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2010, Number 1

Rev Med Inst Mex Seguro Soc 2010; 48 (1)

Poland’s syndrome. Case report

Téllez-Olvera A, Romero-Álvarez J, Salgado-Molina MÁ
Full text How to cite this article

Language: Spanish
References: 9
Page: 79-82
PDF size: 110.59 Kb.


Key words:

syndactyly, Poland syndrome, breast neoplasms.

ABSTRACT

Objective: to report a case of Poland syndrome in a 67-year-old woman.
Clinical case: the patient was questioned and examined for a history of malformations characteristic of this syndrome on a routine medical visit. Thorax, bone thorax, and comparative hand X-ray were taken. Mammary ultrasound, mastography, and computed axial tomography were taken also. The right hemithorax showed a thin subcutaneous cell tissue. Axillary alopecia, mammary hypoplasia and areola-nipple complex retraction, hypoplasia of major pectoral muscles was observed. In the right upper limb, there was forearm shortening, hypoplasia of the second phalanx in all five fingers, and absence of distal phalanx in the index finger.
Conclusions: the patient showed 4 out of the 5 characteristics considered as typical by Hester and Bostwick. In terms of hand anomalies, she was classified as type 1 according to Gausewitz and according with Al-Qaifan, the patient belongs to type 2.


REFERENCES

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  2. Spear SL, Pelletiere CV, Lee ES, Grotting JC. Anterior thoracic hypoplasia: A separate entity from Poland´s syndrome. Plast Reconstr Surg 2004;113(1):69-77.

  3. Kelly EJ, O´Sullivan TO, Kay SPJ. Microneurovascular transfer of contralateral latissimus dorsi in Poland´s syndrome. Br J Plast Surg 1999;52 (6):503-504.

  4. Walker JC, Meijer R, Aranda D. Syndactylism with deformity of the pectoralis muscle Poland’s syndrome. J Pediatr Surg 1969;4(5):569-572.

  5. Trigos MI. Complejo malformativo de Poland. Experiencia y seguimiento a largo plazo. Cir Plast 2001;11(2):76-83.

  6. León LR, Martínez-de Santelices CA, Sardinas SG. Síndrome de Poland. Presentación de un caso. Rev Cubana Med Gen Inegr 1995:1-2.

  7. Alemán CL, Sosa HI, Hernández GE. Síndrome de Poland. Revisión del tema y presentación de un caso. Rev Mex Neuroci 2002;3(4):220-222.

  8. Khandelwai A, O´Hea BJ, Garguilo G. Breast cancer in a patient with Poland´s syndrome. Am Surg 2004;70(6):491-495.

  9. Al-Qattan MM. Classification of hand anomalies in Poland´s syndrome. Br J Plast Surg 2001;54 (2):132-136.




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Rev Med Inst Mex Seguro Soc. 2010;48