Pseudo-angiomatous stromal hyperplasia: benign tumor of the breast

Pseudo-angiomatous stromal hyperplasia [PASH] is a rare benign tumor of the breast which poses a clinical challenge in distinguishing it from malignancy. We are reporting a young married woman, who presented to the clinic with right breast painless large lump. The patient was managed surgically. Fine needle aspiration-cytology did not confirm the diagnosis. The final diagnosis was arrived at through histopathology

Ductal carcinoma in situ of the breast; review of calssification schemes and their clinical significance

The increasing use of screening mammography over the past two decades has led to five-fold increase in the diagnosis of ductal carcinoma in situ [DCIS]1. Thus pathologists are being increasingly faced with the challenge of diagnosing cancer in its early stage. The challenge faced by pathologists today is not just to detect pre-invasive conditions but to be able to further classify them into the various subgroups that may potentially have different biological behaviors. The interest in this area was heightened after the widespread use of breast conservation therapy. The aim of this review is to highlight this controversial area of pathology, clarify the existing classification schemes, emphasize the clinical significance of its different subtypes and identify the minimum required data to be recorded in any pathology report describing DCIS

Breast fibromatosis

We report a case of fibromatosis of the breast in which both clinical and mammographic appearances were indicative of carcinoma. The patient was 46 years old Bahraini, obese woman who presented with a hard right breast mass. As fine needle aspiration [FNA] cytology did not reveal any malignant cells, a conservative local excision was performed. Fibromatosis should hence be considered in the differential diagnosis of patients presenting with hard breast lumps suspicious of malignancy. The differential diagnosis is discussed with review of the literature