Sami Haider, Kivan Husam, Al Hussein Sahar, Khawar Ammar, Ashraf Ahmer
Internal Medicine, Lady Reading Hospital, Peshawar, PAK.
Medicine, OnDokuz Mayis University, Samsun, TUR.
Cureus. 2022 Dec 31;14(12):e33192. doi: 10.7759/cureus.33192. eCollection 2022 Dec.
A 22-year-old female presented to the surgical outpatient department with a complaint of left-breast hypoplasia. Upon physical examination, the left anterior chest wall was depressed, the left pectoral region was flattened, and the nipple was displaced. The absence of the pectoralis major sternocostal head was visible during shoulder abduction. Physical examination of the hands did not show any signs of ipsilateral digital abnormality. Chest X-ray revealed hyper translucent left-sided hemithorax with crowding of ribs and faint left breast soft tissue. A computed tomography scan (CT scan) reported a complete non-visualization of the left-sided pectoralis major, minor, and serratus anterior. Hence, a diagnosis of Poland syndrome involving left hemithorax in a female patient was established. The patient decided to have reconstructive surgery for purely cosmetic reasons.
一名22岁女性因左乳房发育不全前往外科门诊就诊。体格检查时,左前胸壁凹陷,左胸肌区域扁平,乳头移位。在肩部外展时可见胸大肌胸肋部缺如。手部体格检查未发现同侧手指异常迹象。胸部X线显示左侧半胸透亮度增加,肋骨拥挤,左侧乳房软组织模糊。计算机断层扫描(CT扫描)报告显示左侧胸大肌、胸小肌和前锯肌完全不显影。因此,确诊该女性患者为累及左半胸的波兰综合征。该患者出于纯粹的美容原因决定接受重建手术。