Management of recurrent bilateral multifocal pseudoangiomatous stromal hyperplasia (PASH). Issue 9 (19th June 2020)

• Record Type: Journal Article
• Authors: Xu, Xiaolu; Persing, Sarah M.; Allam, Omar; Park, Kitae E.; Mozaffari, Mohammad Ali; Lannin, Donald R.; Bossuyt, Veerle; Alperovich, Michael
• Is Part Of: Breast journal. Volume 26:Issue 9(2020)
• Page Start: 1814
• Page End: 1817
• Publication Date: 2020-06-19
• Subjects: breast hyperplasia -- mastectomy -- pseudoangiomatous stromal hyperplasia; Breast -- Diseases -- Periodicals; Breast -- Cancer -- Periodicals; 618.19
• DOI: 10.1111/tbj.13950
• Languages: English
• ISSNs: 1075-122X

Abstract

Abstract: Pseudoangiomatous stromal hyperplasia (PASH) is a benign hyperplastic condition of the breast that can lead to macromastia. The standard treatment for PASH is focal excision or rarely reduction mammoplasty. We present a rare case of postpartum bilateral rapid breast enlargement and axillary growth that was refractory to reduction mammoplasty. Ultimately, the patient required bilateral mastectomy and two‐stage implant‐based breast reconstruction. This more extensive form along with its management represents one of the few reported cases in the literature. The decision to pursue bilateral mastectomy was undertaken after exhausting more conservative options. Excellent aesthetic outcome and pain relief was obtained following definitive extirpative and reconstructive surgery.