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

Authors
 Bok Ki Jung  ;  Ji Hae Nahm  ;  Dae Hyun Lew  ;  Dong Won Lee 
Citation
 Archives of Plastic Surgery, Vol.42(5) : 630-634, 2015 
Journal Title
 Archives of Plastic Surgery 
ISSN
 2234-6163 
Issue Date
2015
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.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141605
DOI
10.5999/aps.2015.42.5.630
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실)
Yonsei Authors
유대현(Lew, Dae Hyun) ; 이동원(Lee, Dong Won)
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