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Received 2019-06-03 Received in revised form 2019-08-19 Accepted 2019-08-26 INTRODUCTION Several breast diseases could arise at any stage of the woman life, from menarche to menopause, during pregnancy or breastfeeding, and in the postmenopausal period (1). Among these conditions, some are extremely rare. Pseudoangiomatous stromal hyperplasia (PASH) is a benign proliferation of the breast tissue that typically affects women in the reproductive age and presents as a localized, painless, firm mass or as a diffuse thickened area (2). PASH typically appears as a solid, well defined, hypoechoic, noncalcified mass in the breast, visualized on ultrasound or mammography (3). However, it may rarely arise from the anogenital mammary-like tissue, simulating angiosarcomas (4) or other types of sarcomas (5,6). Therefore, PASH requires differential diagnosis of tissue sample. We present a case of nodular PASH arising in the vulva in a patient with recurrent PASH of the breast.

Association of a large vulvar tumor in a in a young premenopausal woman with recurrent pseudoangiomatous stromal hyperplasia of the breasts