Management of recurrent bilateral multifocal pseudoangiomatous stromal hyperplasia (PASH)

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 t...

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Bibliographic Details
Published inThe breast journal Vol. 26; no. 9; pp. 1814 - 1817
Main Authors Xu, Xiaolu, Persing, Sarah M., Allam, Omar, Park, Kitae E., Mozaffari, Mohammad Ali, Lannin, Donald R., Bossuyt, Veerle, Alperovich, Michael
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.09.2020
Subjects
Breast
breast hyperplasia
Enlargement
Exhausting
Hyperplasia
Mastectomy
Pain
Plastic surgery
Postpartum
pseudoangiomatous stromal hyperplasia
Reconstructive surgery
breast hyperplasia
mastectomy
pseudoangiomatous stromal hyperplasia
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Summary: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.
ISSN:1075-122X
1524-4741
DOI:10.1111/tbj.13950