Pseudoangiomatous stromal hyperplasia of the breast: an unusual indication for mastectomy

• Main Author: Fonseca-Moutinho,José Alberto
• Publication Date: 2019
• Other Authors: Castelo,Bárbara Bizzo, Barros,Ramona Carvalho, Garcia,Helena
• Format: Report
• Language: eng
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302019000400007
• topic: Breast; Pseudoangiomatous Stromal Hyperplasia; Mastectomy

Pseudoangiomatous Stromal Hyperplasia (PASH) is a benign proliferation of the mammary stromal tissue. We present a clinical case of a 74-years-old patient presenting a fast-growing PASH, treated through mastectomy, with no recurrence or breast cancer after a 11-years follow up. The patient’s clinical history, imaging, histopathologic examinations, treatment, and follow up were reviewed, along with 9 other cases described in literature. Considering that PASH is a condition that needs removal through an excision with safe margins, in case of fast-growing or large lesions, mastectomy seems to be a safe long-term treatment, with low risk of relapses or contralateral breast pathology.