Relapsed Bilateral Gigantomastia Caused by Pseudoangiomatous Stromal Hyperplasia after Reduction Mammoplasty

Gigantomastia is an abnormal proliferation of breasts by excessive mammary tissue. Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign disease due to nonspecialized fibrous mammary stroma. The incidence of gigantomastia caused by bilateral diffuse PASH is extremely rare. The authors experi...

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Main Authors: Jun Hyeok Kim, Seung Eun Baek, Tae Kyung Yoo, Ahwon Lee, Deuk Young Oh
Format: Article
Language:English
Published: Korean Society for Aesthetic Plastic Surgery 2018-06-01
Series:Archives of Aesthetic Plastic Surgery
Subjects:
Online Access:http://e-aaps.org/upload/pdf/aaps-2018-24-2-78.pdf
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author Jun Hyeok Kim
Seung Eun Baek
Tae Kyung Yoo
Ahwon Lee
Deuk Young Oh
author_facet Jun Hyeok Kim
Seung Eun Baek
Tae Kyung Yoo
Ahwon Lee
Deuk Young Oh
author_sort Jun Hyeok Kim
collection DOAJ
description Gigantomastia is an abnormal proliferation of breasts by excessive mammary tissue. Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign disease due to nonspecialized fibrous mammary stroma. The incidence of gigantomastia caused by bilateral diffuse PASH is extremely rare. The authors experienced a unique case of recurrent PASH-caused gigantomastia after reduction mammoplasty. Recurrent PASH-caused gigantomastia has never been reported in the literature so far. A 33-year-old woman who suffered of gigantomastia underwent bilateral reduction mammoplasty 4 years ago. Recurrence occurred, and she visited our department. Both breasts were dense without palpable mass. Mammography revealed extremely dense breasts with a bilateral complex glandular pattern. Mastectomy with Wise-pattern incision line was performed. Nipple was reconstructed at the same time using the triangular skin flaps. Pathologic examination revealed numerous slit-like stromal clefts lined by endothelial-like spindle cells were present in well demarcated nodules and diffuse hyperplastic stromas. The finding was consistent with PASH. Reconstruction of aesthetic breast was impossible due to thinned remaining skin and subcutaneous fat tissues. Nevertheless, patient was satisfied, for her anxiety about relapse and discomfort was gone.
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spelling doaj.art-331cc3f343e74a3b88e0c8398c9cab7c2022-12-22T01:07:55ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372018-06-01242788210.14730/aaps.2018.24.2.785Relapsed Bilateral Gigantomastia Caused by Pseudoangiomatous Stromal Hyperplasia after Reduction MammoplastyJun Hyeok Kim0Seung Eun Baek1Tae Kyung Yoo2Ahwon Lee3Deuk Young Oh4 Department of Plastic and Reconstructive Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Plastic and Reconstructive Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Hospital Pathology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Plastic and Reconstructive Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaGigantomastia is an abnormal proliferation of breasts by excessive mammary tissue. Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign disease due to nonspecialized fibrous mammary stroma. The incidence of gigantomastia caused by bilateral diffuse PASH is extremely rare. The authors experienced a unique case of recurrent PASH-caused gigantomastia after reduction mammoplasty. Recurrent PASH-caused gigantomastia has never been reported in the literature so far. A 33-year-old woman who suffered of gigantomastia underwent bilateral reduction mammoplasty 4 years ago. Recurrence occurred, and she visited our department. Both breasts were dense without palpable mass. Mammography revealed extremely dense breasts with a bilateral complex glandular pattern. Mastectomy with Wise-pattern incision line was performed. Nipple was reconstructed at the same time using the triangular skin flaps. Pathologic examination revealed numerous slit-like stromal clefts lined by endothelial-like spindle cells were present in well demarcated nodules and diffuse hyperplastic stromas. The finding was consistent with PASH. Reconstruction of aesthetic breast was impossible due to thinned remaining skin and subcutaneous fat tissues. Nevertheless, patient was satisfied, for her anxiety about relapse and discomfort was gone.http://e-aaps.org/upload/pdf/aaps-2018-24-2-78.pdfgigantomastiahyperplasiamammoplastyrecurrence
spellingShingle Jun Hyeok Kim
Seung Eun Baek
Tae Kyung Yoo
Ahwon Lee
Deuk Young Oh
Relapsed Bilateral Gigantomastia Caused by Pseudoangiomatous Stromal Hyperplasia after Reduction Mammoplasty
Archives of Aesthetic Plastic Surgery
gigantomastia
hyperplasia
mammoplasty
recurrence
title Relapsed Bilateral Gigantomastia Caused by Pseudoangiomatous Stromal Hyperplasia after Reduction Mammoplasty
title_full Relapsed Bilateral Gigantomastia Caused by Pseudoangiomatous Stromal Hyperplasia after Reduction Mammoplasty
title_fullStr Relapsed Bilateral Gigantomastia Caused by Pseudoangiomatous Stromal Hyperplasia after Reduction Mammoplasty
title_full_unstemmed Relapsed Bilateral Gigantomastia Caused by Pseudoangiomatous Stromal Hyperplasia after Reduction Mammoplasty
title_short Relapsed Bilateral Gigantomastia Caused by Pseudoangiomatous Stromal Hyperplasia after Reduction Mammoplasty
title_sort relapsed bilateral gigantomastia caused by pseudoangiomatous stromal hyperplasia after reduction mammoplasty
topic gigantomastia
hyperplasia
mammoplasty
recurrence
url http://e-aaps.org/upload/pdf/aaps-2018-24-2-78.pdf
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AT taekyungyoo relapsedbilateralgigantomastiacausedbypseudoangiomatousstromalhyperplasiaafterreductionmammoplasty
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