Arch Plast Surg.  2015 Sep;42(5):630-634. 10.5999/aps.2015.42.5.630.

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

• Jung BK
• Nahm JH
• Lew DH
• Lee DW

• KMID: 2391881
• DOI: http://doi.org/10.5999/aps.2015.42.5.630

Abstract

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.

Keyword

Pseudoangiomatous stromal hyperplasia; Breast; Mammaplasty

MeSH Terms

Breast*
Female
Follow-Up Studies
Hyperplasia*
Mammaplasty
Mastectomy
Mastectomy, Subcutaneous
Nipples
Recurrence
Sensation
Skin
Transplants