Pseudoangiomatous stromal hyperplasia: a study of the mammographic and sonographic features

被引:24
|
作者
Celliers, L. [1 ]
Wong, D. D. [2 ]
Bourke, A. [1 ]
机构
[1] Sir Charles Gairdner Hosp, Dept Radiol, Nedlands, WA 6009, Australia
[2] Dept Anat Pathol, PathW Lab Med, Nedlands, WA, Australia
关键词
NEEDLE-ASPIRATION-CYTOLOGY; MAMMARY STROMA; BREAST; TUMOR;
D O I
10.1016/j.crad.2009.10.003
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
AIM: To review the imaging features on mammogram and ultrasound of pseudoangiomatous stromal hyperplasia (PASH) of the breast. MATERIALS AND METHODS: A systematic search of the breast cancer screening centre and pathology department database at a teaching hospital was performed to identify cases reported as PASH between 2000 and 2007. The findings on mammogram and ultrasound were reviewed. Information on demographics and clinical outcome were obtained from the patient's medical records. RESULTS: Seventy-three cases of PASH were identified, which Occurred in women with a mean age of 51.1 +/- 10.5 years. The mean size of the lesion was 18 mm. Up to 70.8% of cases were radiologically detected and 29.2% presented as palpable masses. The most common appearance on mammography was of a solitary, non-calcified mass (30.4%) or localized increased stroma (30.4%). The distribution of mammographic findings differed in screen-detected patients compared with those presenting clinically (p = 0.015, Fisher's exact test). The most frequent sonographic appearance was of a well-defined hypoechoic mass (36.7%). CONCLUSION: Although there are emerging patterns associated with PASH on imaging, the features are not sufficiently specific to allow for a prospective diagnosis. Histological confirmation, preferably with core biopsy, should always be considered. (C) 2009 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:145 / 149
页数:5
相关论文
共 50 条
  • [1] Analysis of the mammographic and sonographic features of pseudoangiomatous stromal hyperplasia
    Hargaden, Gormlaith C.
    Yeh, Eren D.
    Georgian-Smith, Dianne
    Moore, Richard H.
    Rafferty, Elizabeth A.
    Halpern, Elkan F.
    McKee, Grace T.
    AMERICAN JOURNAL OF ROENTGENOLOGY, 2008, 191 (02) : 359 - 363
  • [2] Pseudoangiomatous stromal hyperplasia: Mammographic and sonographic appearances
    Polger, MR
    Denison, CM
    Lester, S
    Meyer, JE
    AMERICAN JOURNAL OF ROENTGENOLOGY, 1996, 166 (02) : 349 - 352
  • [3] Pseudoangiomatous stromal hyperplasia: Mammographic, sonographic, and clinical patterns
    Cohen, MA
    Morris, EA
    Rosen, PP
    Dershaw, DD
    Liberman, L
    Abramson, AF
    RADIOLOGY, 1996, 198 (01) : 117 - 120
  • [4] Pseudoangiomatous stromal hyperplasia
    Hsu, Yung-Hsiang
    TZU CHI MEDICAL JOURNAL, 2014, 26 (02): : 97 - 97
  • [5] MRI features of pseudoangiomatous stromal hyperplasia with histopathological correlation
    Nia, Emily S.
    Adrada, Beatriz E.
    Whitman, Gary J.
    Candelaria, Rosalind P.
    Krishnamurthy, Savitri
    Bassett, Roland L.
    M. Arribas, Elsa
    BREAST JOURNAL, 2021, 27 (03): : 242 - 247
  • [6] Nodular pseudoangiomatous stromal hyperplasia of the breast - Cytologic features
    Vicandi, B
    Jimenez-Heffernan, JA
    Lopez-Ferrer, P
    Ortega, L
    Viguer, JM
    ACTA CYTOLOGICA, 1998, 42 (02) : 335 - 341
  • [7] Pseudoangiomatous Stromal Hyperplasia of the Breast
    Yilmaz, Dilek
    Sullu, Yurdanur
    TURKISH JOURNAL OF PATHOLOGY, 2010, 26 (03) : 267 - 269
  • [8] Pseudoangiomatous Stromal Hyperplasia of Breast
    Bedir, Recep
    Gucer, Hasan
    Sehitogilu, Ibrahim
    JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, 2013, 4 (06) : 446 - 446
  • [9] Pseudoangiomatous Stromal Hyperplasia of the Breast
    AbdullGaffar, Badr
    ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE, 2009, 133 (08) : 1335 - 1338
  • [10] Pseudoangiomatous stromal hyperplasia: study of three cases
    Lamcharfi, Meryem
    El Idrissi, Majda Benhaddou
    INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2024, 34 (SUPPL_1) : A143 - A143