肉芽肿性小叶性乳腺炎诊治湖南专家共识（2021版）

Hunan expert consensus on diagnosis and treatment of granulomatous lobular mastitis (2021 edition)

摘要:

肉芽肿性小叶性乳腺炎（GLM）是一种临床上较少见的乳腺慢性炎性疾病，近几年发病率有明显上升趋势。但由于其病因不明、临床医师对该病认识不足，从而导致目前对该病的误诊率较高，特别是治疗不规范、效果欠佳，且病情易反复发作致迁延不愈，俗称“炎症中的癌症”。为此，湖南省健康管理学会乳腺甲状腺健康管理专业委员会、湖南省医学会普通外科学专业委员会乳腺甲状腺外科学组、湖南省预防医学会乳腺疾病防治专业委员会、湖南省中医药和中西结合学会外科专业委员会、湖南乳甲外科联盟5个学术机构，联合省内从事该领域相关专家，就GLM诊治相关内容，多次在线上和线下进行充分研讨，力求不断完善，基本达成共识，共同制定《肉芽肿性小叶性乳腺炎诊治湖南专家共识（2021版）》。

Abstract:

Granulomatous lobular mastitis (GLM) is an unusual chronic breast inflammatory disease in clinical practice, and its incidence has been on the rise in recent years. However, the misdiagnosis rate of this disease is relatively high due to the unclear pathogenesis and limited knowledge of the clinicians. In addition, the non-standard treatment and unsatisfactory treatment effect will cause repeated bouts of this condition, with delayed and difficult healing. So, it is commonly called “the cancer of inflammation”. Therefore, the Hunan Expert consensus on diagnosis and treatment of granulomatous lobular mastitis (2021 edition) was developed by the organization of five academic institutions that included the Breast and Thyroid Health Management Society of Hunan Provincial Health Management Association, Group of Breast and Thyroid Surgery of Society of General Surgery of Hunan Medical Association, Committee for Prevention and Treatment of Breast Diseases of Hunan Preventive Medicine Association, Society of Surgery of Hunan Association of Chinese Medicine and Integrative Medicine, and Hunan Alliance of Breast and Thyroid Surgery in collaboration with the experts in relevant fields, after detailed discussions of the problems concerning the diagnosis and treatment of GLM both online and offline, striving for perfection and reaching a general agreement.