Diffuse Nodular Pseudoangiomatous Stromal Hyperplasia causing Bilateral Gigantomastia with Follow-up of 2 Year Post Reduction Mammoplasty
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 3
Abstract
ABSTRACT Pseudoangiomatous Stromal Hyperplasia (PASH) is an uncommon benign mesenchymal tumour of the breast with no known potential for malignancy. PASH is often detected incidentally or in a background of other breast pathologies. Being hormonally driven, these are most commonly seen in women in the reproductive age group. The size of the PASH varies with small microscopic PASH being much more common than the tumourous or infiltrative varieties. It is uncommon to see PASH presenting as diffuse nodular masses replacing the entire glandular parenchyma symmetrically on both sides. We report a case of a 31-year-old non lactating lady, in whom PASH caused bilateral symmetrical gigantomastia. As PASH has been shown to have a high chance of recurrence, review of literature revealed that most women with PASH-associated gigantomastia undergo mastectomy rather than reduction mammoplasty. We followed up our patient for two years post-reduction mammoplasty with no increase in dimensions of existing lesions or development of new lesions both clinically and on imaging.
Authors and Affiliations
Teena Sleeba, Jojoe John, Gigy Raj Kulangara, Madhu Sudheendran, Sunita Thomas
Keywords
Related Articles
- EP ID EP580968
- DOI 10.7860/JCDR/2019/39864.12715
- Views 106
- Downloads 0
Sociodemographic and Clinical Variables related to Panic Disorder with and without Agoraphobia
ABSTRACT Introduction: Panic Disorder (PD) is characterised by sudden episodic attacks of anxiety that are extremely disabling for the patients. It is usually associated with agoraphobia and several other psychiatric com...
Isolated Sacral Extradural Hydatid Cyst with Posterior Paravertebral Extension Presenting as a Cauda Equina Syndrome
ABSTRACT Hydatid disease is a ubiquitous parasitic zoonotic disease caused by Echinococcus granulosus. Humans are the accidental intermediate host and it primarily affect the liver and lungs. Isolated primary spinal hyda...
Person-centered Nursing to Improvereatment Regimen Adherence in Patients with Myocardial Infarction
ABSTRACT Introduction: Person-Centred Care (PCC) relies on effective communication and emphasises on co-operation in care between patients and healthcare professionals. WHO advocates this type of care as a key component...
Effect of Opioids on Oral Health Status among Institutionalised Drug Addicts in a District of Rajasthan, India
ABSTRACT Introduction: According to the World Health Organisation survey, 2004, opioid is one of the most common forms of drug used by drug abusers in India. The total number of registered opium abusers in India is estim...
Cystic Sertoli-Leydig Cell Tumour in a Postmenopausal Woman with Absent Virilising Symptoms: A Diagnostic Challenge
A 60-year-old postmenopausal woman, presented with a left ovarian cystic mass with mildly elevated CA125 levels. An intraoperative frozen section showed oedematous ovarian stroma with interspersed large aggregates of spi...