PASH - Pseudoangiomatous stromal hyperplasia

If PASH grows, it should be taken out. Not that it turns malignant. It doesnt. But it obstruct the view of areas that are problematic. Vollmer, your BS is wise considering all the factors of yours

Hi, I had PASH in the breast opposite of my cancer. It wasn't caught by a mammogram, it was caught on a presurgical MRI for breast cancer. My surgeon had it done before my mastectomy.

Like anything in the breast, cancerous or not, no one's scar is the same. I imagine the scar will depend on WHERE the PASH is located (deeper in the breast, near the skin, etc) and the size of the PASH. 

I ended up having a lumpectomy for cancer, which the scar wasn't too big, considering the size of material that needed to come out. I didn't know it was PASH in the other breast until I had the double mastectomy. I decided NOT to go through all the biopsies, lumpectomies. Since I was already having one breast removed, I just elected to have the other removed. But my case was different since I already had a cancer diagnoses.

I would ask your surgeon. We really can't tell you because we don't know how large it, where it is located, etc. Even if we did, that is something one just can't answer on a discussion board. Too many variables.

hi, I had my pash removed 4 months ago and already the scar has healed quickly. You wouldnt know it was there unless you were looking for it.

Spanky, I have never heard of using HRT to try and get rid of PASH. Have your tried a second opinion?

My SON was diagnosed with PASH 2 years ago (at 12 years old) after finding a lump in his left breast with a hemangioma which were removed.  He was doing well until this week when he has just now found a painful lump on the other (right) breast.  The first lump was not painful and we only found it because he began to bleed from his nipple secondary to the hemangioma.  I am concerned now because this second lump is very painful and it appears to be a reoccurance of the PASH? on the OPPOSITE side.  Has anyone (MALE) had this type of experience or had a teenager with anything like this?  Just looking for some advise or comiseration.  He goes beck to the breast specialist next week, but I remain concerned

Hi everyone my first post here .. I discovered a lump December 2012 had to wait two months to see BS he did a FNA had to wait a week for results said it wasnt cancer but to come back in 3 months my lump had got bigger during this time so i had a core biopsy said it was Benign come back in a year. Had another mammo and ultrasound a year later March 2013 lump increased in size saw BS again had lumpectomy on 30th April diagnosed with PASH.. having followup baseline mammo and Ultrasound next month. Lump was 5cm occasionally a bit painful. I asked questions including will it come back he said no.. did he get it all he said yes..despite this I still have a lump in the same position. Is it normal to still have a lump after lumpectomy? BS said i dont need to see him again unless i feel i need to he said the first mammo i have will show what appears to be a breast tumor he said this is normal? My incision scar is slightly raised also wondering if that is what usually happens? Hope someone can advise me ..thanks

Hi there, I was dx with pash in March of 2013. I am scheduled for my 6 month mamogram next Tuesday and a little nervous. once you get that b9 result you think wow its over and then they say, see you in 6 months, yuck. I have had some soreness in the affected breast and that concerns me. I had a stereotactic biopsy which was benign and a BSGI which was negative so you think I could just relax. My surgeon does not usually excise pash but said if it is bothering me he will. Has anyone one else had tenderness with pash.Can it grow during the 6 month wait for the follow up mamo. I certainly hope the biopsy was read correctly, had it done at a very well known breast center, I guess the worry never ends. Trying to be positive...

Hi there, just was wondering if anyone did have any discomfort with pash. I ask because this has been a long road for me, started out in a local breast center and lests just say it was not a pleseant experience. Decided to go to a breast surgeon and he just wanted me to wait 6 months to see if the area grew larger, I opted for a biopsy. As I stated earlier I also had Breast Specific Gamma Imaging which was negative and the surgeon felt the biopsy would be negative which it was. I guess the discomfort I have is intermittent and probably would ot even notice it if I wasnt scheduled for this post mamogram. I am quite certain anxiety plays a role in all of this but curious to see if anyone has experienced any discomfort or gone on to have a different diagnosis...Thanks

My pash is 1.2 cm. I went to the BS today and I'm scheduled to have it removed October 3...I'm nervous, afraid and don't know if this is the right decision.

