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A very unusual case of poland syndrome with amastia-athelia and dextrocardia


Poland syndrome is a rare congenital anomaly characterized by unilateral aplasia of the costosternal portion of the pectoralis major muscle, absence of the pectoralis minor muscle, deformity or aplasia of the costal cartilages or ribs II to IV or III to V, hypoplasia or aplasia of the breast and nipple, athelia, scarcity of subcutaneous tissue, alopecia of the axillary and mammary region and unilateral syndactyly or brachysyndactyly. The prevailing theory regarding its cause is that the hypoplasia of the subclavian artery or its branches may lead to a range of developmental changes.

The congenital unilateral absence of the breast (amastia) and the nipple (athelia) is a very rare deformity and more often encountered in women. We present one very unusual case of Poland syndrome in a woman referred to the Hospital for the treatment of uterine fibroma with amastia-athelia and dextrocardia without complete mirror-image transposition of the adbominal and thoracic viscera and we also review the literature.

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Correspondence to N. Baltayiannis.

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Baltayiannis, N., Ifantidis, F., Gavressea, T. et al. A very unusual case of poland syndrome with amastia-athelia and dextrocardia. Hellenic J Surg 83, 33–38 (2011).

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Key Words

  • Poland Syndrome
  • Amastia
  • Athelia
  • Dextrocardia
  • Brachydactyly
  • Syndactyly