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

IF 0.7 Q4 PATHOLOGY
Case Reports in Pathology Pub Date : 2021-12-26 eCollection Date: 2021-01-01 DOI:10.1155/2021/7697987
Mohamad Sakibuzzaman, Ryan W Kendziora, Toshi Ghosh, Malvika H Solanki, Amy Lynn Conners, Lisa J Ahlberg, Charles D Sturgis
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引用次数: 2

Abstract

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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虎纹PASH:识别一种独特的形态允许一个快速诊断乳腺假性血管瘤间质增生。
乳腺假性血管瘤间质增生(PASH)的组织学特征是胶原间质形成吻合的裂隙状间隙,内衬扁平的梭形细胞。这些清晰的空间可能模拟微观血管通道,但不含红细胞。免疫组织化学(IHC)研究也可能有助于确认PASH的诊断,纺锤体细胞与CD34和PR标记阳性,而与CD31和ERG等更特异性的内皮抗原无反应性。在本病例中,一名39岁女性被诊断为右乳房细胞性PASH,其独特的组织学模式显示“虎纹”和“拉链”组织学。据我们所知,这是首次报道这些独特的PASH变异形态。
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