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Unilateral Amastia (Poland Syndrome)

Chad Perlyn, MD; James Edmiston, MD; Walter W. Tunnessen, Jr, MD
From the Division of Plastic Surgery, St Louis Children's Hospital, St Louis, Mo (Dr Perlyn); North Shore Hospital, Miami, Fla (Dr Edmiston); and the American Board of Pediatrics, Chapel Hill, NC (Dr Tunnessen).

Arch Pediatr Adolesc Med. 1999;153:1305-1306.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

AN 11-YEAR-OLD GIRL has asymmetrical breast development (Figure 1). Findings from physical examination revealed aplasia of the left breast and absence of the left nipple-areola complex. In addition, the left anterior axillary fold and the left pectoralis major muscle were absent. The left posterior axillary fold was well developed and the latissimus dorsi muscles were present bilaterally. The left thoracic rib cage was flattened. The right breast bud and nipple-areola complex appeared to be developing normally. Findings from the remainder of the physical examination, including the upper extremities, were normal. There was no family history of similar abnormalities.

Figure.

Denouement and Discussion: Unilateral Amastia (Poland Syndrome)

Figure 1. The left breast, areola, and nipple are absent.

Alfred Poland¹ described unilateral absence of the pectoralis major, serratus anterior, and abdominal external oblique muscles on autopsy examination of a 27-year-old man who also had cutaneous . . . [Full Text of this Article]