Promoting Standardization of Clinical Evidence With Severity-Guided Treatments for Idiopathic Granulomatous Mastitis: A Narrative Review.

IF 1 4区医学 Q3 SURGERY

American Surgeon Pub Date : 2025-01-01 Epub Date: 2024-08-22 DOI:10.1177/00031348241275717

Nora Gillen, Jada Leahy

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引用次数: 0

Abstract

Idiopathic granulomatous mastitis (IGM) is a benign disease of the breast which causes a great deal of discomfort for patients. More comparable data and greater consensus in treatment are needed to better understand the disease and help with evidence-based clinical decision making. This narrative review aims to discuss the literature available on IGM and illustrate the need for consensus on treatment. We highlight the existing severity scores for this disease in the literature and discuss the value of severity-guided treatment. In our review, 81 studies out of 319 reviewed publications met established criteria. With the selected results from our search results, the available research on IGM etiology, risk factors, diagnosis, and treatment is summarized with an emphasis on the existing severity scores. A total of four proposed severity scores were found in our review. Consensus on the treatment of IGM must be established. There are varying severity scores on IGM severity. We suggest using an established standardized severity score to guide treatment and recommend one such score.

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促进特发性肉芽肿性乳腺炎严重程度指导疗法的临床证据标准化：叙述性综述。

特发性肉芽肿性乳腺炎（IGM）是一种乳腺良性疾病，会给患者带来很多不适。为了更好地了解这种疾病并帮助做出循证临床决策，我们需要更多可比较的数据和更一致的治疗方法。本叙述性综述旨在讨论有关 IGM 的现有文献，并说明就治疗达成共识的必要性。我们强调了现有文献中对该疾病的严重程度评分，并讨论了严重程度指导治疗的价值。在我们的综述中，319 篇综述出版物中有 81 篇研究符合既定标准。根据我们从搜索结果中筛选出的结果，我们总结了有关 IGM 病因、风险因素、诊断和治疗的现有研究，并重点介绍了现有的严重程度评分。在我们的研究中，共发现了四种建议的严重程度评分。必须就 IGM 的治疗达成共识。关于 IGM 严重程度的评分标准各不相同。我们建议使用已确立的标准化严重程度评分来指导治疗，并推荐一种这样的评分。

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

American Surgeon 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

623

期刊介绍： The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.