Poland syndrome: A proposed classification system and perspectives on diagnosis and treatment

被引:38
作者
Romanini, Maria Victoria [1 ]
Calevo, Maria Grazia [2 ]
Puliti, Aldamaria [3 ,4 ]
Vaccari, Carlotta [3 ]
Valle, Maura [5 ]
Senes, Filippo [6 ]
Torre, Michele [1 ]
机构
[1] Ist Giannina Gaslini, Pediat Surg Dept, Genoa, Italy
[2] Ist Giannina Gaslini, Epidemiol & Biostat Unit, Genoa, Italy
[3] Univ Genoa, Dept Neurosci Rehabil Ophthalmol Genet Maternal &, Genoa, Italy
[4] Ist Giannina Gaslini, Med Genet Unit, Genoa, Italy
[5] Ist Giannina Gaslini, Radiol Unit, Genoa, Italy
[6] Ist Giannina Gaslini, Reconstruct Microsurg & Hand Surg Unit, Genoa, Italy
关键词
Poland syndrome; Thoracic malformation; Pectus excavatum; Pectoralis major muscle; Thoracoplasty; Breast reconstruction; Breast asymmetry; Classification; ANOMALIES; HAND;
D O I
10.1053/j.sempedsurg.2018.05.007
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Poland Syndrome (PS) is a rare condition, with an estimated incidence of approximately 1 per 30,000 births and encompasses a wide range of severities of chest and upper arm anomalies. The etiology remains unknown, but genetic involvement is suspected. Few radiological investigations have proven useful in the study PS phenotypes and we propose a reference algorithm for guiding pediatricians. Our experience with 245 PS patients in the last 10 years stimulated a phenotypical classification of PS. The management of the different PS types and a therapeutic algorithm according to the phenotypical features of each PS patient are also proposed. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:189 / 199
页数:11
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