Tiger-Striped PASH: Recognition of a Unique Morphology Allows for a Zippered-Up Diagnosis of Pseudoangiomatous Stromal Hyperplasia of Breast

Pseudoangiomatous stromal hyperplasia (PASH) of the breast is histologically characterized by anastomosing and slit-like spaces invested by collagenous stroma and lined by flattened, spindle cells. These clear spaces that may mimic microscopic vascular channels do not contain red blood cells. Immuno...

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Main Authors: Mohamad Sakibuzzaman, Ryan W. Kendziora, Toshi Ghosh, Malvika H. Solanki, Amy Lynn Conners, Lisa J. Ahlberg, Charles D. Sturgis
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2021/7697987
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author Mohamad Sakibuzzaman
Ryan W. Kendziora
Toshi Ghosh
Malvika H. Solanki
Amy Lynn Conners
Lisa J. Ahlberg
Charles D. Sturgis
author_facet Mohamad Sakibuzzaman
Ryan W. Kendziora
Toshi Ghosh
Malvika H. Solanki
Amy Lynn Conners
Lisa J. Ahlberg
Charles D. Sturgis
author_sort Mohamad Sakibuzzaman
collection DOAJ
description Pseudoangiomatous stromal hyperplasia (PASH) of the breast is histologically characterized by anastomosing and slit-like spaces invested by collagenous stroma and lined by flattened, spindle cells. These clear spaces that may mimic microscopic vascular channels do not contain red blood cells. Immunohistochemistry (IHC) studies may also help to confirm a diagnosis of PASH, with the spindled cells marking positively with CD34 and PR while demonstrating no reactivity with more specific endothelial antigens such as CD31 and ERG. In the current case, a 39-year-old female was diagnosed with cellular PASH of the right breast with unique histological patterns showing “tiger-striped” and “zippered” histologies. To our knowledge, this is the first report of these unique variant PASH morphologies.
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institution Kabale University
issn 2090-679X
language English
publishDate 2021-01-01
publisher Wiley
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series Case Reports in Pathology
spelling doaj-art-e47bba9bdd874ba39077d0f925c4cd052025-02-03T01:20:39ZengWileyCase Reports in Pathology2090-679X2021-01-01202110.1155/2021/7697987Tiger-Striped PASH: Recognition of a Unique Morphology Allows for a Zippered-Up Diagnosis of Pseudoangiomatous Stromal Hyperplasia of BreastMohamad Sakibuzzaman0Ryan W. Kendziora1Toshi Ghosh2Malvika H. Solanki3Amy Lynn Conners4Lisa J. Ahlberg5Charles D. Sturgis6Department of Laboratory Medicine and PathologyDepartment of Laboratory Medicine and PathologyDepartment of Laboratory Medicine and PathologyDepartment of Laboratory Medicine and PathologyDepartment of RadiologyDepartment of Internal MedicineDepartment of Laboratory Medicine and PathologyPseudoangiomatous stromal hyperplasia (PASH) of the breast is histologically characterized by anastomosing and slit-like spaces invested by collagenous stroma and lined by flattened, spindle cells. These clear spaces that may mimic microscopic vascular channels do not contain red blood cells. Immunohistochemistry (IHC) studies may also help to confirm a diagnosis of PASH, with the spindled cells marking positively with CD34 and PR while demonstrating no reactivity with more specific endothelial antigens such as CD31 and ERG. In the current case, a 39-year-old female was diagnosed with cellular PASH of the right breast with unique histological patterns showing “tiger-striped” and “zippered” histologies. To our knowledge, this is the first report of these unique variant PASH morphologies.http://dx.doi.org/10.1155/2021/7697987
spellingShingle Mohamad Sakibuzzaman
Ryan W. Kendziora
Toshi Ghosh
Malvika H. Solanki
Amy Lynn Conners
Lisa J. Ahlberg
Charles D. Sturgis
Tiger-Striped PASH: Recognition of a Unique Morphology Allows for a Zippered-Up Diagnosis of Pseudoangiomatous Stromal Hyperplasia of Breast
Case Reports in Pathology
title Tiger-Striped PASH: Recognition of a Unique Morphology Allows for a Zippered-Up Diagnosis of Pseudoangiomatous Stromal Hyperplasia of Breast
title_full Tiger-Striped PASH: Recognition of a Unique Morphology Allows for a Zippered-Up Diagnosis of Pseudoangiomatous Stromal Hyperplasia of Breast
title_fullStr Tiger-Striped PASH: Recognition of a Unique Morphology Allows for a Zippered-Up Diagnosis of Pseudoangiomatous Stromal Hyperplasia of Breast
title_full_unstemmed Tiger-Striped PASH: Recognition of a Unique Morphology Allows for a Zippered-Up Diagnosis of Pseudoangiomatous Stromal Hyperplasia of Breast
title_short Tiger-Striped PASH: Recognition of a Unique Morphology Allows for a Zippered-Up Diagnosis of Pseudoangiomatous Stromal Hyperplasia of Breast
title_sort tiger striped pash recognition of a unique morphology allows for a zippered up diagnosis of pseudoangiomatous stromal hyperplasia of breast
url http://dx.doi.org/10.1155/2021/7697987
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