consensus Report.

IF 2 4区医学 Q2 OBSTETRICS & GYNECOLOGY Breast Care Pub Date : 2024-10-01 Epub Date: 2024-09-18 DOI:10.1159/000541482

Mustafa Emiroglu, Alper Akcan, Mehmet Velidedeoglu, Sadullah Girgin, Ozgur Aytac, N Zafer Canturk, Kerim Bora Yilmaz, Hande Koksal, Neslihan Cabioglu, Kenan Cetin, Bahadır Gulluoglu

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Abstract

Objective: The aim of the idiopathic granulomatous mastitis (IGM) consensus study was to evaluate the etiology, diagnostic steps, and differential diagnosis and propose a widely accepted clinical classification of this mysterious breast disease.

Method: The organization of a national IGM consensus was decided by the joint evaluation of the Turkish Federation of Breast Diseases Societies, SENATURK, and the Society of Breast Surgery. First, a working group of 11 members was formed, and a survey and workshop were organized to reach a common consensus. The modified Delphi method was used in the consensus methodology. Voting rates of 80% and above were considered as acceptance.

Results: The consensus was 45/50 (92%) that core needle biopsies are necessary for the diagnosis of IGM and 39/40 (97%) that a new clinical classification is needed. The proposed Turkish clinical classification of IGM was accepted by 94% in three rounds of voting.

Conclusion: This disease should be considered etiologically idiopathic. Tissue diagnosis and pathological evaluation are recommended for treatment. The proposed IGM Turkey classification was strongly accepted.

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特发性肉芽肿性乳腺炎的诊断、治疗方法和临床分类：共识报告。

目的：特发性肉芽肿性乳腺炎（IGM特发性肉芽肿性乳腺炎（IGM）共识研究的目的是评估病因、诊断步骤和鉴别诊断，并为这种神秘的乳腺疾病提出广为接受的临床分类：方法：经土耳其乳腺疾病学会联合会、SENATURK 和乳腺外科学会联合评估，决定组织全国 IGM 共识研究。首先，成立了一个由 11 名成员组成的工作小组，并组织了一次调查和研讨会，以达成共同共识。在达成共识的方法中使用了改良德尔菲法。结果：结果：45/50（92%）的人认为诊断 IGM 需要进行核心针活检，39/40（97%）的人认为需要新的临床分类。在三轮投票中，94%的人接受了土耳其提出的 IGM 临床分类：结论：这种疾病在病因学上应被视为特发性疾病。建议采用组织诊断和病理评估进行治疗。拟议的土耳其 IGM 分类得到了广泛认可。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Breast Care 医学-妇产科学

CiteScore

4.40

自引率

4.80%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Breast Care'' is a peer-reviewed scientific journal that covers all aspects of breast biology. Due to its interdisciplinary perspective, it encompasses articles on basic research, prevention, diagnosis, and treatment of malignant diseases of the breast. In addition to presenting current developments in clinical research, the scope of clinical practice is broadened by including articles on relevant legal, financial and economic issues.