Pseudoangiomatous Stromal Hyperplasia: A Case Report

Masannat, Yazan; Whitehead, S; Hawley, Ian; Apthorp, Lesley; Shah, Elizabeth

doi:10.1155/2010/549643

Cited by 14 publications

(23 citation statements)

References 10 publications

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“…Isolated PASH is rare with only about a hundred cases previously reported since 1986. 3 Our case is one of the largest reported cases of mass forming PASH in the literature.…”

mentioning

confidence: 70%

Excision of giant pseudoangiomatous stromal hyperplasia and its surgical challenges

Quah

et al. 2021

ANZ Journal of Surgery

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“…Isolated PASH is rare with only about a hundred cases previously reported since 1986. 3 Our case is one of the largest reported cases of mass forming PASH in the literature.…”

mentioning

confidence: 70%

Excision of giant pseudoangiomatous stromal hyperplasia and its surgical challenges

Quah

et al. 2021

ANZ Journal of Surgery

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“…When the lesion is small and asymptomatic, surgical excision is not indicated [ 4 ]. If there are suspicious features of malignancy clinically or radiologically, wide local excision is recommended for treatment [ 6 ]. For giant tumorous PASH, surgical excision should be performed as the treatment of choice.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Pseudoangiomatous Stromal Hyperplasia of the Breast: Implant-Based Reconstruction with a Vascularized Dermal Sling

et al. 2015

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Pseudoangiomatous stromal hyperplasia (PASH) of the breast is a benign mesenchymal lesion with incidental histologic findings. Surgical excision is recommended as the treatment of choice for PASH, although the recurrence rates after excision range from 15% to 22%. A 46-year-old-female presented with a six-month history of bilateral breast enlargement and painful sensation mimicking inflammatory carcinoma. Imaging studies demonstrated innumerable enhancing nodules in both breasts. Due to the growth of the lesions and progressive clinical symptoms, bilateral subcutaneous mastectomy was performed. Grossly, the specimens were round and well-circumscribed, and the histologic examination revealed PASH. After mastectomy, we created a pocket with the pectoralis major muscle and a lower skin flap, which was deepithelized. Anatomical mammary implants were inserted, and the nipple areolar complex was transferred to a new position as a free graft. The aesthetic result was satisfactory after twelve months of follow-up.

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“…A rare mimic of breast malignancy *Philips G. Michael, 1 Tahra Al-Saadi, 1 Rakesh Jamkhandikar, 1 Lakshmi Rao 2 A 48-year-old premenopausal woman presented to the Breast Clinic of the Armed Forces Hospital, Muscat, Oman, in 2015 with a one-year history of a lump in her right breast which was progressively increasing in size. She had no associated fever or nipple discharge.…”

Section: Pseudoangiomatous Stromal Hyperplasiamentioning

confidence: 99%

“…These tumours commonly resemble fibroadenomas or hamartomas on imaging, although more serious pathologies such as angiosarcomas cannot be excluded. 1,3,5 Large tumours may also be mistaken for phyllodes tumours.…”

Section: Pseudoangiomatous Stromal Hyperplasiamentioning

confidence: 99%

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Pseudoangiomatous Stromal Hyperplasia: A rare mimic of breast malignancy

Michael

Al-Saadi

Jamkhandikar

et al. 2017

SQUMJ

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A 48-year-old premenopausal woman presented to the Breast Clinic of the Armed Forces Hospital, Muscat, Oman, in 2015 with a one-year history of a lump in her right breast which was progressively increasing in size. She had no associated fever or nipple discharge. The patient had three children whom she had breastfed normally. She was not lactating at the time of presentation and did not have a history of previous breast-related surgeries or trauma. On clinical examination, the right breast was found to be enlarged and diffusely erythematous with prominent superficial veins and skin changes. There was a palpable non-tender mass measuring approximately 1.5 x 2.5 cm in size which was suspected to be malignant (i.e. an inflammatory carcinoma). The axillary lymph nodes were not palpable.Mammography and ultrasonography of both breasts was performed. The mammogram revealed a lesion in the right breast which was rounded with slightly lobulated margins [ Figure 1]. The lesion was classified as Breast Imaging-Reporting and Data System category 4. No microcalcifications were evident. The ultrasound scan showed a 1.5 x 2.5 cm hypoechoic mass in the same location as that of the mammographic abnormality [ Figure 2]. A colour Doppler ultrasound did not show any flow within the lesion. Radiologically, the appearance of the lesion was suggestive of a fibroadenoma or phyllodes tumour. However, due to concern that the lesion might be malignant, a histopathological examination was advised. Fine-needle aspiration cytology results were equivocal. Subsequently, an ultrasound-guided core biopsy of the lesion revealed the presence of spindle cells in a pseudoangiomatous pattern within the fibrous tissue [ Figure 3]. This confirmed the diagnosis of pseudoangiomatous stromal hyperplasia (PASH). The lesion was surgically excised through a small incision with excellent postoperative cosmetic results. The patient was followed-up for two years without evidence of recurrence. interesting medical image

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Pseudoangiomatous Stromal Hyperplasia: A Case Report

Cited by 14 publications

References 10 publications

Excision of giant pseudoangiomatous stromal hyperplasia and its surgical challenges

Excision of giant pseudoangiomatous stromal hyperplasia and its surgical challenges

Treatment of Pseudoangiomatous Stromal Hyperplasia of the Breast: Implant-Based Reconstruction with a Vascularized Dermal Sling

Pseudoangiomatous Stromal Hyperplasia: A rare mimic of breast malignancy

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