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CC BY-NC 4.0 · Arch Plast Surg 2015; 42(05): 630-634
DOI: 10.5999/aps.2015.42.5.630
Idea and Innovation

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

Bok Ki Jung
Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
,
Ji Hae Nahm
Department of Pathology, Yonsei University College of Medicine, Seoul, Korea
,
Dae Hyun Lew
Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
,
Dong Won Lee
Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea
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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.

Keywords

Pseudoangiomatous stromal hyperplasia - Breast - Mammaplasty


Publikationsverlauf

Eingereicht: 16. April 2015

Angenommen: 23. Juni 2015

Artikel online veröffentlicht:
05. Mai 2022

© 2015. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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  • References

  • 1 Vuitch MF, Rosen PP, Erlandson RA. Pseudoangiomatous hyperplasia of mammary stroma. Hum Pathol 1986; 17: 185-191
    CrossrefPubMedGoogle Scholar
  • 2 Takagi H, Miyairi J, Hata M. et al. A case of tumor-forming pseudoangiomatous stromal hyperplasia of the breast. Breast Cancer 2013; 20: 187-190
    CrossrefPubMedGoogle Scholar
  • 3 Virk RK, Khan A. Pseudoangiomatous stromal hyperplasia: an overview. Arch Pathol Lab Med 2010; 134: 1070-1074
    CrossrefPubMedGoogle Scholar
  • 4 Salemis NS. Giant tumoural pseudoangiomatous stromal hyperplasia of the breast in the adolescence. ANZ J Surg 2011; 81: 469-470
    CrossrefPubMedGoogle Scholar
  • 5 Singh KA, Lewis MM, Runge RL. et al. Pseudoangiomatous stromal hyperplasia: a case for bilateral mastectomy in a 12-year-old girl. Breast J 2007; 13: 603-606
    CrossrefPubMedGoogle Scholar
  • 6 Masannat YA, Whitehead S, Hawley I. et al. Pseudoangiomatous stromal hyperplasia: a case report. Case Rep Med 2010; 2010: 549643
    PubMedGoogle Scholar
  • 7 Powell CM, Cranor ML, Rosen PP. Pseudoangiomatous stromal hyperplasia (PASH): a mammary stromal tumor with myofibroblastic differentiation. Am J Surg Pathol 1995; 19: 270-277
    CrossrefPubMedGoogle Scholar
  • 8 Lardi AM, Ho-Asjoe M, Mohanna PN. et al. Immediate breast reconstruction with acellular dermal matrix: factors affecting outcome. J Plast Reconstr Aesthet Surg 2014; 67: 1098-1105
    CrossrefPubMedGoogle Scholar
  • 9 Krishnan NM, Chatterjee A, Van Vliet MM. et al. A comparison of acellular dermal matrix to autologous dermal flaps in single-stage, implant-based immediate breast reconstruction: a cost-effectiveness analysis. Plast Reconstr Surg 2013; 131: 953-961
    CrossrefPubMedGoogle Scholar