• 国家药监局综合司 国家卫生健康委办公厅
  • 国家药监局综合司 国家卫生健康委办公厅

Clinical Efficacy and Quality of Life Evaluation of Integrated Traditional Chinese-Western Medicine Staging Therapy for Granulomatous Lobular Mastitis

Corresponding author: 王卿炜, wangqingwei@fjsjjsyy.cn
DOI: 10.12201/bmr.202603.00103
Statement: This article is a preprint and has not been peer-reviewed. It reports new research that has yet to be evaluated and so should not be used to guide clinical practice.
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    Abstract: Objective: To investigate the clinical efficacy of integrated traditional Chinese and Western medicine staging treatment strategy for granulomatous lobular mastitis (GLM) at different stages and its impact on patients quality of life. Methods: A retrospective analysis of 78 GLM patients (June 2022-June 2024) compared an integrated treatment group (n=40, tailored herbal medicine with low-dose hormones/surgery) versus a Western medicine group (n=38, hormones/surgery). Outcomes included clinical efficacy (total effective rate, recurrence rate, hormone duration, breast appearance satisfaction) and 36-item Short Form Health Survey (SF-36). Results: No statistically significant differences were observed between the two groups in the 6-month total effective rate or 6-month total cure rate (P>0.05). The 1-year total effective rate in the integrated group approached borderline significance (P=0.052), with an Absolute Risk Reduction (ARR) of 15.9%. The integrated group demonstrated superior 1-year total cure rate (70.0% vs. 47.4%) and 6-month recurrence rate (0.0% vs 15.8%) compared to the Western group (all P<0.05). Hormone use duration was reduced by 50% (P<0.05), postoperative breast satisfaction scores improved by 14.3%, and SF-36 total scores increased by 14.0%, showing significant correlations with hormone duration and breast preservation (P<0.01). Conclusions: The surgery-hormone therapy-Traditional Chinese Medicine Treatment staging protocol significantly enhances GLM outcomes by reducing recurrence, decreasing hormonal dependency, and improving quality of life. SF-36 proves valuable for comprehensive efficacy evaluation.

    Key words: Granulomatous lobular mastitis; Integrated traditional Chinese-Western medicine; Staging therapy; Quality of life; SF-36 scale

    Submit time: 23 March 2026

    Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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    1 2025-10-20

    10.12201/bmr.202603.00103V1

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王卿炜, shenjunyi, hongtianzi, wuzhiping, yezeyi, yangchangan, Liu Tingting. Clinical Efficacy and Quality of Life Evaluation of Integrated Traditional Chinese-Western Medicine Staging Therapy for Granulomatous Lobular Mastitis. 2026. biomedRxiv.202603.00103

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