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DOI:10.2214/AJR.07.2479
AJR 2008; 191:359-363
© American Roentgen Ray Society

Clinical Observations

Analysis of the Mammographic and Sonographic Features of Pseudoangiomatous Stromal Hyperplasia

Gormlaith C. Hargaden1,2, Eren D. Yeh1,3, Dianne Georgian-Smith1,3, Richard H. Moore1, Elizabeth A. Rafferty1, Elkan F. Halpern4 and Grace T. McKee5

1 Division of Breast Imaging, Department of Radiology, Avon Comprehensive Breast Center, Massachusetts General Hospital, Boston, MA.
2 Present address: Breast Check, Mater Misericordiae University Hospital, 36 Eccles St., Dublin 7, Ireland.
3 Present address: Division of Breast Imaging, Department of Radiology, Harvard Medical School, Brigham and Women's Hospital, Boston, MA.
4 Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA.
5 Department of Pathology, Massachusetts General Hospital, Boston, MA.

OBJECTIVE. The purpose of this study was to describe the imaging findings in 149 patients with pseudoangiomatous stromal hyperplasia (PASH) who had undergone at least 4 years of clinical follow-up for detection of subsequent malignancy.

CONCLUSION. PASH is a common entity that presents with benign imaging features without evidence of subsequent malignant potential. At our institution, in the absence of suspicious features a diagnosis of PASH at core biopsy is considered sufficient, and surgical excision has been obviated.

Keywords: breast • mammography • pseudoangiomatous stromal hyperplasia • sonography


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