Mastectomy and sentinel lymph node biopsy in a patient with left-sided breast cancer and Poland syndrome.
Christian Kaare Paaskesen, Milan Mohammad, Soria Totakhail et al.
✦ AI-curated · Sources linked
Case in brief
An elderly woman with left-sided Poland syndrome presented with breast cancer detected during routine imaging for malignant melanoma. Imaging and biopsy confirmed a small invasive carcinoma, leading to a mastectomy and sentinel lymph node biopsy. The absence of pectoral muscles altered the surgical anatomy, but careful dissection allowed for a safe procedure. Histopathology revealed no nodal involvement, and recovery was uncomplicated.
What made this case unusual
The case illustrates the surgical challenges posed by Poland syndrome, particularly the altered anatomy due to the absence of pectoral muscles, which is rarely documented in breast cancer surgery.
Diagnostic / clinical pearl
Clinicians should be aware of Poland syndrome's impact on surgical anatomy when managing breast cancer, as it may necessitate modifications in surgical technique.
Why it matters
Understanding the implications of congenital conditions like Poland syndrome is crucial for ensuring safe surgical practices and optimal patient outcomes in oncology.