Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Treatment of Pseudoangiomatous Stromal Hyperplasia of the Breast: Implant-Based Reconstruction with a Vascularized Dermal Sling

  • Jung, Bok Ki (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Nahm, Ji Hae (Department of Pathology, Yonsei University College of Medicine) ;
  • Lew, Dae Hyun (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Lee, Dong Won (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine)
  • Received : 2015.04.16
  • Accepted : 2015.06.23
  • Published : 2015.09.15
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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.

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References

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  1. The use of acellular dermal matrix in immediate two-stage prosthetic breast reconstruction provides protection from postmastectomy radiation therapy: a clinicopathologic perspective vol.29, pp.3, 2015, https://doi.org/10.1007/s10856-018-6036-6
  2. Case Report: a rare case of PASH mimicking a lactational adenoma vol.7, pp.None, 2015, https://doi.org/10.12688/f1000research.13909.1
  3. Breast reconstruction with a dermal sling: a systematic review of surgical modifications vol.53, pp.1, 2019, https://doi.org/10.1080/2000656x.2018.1533840
  4. Pseudoangiomatous stromal hyperplasia of thebreast: a rare condition - from diagnosis to treatment vol.31, pp.None, 2015, https://doi.org/10.29289/2594539420210036