Pseudoangiomatous Stromal Hyperplasia of the Breast: Mammosonography and Elastography Findings with a Histopathological Correlation

Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign mesenchymal proliferative lesion of the breast. In this study, we aimed to show a case of PASH with mammographic and sonographic features, which fulfill the criteria for benign lesions and to define its recently discovered elastography findings. A 49-year-old premenopausal female presented with breast pain in our outpatient surgery clinic. In ultrasound images, a hypoechoic solid mass located at the 3 o'clock position in the periareolar region of the right breast was observed. Due to it was not detected on earlier mammographies, the patient underwent a tru-cut biopsy, although the mass fulfilled the criteria for benign lesions on mammography, ultrasound, and elastography. Elastography is a new technique differentiating between benign and malignant lesions. It is also useful to determine whether a biopsy is necessary or follow-up is sufficient.