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All TopicsForum: Benign Breast Conditions → Topic: Living with PASH

Topic: Living with PASH

Forum: Benign Breast Conditions —

A safe place to worry for members who have not been diagnosed with breast cancer, but have concerns about their breasts.

Posted on: Dec 14, 2017 11:02AM

DailyZey wrote:

Hi - new to this forum and in desperate need of reassurance. I am 41 yrs old, no history of family breast cancer. Three months ago, I started experiencing tenderness in my left breast, especially right around ovulation time. Then it would go away and come back about a month later. I went to my obgyn and decided to do a diagnostic mammogram and an ultrasound. On Monday, I had the tests. The ultrasound showed a lump, high up on my chest wall, almost at my sternum. Doctor did a core needle biopsy, and we just got the results - it's diagnosed as PASH.

I have been reading everything I can, it looks like it's a benign, hormonal condition. Sometimes it can grow bigger, sometimes it can go away on its own. My question to this forum: 1) Have you been diagnosed with PASH? What was your experience?

2) Did you do anything to treat it? Or just monitor it?

3) Has it been painful? Is it always in the left breast? Seems to be predominantly left from what I read online. Also some report being in a lot of pain. Mine has just been tender for a few days so far but now I'm worried.

4) Any hormonal changes that can trigger it? Any suggestions or lifestyle changes you would recommend?

Thanks in advance for all the help.

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Dec 14, 2017 12:38PM marie5890 wrote:

Hi Daily,

Yep, my diagnosis was PASH. I chose not to do anything unless it became a problem or if it grew. My BS agreed with my choice , and it went away on it's own.

Mine was in my right breast.

What would I do if I was facing it again? Same thing. Monitor it. If it grew or if it started to cause problems (pain) then I would have it removed.

Dont be anxious. It's completely B9 :)

Jan '11 Biopsy Dx-ed a PASH tumor (rare, but benign tumor)....All I ask is for peace and serenity to the depths of my soul. Makes the rest of life more live-able.
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Dec 14, 2017 04:54PM Chemistry91 wrote:

I have PASH also and just recently had it removed. The location of your tumor is the EXACT location of mine. Interesting right? Mine always hurt more towards my cycle. I could feel the pressure from it growing. I have read that it is hormonal driven but they are unsure of the exact cause at this point. They are sure that it is benign however but it has a high density so it can interfere with your mammogram being read properly.

Mine had gotten significantly larger since 2013 and so it was time for it to be removed. It was biopsied 3 times so they were pretty confident in the diagnosis but due to its growth wanted it removed. While they were doing the wire localization the breast radiologist kept saying oh my gosh this is so big! Kind of freaked me out.

I had the tumor removed from my left and my right side reduced to match the size of my left breast. Hoping this works and it doesn’t come back. Won’t know for another year because they won’t mammogram me until next year.

Try not to worry but make sure you see a breast doctor that is familiar with PASH. It will give you peace of mind.

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Dec 14, 2017 09:49PM DailyZey wrote:


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Dec 15, 2017 03:20PM Shortygirl wrote:

1) Yes I have been diagnosed with PASH. Mine was already a palpable mass when I found it with self breast exam. I had seen OB for routine check a few months before and nothing was found then. Mine was obviously fast growing.

2) I had a core biopsy to determine diagnosis, then surgery to remove tissue, followed by two more surgeries as mine came back. I see a breast specialst every 6 months to monitor it.

3) Mine is the left breast also, but more towards my armpit. Mine has never been very painful. It has been mostly tender and achy. The most pain I have had was about a month or two after my last surgery but looking back I think the pain was from nerves healing because it only lasted a short while and has not been that way since. Outside of surgery pain, I have never hurt enough to need so much as even Tylenol for pain.

4) As far as hormones triggering it- it is hormone related but I don't know of anything we can do to change it. My doctor says as I get closer to menopause (I'm 39) it should start slowing down. She also said when I do start menopause that I will not be able to use hormone replacements to ease symptoms. I have noticed that caffeine has a definite impact on how tender I am, so I limit it a lot.

Chemistry- I'm glad you said you could feel it growing! I thought I could too and wondered if that really could be what I was feeling. It was a different sort of ache than normal fibro-cystic ache.

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Dec 20, 2017 06:03PM chispasgal wrote:

iam preparing for surgery for a 3cm pash lump .. I didnt even think to ask much at consult. After reading more i am worry. Surgeon said its very simple and id be good to go in 48 hrs.

Now i wonder if i need to have another consult?

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Dec 20, 2017 07:10PM marie5890 wrote:

What has you worried chis?

Jan '11 Biopsy Dx-ed a PASH tumor (rare, but benign tumor)....All I ask is for peace and serenity to the depths of my soul. Makes the rest of life more live-able.
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Dec 20, 2017 10:44PM chispasgal wrote:

marie5890- i guess just from reading other posts maybe i didn't ask enough questions(will size of tumor affect shape of breast, more about specifics of surgery etc. ) or havent educated myself enough on it(ignorance is bliss? Lol). I trust my surgeon but i suppose its all kinda sinking in now and just worry more if that makes sense?

Besides my 2 kids never really go to doc never had medical procedures so all this is new to me.

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Dec 23, 2017 12:59AM Susaine wrote:

No need to worry just follow this symptom, you will some lump like structure at your breast that is sign of chance.

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Jan 15, 2018 08:04PM 5spears wrote:

Chemistry91 I could have written this myself. Mine will be removed at the end of January with the other side being done at the same time!

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Jan 17, 2018 01:08AM Monique72 wrote:

I was just diagnosed with PASH today. The mass is about 1cm x 2cm, palpable, right-sided, near the nipple. It is painful near my period. I honestly think it’s always been there, but I don’t have a clear mental map of every lump in my breasts (there are many).

The hospital is recommending a six month follow up ultrasound. The mass was not visible in mammogram. I’m not keen on surgery, but I will discuss options with my primary care doc.

I was pretty much resigned to accepting a cancer diagnosis based on the ultrasound report. This is a relief, but it’s been a frustrating and stressful six weeks

Diagnosed with PASH tumor 1/16/2018
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Jan 17, 2018 08:58PM Chemistry91 wrote:

Good luck and keep us posted! I’m sure all will go fine. Let me know if you have any questions about recovery. You will be happy when it’s done

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Jan 17, 2018 10:00PM marie5890 wrote:


My Dx was PASH as well. From my perspective waiting 6 months is a very viable option because, like what happened with me, PASH can go away.

For some women, it grows. By waiting 6 months you may have a better idea of what your lesion will do, and then can make a decision. There is no hurry to make a decision with PASH. So, unless it really bothers you, as in painful, you may want to really consider waiting.

Just another perspective

Jan '11 Biopsy Dx-ed a PASH tumor (rare, but benign tumor)....All I ask is for peace and serenity to the depths of my soul. Makes the rest of life more live-able.
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Feb 8, 2018 03:26PM chispasgal wrote:

? for those who had surgery--- i had mine 2 weeks ago--1st week no pain at all--1 week after my breast is so sensitive to even clothes on it-and sore. At post op apt. my surgeon said to do moist heat and wear sports bra but so far that isn't helping antying either.... anyone go through this--I dont want to worry about it but its so uncomfy-more than the lump was :( Thanks!

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