《2025年乳腺感染性与炎症性病变管理指南》解读——来自美国乳腺外科医师学会、乳腺影像学会和美国病理学家学会
石夏如、吴战洋负责翻译和总结、撰稿；耿朝辉、季亚婕负责审校、提供意见。所有作者均阅读并确认最终稿。
收稿日期: 2026-05-30
网络出版日期: 2026-08-11
基金资助
上海市科委“科技创新行动计划”医学创新研究专项项目(23Y11920900D);克服递药屏障高端制剂全国重点实验室开放课题计划(2025-KFA-004);上海中医药大学附属曙光医院四明基金(SGKJ-202534)
Interpretation of the 2025 Guidelines for the Management of infectious and inflammatory lesions of the breast by the American Society of Breast Surgeons, Society of Breast Imaging, and College of American Pathology
Received date: 2026-05-30
Online published: 2026-08-11
乳腺感染性与炎症性病变是临床常见而管理争议较大的一组疾病，既往长期缺乏循证基础较强的规范化诊疗指南。2025年，美国乳腺外科医师协会（ASBrS）、乳腺影像学会（SBI）及美国病理学家学会（CAP）联合发布《乳腺感染性与炎症性病变管理指南》，聚焦哺乳期乳腺炎（LM）、肉芽肿性乳腺炎（GM）及导管周围乳腺炎伴鳞状上皮化生（PDM-SMOLD）三类最常见病变，提出了以尽量减少有创干预为核心的规范化诊疗路径。本文对该指南的重点内容进行解读，并与国内《乳腺炎症性疾病诊治临床实践指南（2025版）》对比分析，以期为国内临床实践提供参考。
石夏如 , 吴战洋 , 耿朝辉 , 季亚婕 . 《2025年乳腺感染性与炎症性病变管理指南》解读——来自美国乳腺外科医师学会、乳腺影像学会和美国病理学家学会[J]. 外科理论与实践, 2026 , 31(03) : 218 -226 . DOI: 10.16139/j.1007-9610.2026.03.07
Infectious and inflammatory breast diseases are a group of clinically common conditions whose management is highly controversial, and for which standardized evidence-based guidelines have long been lacking. In 2025, the American Society of Breast Surgeons (ASBrS), Society of Breast Imaging (SBI), and College of American Pathology (CAP) jointly issued the 2025 Guidelines for the Management of infectious and inflammatory lesions of the breast, which focus on the three most common conditions—lactational mastitis (LM), granulomatous mastitis (GM), and periductal mastitis with squamous metaplasia of lactiferous ducts (PDM-SMOLD)—and propose a standardized diagnostic and management pathway centered on minimizing invasive interventions. This article interpreted the key points of the guidelines and compared them with the domestic Clinical Practice Guidelines for the Diagnosis and Treatment of Inflammatory Breast Diseases (2025 Edition), to provide insights for clinical practice in China.
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