Poland’s syndrome. Case report
Main Article Content
Keywords
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
Fokin AA, síndrome de Robicsek F. Polonia revisitado. Ann Thorac Surg 2003; 74 (6): 2218 - 2225.
Spear SL, Pelletiere CV, Lee ES, Grotting JC. Hipoplasia torácica anterior: una entidad separada del síndrome de Polonia. Plast Reconstr Surg 2004; 113 (1): 69-77.
Kelly EJ, O'Sullivan TO, Kay SPJ. Transferencia microneurovascular de dorsal ancho contralateral en el síndrome de Polonia. Br J Plast Surg 1999; 52 (6): 503-504.
Walker JC, Meijer R, Aranda D. Sindactilia con deformidad del músculo pectoral Síndrome de Polonia. J Pediatr Surg 1969; 4 (5): 569-572.
Trigos MI. Complejo malformativo de Poland. Experiencia y seguimiento a largo plazo. Cir Plast 2001; 11 (2): 76-83.
León LR, Martínez-de Santelices CA, Sardinas SG. Síndrome de Poland. Presentación de un caso. Rev Cubana Med Gen Inegr 1995: 1-2.
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.
Khandelwai A, O'Hea BJ, Garguilo G. Cáncer de mama en un paciente con síndrome de Polonia. Am Surg 2004; 70 (6): 491-495.
Al-Qattan MM. Clasificación de las anomalías de la mano en el síndrome de Polonia. Br J Plast Surg 2001; 54 (2): 132-136.