ABSTRACT
We report a rare case of Poland syndrome in a 22-year-old female patient. This is a syndrome defined bytheunilateral absence or hypoplasia of the thoracic muscles with under development of one breast. A female patient presented with aesthetic concerns having hypoplasia of left breast and the nipple-areola complex small and displaced laterally. There were no other developmental problems with ribs, breast bone or upper extremity. The patient was surgically treated with breast reconstruction using amammary prosthesis. The incidence of Poland syndrome ranges from 1 in 7000 to 1 in 1,00,000 [Fokin and Robicsek (2002). Ann Thorac Surg 2002;74(6):2218–25]. Ten percent of these patients also express some of the other features of the disorder. There is a male to female ratio of 2:1 to 3:1.
ABSTRACT
We report a rare case of testicular feminization syndrome in a 24 years old patient. This is a syndrome due to androgen insensitivity. The patient is phenotypically female with male Karyotype (46XY). The patient is completely feminine with well-developed breasts, female external genitalia, blind vagina, absent mullerian structures, undescended testes and sparse axillary and pubic hair. The gonad (undescended testes) may be intra-abdominal, inguinal or labial. The patient was surgically treated with bilateral orchidectomy and vaginal reconstruction. The incidence of testicular feminization syndrome is reported to range from 1 in 2,000 to 1 in 62,400.