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Wojtyś ME, Kordykiewicz D, Wójcik J, Tomos P, Kostopanagiotou K. Consultations for Poland Syndrome: The Essentials for a Thoracic Surgeon. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:1178. [PMID: 39064607 PMCID: PMC11278914 DOI: 10.3390/medicina60071178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2024] [Revised: 07/16/2024] [Accepted: 07/18/2024] [Indexed: 07/28/2024]
Abstract
Poland syndrome (PS) is a rare congenital musculoskeletal entity occurring in approximately 1 in 30,000 newborns that manifests with variable symbrachydactyly, ipsilateral costochondral deformities, an absence of pectoral muscles, and breast underdevelopment. These have potential impacts on social, somatic, and psychological functionality, often leading affected individuals to seek expert opinions on corrective surgery. Due to phenotypic variability, strict management guidelines are lacking, with treatment decisions often based on the specialist's personal experience rather than published evidence. Comprehensive imaging with CT and MRI with 3D reconstruction is crucial for providing a descriptive assessment of musculoskeletal defects. Management is multidisciplinary, involving thoracic, plastic, and pediatric surgeons and hand surgery specialists, as well as psychologists and developmental growth specialists. Surgery should achieve both structural and cosmetic correction to reverse the psychological and social impact and achieve patient satisfaction. We aim to provide thoracic surgeons the essential answers for sharing with affected adult individuals during consultations focusing on chest surgical correction.
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Affiliation(s)
- Małgorzata Edyta Wojtyś
- Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Sokołowskiego 11, 70-891 Szczecin, Poland
| | - Dawid Kordykiewicz
- Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Sokołowskiego 11, 70-891 Szczecin, Poland
| | - Janusz Wójcik
- Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Sokołowskiego 11, 70-891 Szczecin, Poland
| | - Periklis Tomos
- Department of Thoracic Surgery, “Attikon” University Hospital of Athens, 12462 Athens, Greece
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Bumbu A, Covantsev S, Sukhotko A, Grekov D, Turovets D. Poland’s syndrome and breast cancer: coincidence or not? Folia Med (Plovdiv) 2024; 66:436-440. [DOI: 10.3897/folmed.66.e113837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/26/2024] Open
Abstract
Poland’s syndrome is an uncommon congenital anomaly of unknown etiology, the main characteristic of which is the absence of the major pectoral muscle. Thorax and upper limb malformations also may be present. Poland’s syndrome has been observed in clinical cases connected to a variety of neoplasia, primarily hematological disorders. Patients with Poland’s syndrome who have developed breast cancer have been reported incidentally. Here we report a case of Poland’s syndrome associated with breast cancer.
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Breast cancer and Poland's syndrome. Cir Esp 2023; 101:228-231. [PMID: 36100049 DOI: 10.1016/j.cireng.2022.09.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 02/07/2022] [Indexed: 11/20/2022]
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Síndrome de Poland y cáncer de mama. Cir Esp 2022. [DOI: 10.1016/j.ciresp.2022.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Nakagawa T, Oda G, Kato R, Shinohara H, Osanai T, Kumaki Y, Takiguchi N, Mori H, Oyama J, Okamoto K, Uetake H. A Case of Breast Cancer in a Patient with a Congenital Pectoralis Muscle Defect. Case Rep Oncol 2021; 14:1092-1096. [PMID: 34326747 PMCID: PMC8299385 DOI: 10.1159/000516189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Accepted: 03/22/2021] [Indexed: 11/19/2022] Open
Abstract
Congenital pectoral muscle defects are very rare, and when accompanied by limb defects, they are called Poland syndrome. A woman in her 70s, 4 years after partial mastectomy for breast cancer, underwent mastectomy for a local recurrence. During the operation, the pectoralis major and minor muscles were found to be defective. However, the patient did not have any limb defects. Although congenital pectoral muscle defects are very rare, it would be better to confirm defects of the pectoral muscle by preoperative diagnostic imaging such as CT because the postoperative treatment may be affected.
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Affiliation(s)
- Tsuyoshi Nakagawa
- Department of Breast Surgery, Tokyo Medical and Dental University, Tokyo, Japan.,Department of Surgery, Tsuchiura Kyodo General Hospital, Ibaraki, Japan
| | - Goshi Oda
- Department of Breast Surgery, Tokyo Medical and Dental University, Tokyo, Japan
| | - Rie Kato
- Department of Surgery, Tsuchiura Kyodo General Hospital, Ibaraki, Japan
| | - Hajime Shinohara
- Department of Surgery, Tsuchiura Kyodo General Hospital, Ibaraki, Japan
| | - Takayuki Osanai
- Department of Surgery, Tsuchiura Kyodo General Hospital, Ibaraki, Japan
| | - Yuichi Kumaki
- Department of Breast Surgery, Tokyo Medical and Dental University, Tokyo, Japan.,Department of Surgery, Tsuchiura Kyodo General Hospital, Ibaraki, Japan
| | - Noriaki Takiguchi
- Department of Surgery, Tsuchiura Kyodo General Hospital, Ibaraki, Japan
| | - Hiroki Mori
- Department of Plastic Surgery, Tokyo Medical and Dental University, Tokyo, Japan
| | - Jun Oyama
- Department of Radiology, Tokyo Medical and Dental University, Tokyo, Japan
| | - Kentaro Okamoto
- Department of Specialized Surgeries, Graduated School, Tokyo Medical and Dental University, Tokyo, Japan
| | - Hiroyuki Uetake
- Department of Specialized Surgeries, Graduated School, Tokyo Medical and Dental University, Tokyo, Japan
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Abstract
Developmental abnormalities and malformations of the breast are rare and encompass a variety of genetic, syndromic, acquired and sporadic conditions. Abnormalities in development may include irregularities in the nipple areolar complex and/or the underlying glandular tissue, resulting in under or overdevelopment of breasts. Age of presentation and clinical severity is dependent on the underlying biologic cause. Abnormalities may involve the entirety of unilateral or bilateral breasts, particularly in association with syndromic conditions or endocrine abnormalities. Disordered development may also be focal, resulting in tumor-like lesions such as hamartomas, pseudoangiomatous stromal hyperplasia and gynecomastia. In this review, we discuss the disorders of breast development including etiologies, clinical presentations and corresponding histopathologic features.
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Affiliation(s)
- Emily Reisenbichler
- Department of Pathology, Yale School of Medicine, Yale New Haven Hospital, 310 Cedar St, New Haven, CT 06510, United States
| | - Krisztina Z Hanley
- Department of Pathology, Emory University Hospital, Atlanta, GA 30322, United States.
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