ePlasty: Vol. 17
Pseudoangiomatous stromal hyperplasia presenting as accessory axillary breast tissue
Helen M. Johnson, MD,a and Tom Reisler, BSc(Hons), MB ChB, MRCS(Ed)b

aDepartment of Surgery, Vidant Medical Center, Greenville, NC; and bDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC

Correspondence: tomre13@yahoo.com
Keywords: pseudoangiomatous stromal hyperplasia, PASH, breast, benign, hyperplasia


A 21-year-old woman on oral contraceptives presented with 1-year history of an uncomfortable left axillary mass. The mass had not enlarged and did not vary with menses. No family history of breast cancer was present. Targeted ultrasound scan was read as an 18-mm lymph node. The patient underwent excision, and pathology revealed pseudoangiomatous stromal hyperplasia.


1. What is pseudoangiomatous stromal hyperplasia (PASH)?

2. How does PASH typically present?

3. What are the radiographic features of PASH?

4. What are the treatment options for PASH?


PASH is a benign breast lesion first described in 1986 by Vuitch et al.1< .......