What does Pseudoangiomatous mean?

“It’s a benign, non-cancerous finding.” Pseudoangiomatous stromal hyperplasia, referred to as “PASH” is a non-cancerous (benign) breast lesion that may (or may not) cause breast enlargement. PASH can sometimes be felt as a lump during a monthly self-breast exam, but is most often found during a routine mammogram.

What is Angiomatous stromal hyperplasia?

Listen. Pseudoangiomatous stromal hyperplasia (PASH) is a type of non-cancerous breast lesion. It typically affects women in the reproductive age group. Occasional cases have been described in men, postmenopausal women, adolescents, and children.

What is diagnosis code N64 89?

2021 ICD-10-CM Diagnosis Code N64. 89: Other specified disorders of breast.

How rare is Pseudoangiomatous stromal hyperplasia?

While PASH is uncommon overall with fewer than 1,500 cases documented in the literature, it can also be found incidentally at biopsy for other breast lesions with a reported incidence of 23% (3,4) (Table 1).

Should stromal fibrosis be removed?

We recommend that all instances of stromal fibrosis with radiology–pathology discordance undergo repeat biopsy or surgical excision.

What is the treatment for PASH?

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%.

Is stromal fibrosis painful?

Breast stromal fibrosis is common With stromal fibrosis, the breasts may develop lumps or thickening of breast tissue. Quite often the condition is accompanied by tenderness and pain in the breast.

What does it mean to have asymmetry in the breast?

Breast asymmetry occurs when one breast has a different size, volume, position, or form from the other. Breast asymmetry is very common and affects more than half of all women. There are a number of reasons why a woman’s breasts can change in size or volume, including trauma, puberty, and hormonal changes.

What is Pseudoangiomatous stromal hyperplasia breast?

Pseudoangiomatous stromal hyperplasia (PASH) is a benign mesenchymal proliferative lesion of the breast that may present clinically as a mass and, from a histopathological point of view must be differentiated from low-grade angiosarcoma and phyllodes tumors.

Is PASH an autoimmune disease?

Pyoderma gangrenosum, acne and suppurative hidradenitis (PASH) syndrome (1) is described as an autoinflammatory disorder, similar to pyogenic sterile arthritis, pyoderma gangrenosum and acne (PAPA) syndrome, but without joint involvement, thereby satisfying the criteria of a disease entity distinct from infection.

Is stromal fibrosis malignant?

Conclusion: In biopsy-proven cases of stromal fibrosis, there is a 7% upgrade to malignancy. We recommend that all instances of stromal fibrosis with radiology-pathology discordance undergo repeat biopsy or surgical excision.