title: A case of ductal carcinoma in situ of breast with Poland syndrome.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, National University Hospital, Singapore.
authors.forename: T C M
authors.initials: TC
authors.lastname: Wong
authors.forename: J
authors.initials: J
authors.lastname: Lim
authors.forename: T C
authors.initials: TC
authors.lastname: Lim
mesh_terms: D001943:Breast Neoplasms / Q000150:complications / Q000601:surgery*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty; D015414:Mastectomy, Subcutaneous; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000002:abnormalities; D011045:Poland Syndrome / Q000150:complications*