Hi all,

Just wanted to say that my initial biopsy came back as PASH and yes, I often feel discomfort in that breast.  It is intermittent pain and does not seem to be cyclical, but varies between sharp, zingy, achy, and 'pinchy' pain.  PASH can grow and how fast it might grow can vary (rare tumoral PASH seems to grow quite fast and can get very large). 

I am actually having my mass removed at the recommendation of my surgical oncologist.  There has been some growth, and although not by a large amount, my mass is already 5 cm so we don't really want to sit around and have to take out even more tissue if it does keep growing.  Plus I am feeling the pain/discomfort.

Take care. 

Grace,

I will keep you posted...hope you do the same  I think you have to do what is best for you, and I certainly understand how these follow ups don't help the anxiety.  

Agnes...LOL  I started calling mine The Angry Boob because it always seemed to be grumpy and cause pain.  Now with surgery coming up, Angry Boob is being called by its new name, Frankenboob (not to offend anybody who has had any type of breast surgery).  I'm just trying to lighten up my mood and for some reason giving it a goofy name helps some.

I was going over my paperwork for my surgery to remove my PASH on October 3. I noticed the Dr is sending me to radiology, to have some type of wire inserted to mark the lump, prior to surgery. Will I be numb for that? Is it painful?



Also, I will be under general anesthesia for the tumor removal, but the Dr asked if I wanted a block administered before I'm knocked out, to help with the pain once I come to. Any insight? Should I get the block? Has anyone else gone through a simililar scenario?

Hi -

I was diagnosed with a PASH a month ago.  My surgeon prefers to wait and see rather than automatically do surgery.  I have to go back in six months for another ultrasound.  I am afraid it is growing, so I may have to go back earlier.  I have small breasts made worse by two pregnancies and breastfeeding.  My surgeon did say if I do have surgery, it will probably be a notable difference between them.  My question is, did anyone do the surgery and have implants placed at the same time by a reconstructive plastic surgeon?  I never thought I would want them, but they are already quite sad looking after breastfeeding and I can't imagine them now being quite uneven.  My surgeon said it is an option since it is noncancerous and I won't need chemo/radiation.  Any thoughts?  I spoke with the radiologist in depth about implants "hiding" breast cancer and what not, and I was quite comfortable with that part.  Thanks

EJgirl, it's been a rough week! I had my PASH removed October 3, under general anesthesia, as an out patient. The evening of October 4, I noticed increased pain, swelling, dizziness and redness extending from my breast, up my chest to my neck. Went the the hospital's ER, that perform my wide local excision and was immediately admitted, rushed back to surgery, due to internal bleeding. There was 400 CCs of blood sitting in my breast and I lost another 100 CCs during surgery. My hemoglobin level dropped to 7.8. I stayed in the hospital for two days. I'm doing better, still fatigue and emotional. I didn't receive any drains during the first or second operation. I'm a little concern now, because I can hear fluid swishing around in the breast. Is that normal? No pressure, no pain and a little swelling.

Hi all,

I was diagnosed with PASH December 2011 (18yrsold) and was given the options of surgery to remove or wait and see. I didn't want an invasive procedure at the time so opted for the wait and see method. I did some travelling for most of 2012 and when I returned in March 2013 had another ultrasound which showed that the PASH had grown. The previous largest dimension was 3.9cm and the new largest dimension was 4.7cm. I was still told there was no need to panic and put it out of my head as there was no pain and I was also heading back overseas for another few months. In the last month or so I have been doing my own research as I was getting a bit suspicious of the lump and was sure it was still growing. I am arranging to see a specialist in Brisbane in the next couple weeks and just wanted to know if anybody had any advice on my case.

From what I can see, everyone is unique and what worked for somebody may not work for another. Having said that, Is it unusual or bad that I left it until now to potentially remove it? I have been reading lots of stories about it growing and deforming the breasts (I am an E cup) and other cases of PASH returning after removal. I sort of feel that the severity of the situation wasn't explained to me when I was first diagnosed and had I know that it could create a dramatic cosmetic difference I probably would have got it out sooner. Any advice at all or your own experience would be greatly appreciated! I'm stuck between a rock and a hard place of leaving it to it's own devices, Paying up-front for surgery in Australia or waiting another 3 months til I return to NZ and then removing it if need be.



-Ana