A case of ductal carcinoma in situ of breast with Poland syndrome.

Annals of the Academy of Medicine, Singapore

PubMedID: 15175787

Wong TC, Lim J, Lim TC. A case of ductal carcinoma in situ of breast with Poland syndrome. Ann Acad Med Singap. 2004;33(3):382-4.
INTRODUCTION
A 51-year-old woman was diagnosed with a rare case of multi-focal ductal carcinoma in situ (DCIS) of the breast associated with Poland syndrome.

CLINICAL PICTURE
Physical examination showed mild hypoplasia of the left breast with microcalcifications on mammogram. Intraoperatively, there was complete absence of the pectoralis major, which precluded the insertion of a breast implant.

TREATMENT AND OUTCOME
She underwent a skin-sparing mastectomy and autologous microsurgical free flap reconstruction with deep inferior epigastric perforator (DIEP) flap. Postoperative recovery was uneventful with no evidence of recurrence at 6 months.

CONCLUSION
This is the first reported case of DCIS of the breast with Poland syndrome. We performed a skin-sparing mastectomy with immediate DIEP flap recontruction. Patient recovered well postoperatively with no evidence of recurrence at 6 months.