Diagnosis, Approach, and Clinical Classification of Idiopathic Granulomatous Mastitis: Consensus Report.
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 w...
| Publicado en: | Breast Care Vol. 19; no. 5; pp. 243 - 251 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Karger AG
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180476178&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180476178 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16613791 1WIC jtl: Breast Care issn: 16613791 maglogo: N pubinfo: dt: 2024 vid: 19 iid: 5 pid: 2485 pub: Karger AG artinfo: ui: 180476178 180166178 180476178 180476178 10.1159/000541482 180476178 ppf: 243 ppct: 8 formats: tig: atl: Diagnosis, Approach, and Clinical Classification of Idiopathic Granulomatous Mastitis: Consensus Report. aug: au: Emiroglu, Mustafa Akcan, Alper Velidedeoglu, Mehmet Girgin, Sadullah Aytac, Ozgur Canturk, N. Zafer Yilmaz, Kerim Bora Koksal, Hande Cabioglu, Neslihan Cetin, Kenan Gulluoglu, Bahadır affil: Gazi Hospital, Department of General Surgery, Izmir, Turkey sug: subj: Mastitis Diagnosis Mastitis Etiology Mastitis Classification Granuloma Diagnosis Granuloma Etiology Granuloma Classification Consensus Diagnosis, Differential Human Turkiye Breast Diseases Turkiye Collaboration Surveys Seminars and Workshops Delphi Technique Voting Biopsy, Needle Descriptive Statistics ab: 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. Plain Language Summary: Idiopathic granulomatous mastitis is a highly heterogeneous group of diseases. There is ongoing controversy regarding the etiology, clinical classification, and treatment algorithm of the disease. There is no common terminological language for the clinical signs and symptoms of the disease. Treatment algorithms are diverse, and there is no standardization. Scientific comparisons cannot be made precisely due to the inclusion of heterogeneous groups in studies. Since there is no consensus on the severity of the disease, the types of treatment do not allow for comparisons between groups with the same clinical severity. These scientific limitations create difficulties in establishing national/international treatment algorithms or the acceptance of proposed algorithms. This consensus, prepared by our working group, defines a diagnostic algorithm for disease diagnosis and a terminological classification. The classification system, prepared according to disease severity, will be a pioneer in comparing patient groups and developing treatment algorithms. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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