{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:34:44Z","timestamp":1777944884650,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T00:00:00Z","timestamp":1751587200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T00:00:00Z","timestamp":1751587200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intermammary pilonidal sinus disease (IMPSD) is a rare condition that primarily affects the young population. Due to the absence of standardized guidelines, IMPSD poses significant challenges during management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This scoping review aims to map and characterize the existing literature on IMPSD to provide an overview of clinicopathological characteristics, risk factors, diagnosis, and management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility Criteria:<\/jats:title>\n                    <jats:p>Studies were included if they were original articles, case reports, or case series that met the inclusion criteria published in English during 2004 to 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sources of Evidence:<\/jats:title>\n                    <jats:p>A search was conducted using MeSH keywords \u201cIntermammary\u201d AND \u201cPilonidal sinus\u201d in PubMed, Google Scholar, and by citation searching up to date.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Charting Methods:<\/jats:title>\n                    <jats:p>The PRISMA ScR guidelines were used as a charting method. Data extraction included demographic characteristics, clinical pathological characteristics, diagnostic methods, treatment approaches, and follow-up outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Ten articles met the inclusion criteria, including 33 patients with a mean age of 18.7\u2009years. The majority of cases were reported from Turkey, Iraq, and India. Mean body mass index was 28.74\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . Significant other comorbidities included polycystic ovary syndrome in 24% of cases. Large pendulous breasts and wearing tight brassieres were noted as other risk factors. Clinical presentation commonly involved discharging sinuses and painful swellings, with a mean duration of 8\u2009months. Complementary investigations were seldom performed as the diagnosis was mainly clinical. The main modes of treatment included resection with primary closure or resection with secondary healing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Low prevalence and management challenges highlight the need for further research to establish standardized guidelines and the importance of formulating an individualized plan for the management of IMPSD based on a comprehensive evaluation of clinicopathological characteristics and patient wishes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057251351739","type":"journal-article","created":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T06:56:28Z","timestamp":1751612188000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A scoping review on clinicopathological characteristics, diagnosis, and management of intermammary pilonidal sinus disease"],"prefix":"10.1177","volume":"21","author":[{"given":"Sepalika","family":"Wijekoon","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasthaka","family":"Dissanayake","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umayanga","family":"Dehigama","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeewantha","family":"Senevirathna","sequence":"additional","affiliation":[{"name":"University Surgical Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasangi","family":"Gamage","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2460-5979","authenticated-orcid":false,"given":"N. 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