CASE 486: POLAND’S SYNDROME, Dr PHAN THANH HẢI, Dr TRẦM THỊ TÚ HƯƠNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman  42 yo with  right breast hard mass,clinical examination of asymetric thorax (photo).

Ultrasound of right breast detected one 5 cm mass, multilobular, hypoechoic  with blood supply arround this tumor ( US 1, US 2 ),  US 3  detected axillary lymph node, US 4  in comparison of right to left chest wall  shows absence of right major and minor pectoralis muscles.

Chest X-Ray : clear right lung in comparison to left  lung due to  right chest wall muscle defect.

Mammography  diagnosis is  breast tumor with  Bi-Rads 4  T2N1Mx.

MRI   made diagnosis of  right breast tumor  with   pectoralis muscle defect of chest wall: it  is Poland’s syndrome.

FNAC of  this tumor  with cytological report of  adenocarcinoma of breast tumor.

Reference  : Case report   Poland ' s Syndrome complicated with breast cancer.