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Journal of Nippon Medical School

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Nonsyndromic Congenital Absence of the Pectoralis Muscles

Shi-Min Yuan

Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian, Fujian Province, People's Republic of China


The congenital absence of the pectoralis muscle is usually a manifestation of Poland syndrome. However, a nonsyndromic congenital absence of this muscle is rare, and such absences are usually partial and unilateral. A complete or bilateral absence is even rarer. Two young men presented to our outpatient clinic with incidentally noted unilateral flat chest walls. By chest computed tomography, they were diagnosed with a congenital unilateral absence of the pectoralis muscles. They did not show any functional disability of the arms. As the congenital absence of the pectoralis muscles is often associated with leukemia and genitourinary anomalies, it is advised that hematological testing and renal ultrasonography be performed, even in nonsyndromic cases.

J Nippon Med Sch 2018; 85: 246-249

Keywords
congenital abnormalities, leukemia, pectoralis muscles, Poland syndrome, thoracic wall

Correspondence to
Shi-Min Yuan, MD, PhD, Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, 389 Longdejing Street, Chengxiang District, Putian 351100, Fujian Province , People's Republic of China
shiminyuan@126.com

Received, May 3, 2018
Accepted, August 9, 2018