DD: Poland-Syndrom - Unilateral betonte Thelarche

Autor: U. Wagner, K.-D. Schulz, P. Hadji, Volker Duda, Karin Bock
Rok vydání: 2004
Předmět:
Zdroj: Ultraschall in der Medizin - European Journal of Ultrasound. 25:377-382
ISSN: 1438-8782
0172-4614
Popis: AIM The syndrome was first described by Poland in 1841. It classically consists of unilateral muscular and osseous anomalies of the thorax and upper limb with defects of the ipsilateral breast and nipple. We report the value of panoramic-sonography in the diagnosis of this rare condition in three patients. METHOD The three girls, all born in 1990, were independently introduced to our unit of children and adolescent gynaecology because of unilateral "developmental defects" of the breasts at the beginning of puberty. To discriminate a Poland-Syndrome from unilateral accentuation of thelarche standardized clinical and sonographical examinations were performed. RESULTS In 2 cases we found unilateral aplasia of the glandular tissue of the breast with different distinction of mamilla and pectoralis muscle. The 3 (rd) case showed a hypoplastic breast development with osseous defects of the chest wall, aplasia of the pectoralis muscle and brachydaktylia. CONCLUSION The standardized panoramic sonography allowed an immediate and safe diagnosis without hazardous radiation exposure.
Databáze: OpenAIRE