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Pseudoangiomatous stromal hyperplasia (PASH) is a benign hyperplastic condition of the breast that can lead to macromastia. The standard treatment for PASH is focal excision or rarely reduction mammoplasty. We present a rare case of postpartum bilateral rapid breast enlargement and axillary growth that was refractory to reduction mammoplasty. Ultimately, the patient required bilateral mastectomy and two‐stage implant‐based breast reconstruction. This more extensive form along with its management represents one of the few reported cases in the literature. The decision to pursue bilateral mastectomy was undertaken after exhausting more conservative options. Excellent aesthetic outcome and pain relief was obtained following definitive extirpative and reconstructive surgery. [ABSTRACT FROM AUTHOR]

A letter to the editor is presented in response to the article related to decreasing predominance of breast cancer on left side, in the previous issue.

The article talks about the several cases of women with Granulomatous lobular mastitis (GLM) disease. It discussed GLM is a breast disease that poses therapeutic challenges to healthcare providers and its diagnosis relies on tissue biopsy, mentions the treatment of cystic neutrophilic granulomatous mastitis (CNGM), with antibiotics that target Corynebacterium.

The article discusses the medical examination and diagnosis of a 43-year-old woman experiencing shortness of breath. The medical determination of the disease focusing on the possibility of breast and ovarian cancer is described including the used of transvaginal ultrasound, magnetic resonance imaging, sentinel node biopsy, lumpectomy, among others. A positive for gross cystic disease fluid protein-15 (GCDFP-15) for the breast carcinoma is indicated.