肉芽肿性乳腺炎诊疗方案研究新进展OACHSSCD
Recent Advances in the Diagnosis and Treatment of Granulomatous Mastitis
肉芽肿性乳腺炎(granulomatous mastitis,GM)是一种慢性炎症性疾病,其诊断和治疗都面临不小挑战,其与乳腺癌的高相似性及高复发率构成临床上的主要难题.文章系统整理了GM最新的诊疗进展情况.在诊断方面,多模态影像学技术,例如增强超声和多参数磁共振成像,联合放射组学大幅提升 GM 术前鉴别诊断能力,但病理学检查仍是确诊的核心依据.在治疗方面,管理策略已趋于多元化,包含糖皮质激素、免疫抑制剂、微创手术及中医药等多种治疗手段,其中,中西医结合的诊疗模式在降低复发率和改善乳房外观两个维度显露出独特潜力.虽然当前诊疗技术持续进步,但是GM病因尚未明确、缺乏标准化方案这两个问题,仍是未来研究工作的重点.
Granulomatous mastitis(GM)is a chronic inflammatory disease that poses significant challenges in both diagnosis and treatment.Its close resemblance to breast cancer and high recurrence rate constitute major clinical dilemmas.This review systematically summarizes recent advances in the diagnosis and treatment of GM.In terms of diagnosis,multimodal imaging techniques,such as contrast-enhanced ultrasound and multiparametric magnetic resonance imaging,combined with radiomics,have substantially improved the capability for preoperative differential diagnosis of GM.Nevertheless,pathological examination remains the core basis for definitive confirmation.Therapeutically,management strategies have become increasingly diversified,encompassing various therapeutic approaches,such as corticosteroids,immunosuppressive agents,minimally invasive surgery,and Traditional Chinese Medicine(TCM).Notably,the integrated approach of Traditional Chinese and Western Medicine has demonstrated unique potential in reducing recurrence rates and improving breast aesthetics.Although diagnostic and therapeutic technologies continue to evolve,two issues—the unclear etiology of GM and the lack of standardized protocols—remain focal points for future research.
朱雨晨;郭煊泽;周毅;刘鹏鹏;蔡仕彬;陈述政
温州医科大学附属第五医院 乳腺外科,浙江 丽水 323000温州医科大学附属第五医院 乳腺外科,浙江 丽水 323000温州医科大学附属第五医院 乳腺外科,浙江 丽水 323000温州医科大学附属第五医院 乳腺外科,浙江 丽水 323000温州医科大学附属第五医院 乳腺外科,浙江 丽水 323000温州医科大学附属第五医院 乳腺外科,浙江 丽水 323000||丽水市妇幼保健院,浙江 丽水 323000
医药卫生
肉芽肿性乳腺炎诊断进展治疗进展中西医结合多模态影像学
granulomatous mastitisdiagnostic advancestherapeutic advancesintegration of Traditional Chinese and Western Medicinemultimodal imaging
《丽水学院学报》 2026 (2)
98-106,9
浙江省中医药科技计划项目"加味仙方活命饮联合乳房微创引流技术治疗肉芽肿性乳腺炎技术"(2023ZL207)
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