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

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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.




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