Pseudoangiomatous stromal hyperplasia clinical patological study of two cases

Authors

  • Ana Paula Martins Sebastião Patologista, professora de Anatomia Patológica na Universidade Positivo.
  • Cléverton César Spautz Mastologista (TEMa), professor do Departamento de Tocoginecologia da Universidade Federal do Paraná (UFPR).
  • Cícero de Andrade Urban Mastologista (TEMa), professor de Metodologia Científica e Bioética na Universidade Positivo.
  • Fátima Satomi Nishimori Acadêmicos de Medicina, Centro de Estudos do Hospital Santa Cruz, Curitiba.
  • Gustavo Rocha Dissenha Acadêmicos de Medicina, Centro de Estudos do Hospital Santa Cruz, Curitiba.
  • Francielle Melina Nihi Acadêmicos de Medicina, Centro de Estudos do Hospital Santa Cruz, Curitiba.

Keywords:

Pseudoangiomatous stromal hyperplasia, Breast, Nodular tumor

Abstract

The pseudoangiomatous stromal hyperplasia (PASH) ofthe breast is a common microscopic lesion that
may befound incidentally at breast biopsies, and presents histologically with a proliferation ofthe stromal
cells and slit-like pseudovascularspaces with endothelial-like spindle cells. Macroscopically, this lesion presents as a palefibroblastic mass, well-circunscribed and, less commonly, may be seen as a palpable nodule.
Most PASH lesions grow slowly and may regress spontaneously. The treatment usually consists of wide
local excision. PASH has a benign origin, good prognosis and there have been no cases of PASH becoming
malignant. We report here two cases of PASH with distinct presentations. It is important to distinguish
PASH from other breast tumors like fibroadenoma, phillodes tumor, hamartoma and angiosarcoта.

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References

1. Okoshi K, Ogawa H, Suwa H, Saiga T, Kobayashi H. A case of

nodular pseudoangiomatous stromal hyperplasia. Breast Cancer.

2006;13(4);349-53.

2. Çomunoglu N, Çomunoglu C, Ilvan S, Callay Z, Müslümanoglu M. Mammary pseudoangiomatous stromal hyperplasia composed of predominantly giant cells: an usual variant. Breast J.

2007;13(6);568-70.

3. Vuitch MF, Rosen PP, Erlandson RA. Pseudoangiomatous hyperplasia of mammary stroma. Hum Pathol. 1986;17(2);185-191.

4. Tavassoli FA, Deville P. World Health Organization Classification

of Tumors. Pathology and Genetics of Tumors of the Breast and

Female Genital Organs. Lyon: IARC Press; 2003.

5. Khoury T, Hurd T, Tan D. Phyllodes tumor with pseudoangiomatous stroma hyperplasia. Breast J. 2005;11(4);285-7.6. Yoo K, Woo OH, Yong HS, Kim A, Ryu WS, Koo BH, et al. Fastgrowing pseudoangiomatous stromal hyperplasia of the breast: report of a case. Surg Today. 2007;37;967-70.

7. Leon ME, Leon MA, Ahuja J, Garcia FU. Nodular myofibroblastic

stromal hyperplasia of the mammary gland as an accurate name for

pseudoangiomatous stromal hyperplasia of the mammary gland.

Breast J. 2002;8(5);290-3.

8. Gow KW, Mayfield JK, Lloyd D, Shehata BM. Pseudoangiomatous stromal hyperplasia of the breast in two adolescent females.

Am Surg. 2004;70:605-8.

9. Singh KA, Lewis MM, Runge RL, Carlson GW. Pseudoangiomatous stromal hyperplasia. A case for bilateral mastectomy in a 12-

year-old girl. Breast J. 2007;13(6);603-6.

10. Zubor P, Kajo K, Dussan CA, Szunyogh N, Danko J. Rapidly

growing nodular pseudoangiomatous stromal hyperplasia of the

breast in an 18-year-old girl. APMIS. 2006;114;389-92.

11. Anderson C, Ricci AJ, Pedersen CABS, Cartun RX. Immunocytochemical analysis of estrogen and progesterone receptors in benign

stromal lesions of the breast. Am J Surg Pathol. 1991;15:145-9.

12. Mercado CL, Naidrich SA, Hamele-Bena D, Fineberg SA, Buchbinder SS. Pseudoangiomatous stromal hyperplasia of the breast:

sonographic features with histopathologic correlation. Breast J.

2004;10(5);427-32.

13. Pruthi S, Reynolds C, Johnson RE, Gisvold JJ. Tamoxifen in the

management of pseudoangiomatous stromal hyperplasia. Breast J.

2001;7:434-9.

Published

2026-07-27

How to Cite

Sebastião, A. P. M., Spautz, C. C., Urban, C. de A., Nishimori, F. S., Dissenha, G. R., & Nihi, F. M. (2026). Pseudoangiomatous stromal hyperplasia clinical patological study of two cases. Mastology, 19(3). Retrieved from https://mastology.org/journal/article/view/2044

Issue

Section

Case Reports