特发性肉芽肿性乳腺炎的诊疗进展

ProgressinDiagnosis and Treatment of Idiopathic Granulomatous Mastitis/ZHANG Hao，YU Xiaojie， ZHANG Haojie， CHENG Lihao，YANG Zhenlin.//Medical Innovation of China，2025，22（20）： 172-176

[Abstract]Idiopathic granulomatous mastitis （IGM） is rare，but the number of patients has been increasing in recent years，and there is a problemof improperdiagnosis and treatment， therefore，a systematic review of IGM has important clinical significance.TheetiologyandpathogenesisofIGMremainunclear，itisprimarilybelieved tobe associated with autoimmunity，Kreicorynebacterium infectionand hormonal disorders.The clinical manifestations and imaging findings of IGMaresimilar to those of breast cancer，lacking specificity，pathological examination is the gold standard for thediagnosisof IGM.Currently，there isnouniformstandardforthe treatmentof IGM，and surgical treatment should be cautiously applied，and treatment options should be selected based on theirown clinical experienceand patients'wishes.Thisarticle reviews theresearch progressof IGMetiology，pathogenesis，diagnosis and treatment by reviewing domestic and foreign literature reports on IGM-related research and combining clinical experience.

[Keywords] Idiopathic granulomatous mastitisEtiology DiagnosisTreatment

First-author'saddress：Department of Thyroid Surgery，Binzhou Medical University Hospital Binzhou 256603， China

doi：10.3969/j.issn.1674-4985.2025.20.040

特发性肉芽肿性乳腺炎（IGM）又称肉芽肿性小叶性乳腺炎，由Kessler等[在1972年首次提出，并将其描述为一种在临床表现上和乳腺癌难以区分的乳腺特发性疾病，报道其组织学表现与自身免疫性疾病如肉芽肿性甲状腺炎、肉芽肿性前列腺炎和肉芽肿性睾丸炎相似。（剩余12776字）