PMC3034911_01
Figure demonstrating the asymmetry and the large mass in the right breast on presentation.
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fig1
The palpable mass was around 10 x 8 cm in diameter and felt clinically suspicious of malignancy mimicking inflammatory carcinoma (Figure 1).
MRI showing the 10 cm well-circumscribed rounded mass lesion which demonstrated a benign enhancement pattern after intravenous Gadolinium.
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fig2
Radiologically the appearances remained most suggestive of a fibroadenoma or Phyllodes tumour, but also in keeping with PASH (Figure 2).
(a) Anastomosing groups of spindle cells in the stroma. Normal breast epithelium top left. (b) Stromal spindle cells which appear to be lining slit-like spaces devoid of red blood cells.
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fig3
This was the same finding on the final histopathology after excision (Figure 3).
((a), (b), and (c)) Intraoperative pictures. (d) Postoperative pictures show the good cosmetic results with slight asymmetry between both sides, reported by the patient as being her normal as before the PASH appeared.
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fig4
The mass was excised through a small incision, and the breast with simple glandular remodelling the patient had excellent cosmetic results postoperatively (Figure 4).