Case report| Volume 65, ISSUE 5, P671-674, May 2012

A case of congenital unilateral amastia

Published:November 03, 2011DOI:


      Numerous reports have been published regarding the reconstruction of the breast, but the majority of these reports focus on breast reconstruction for defects caused by the removal of breast cancers. The authors treated a rare case of unilateral amastia where a 54-year-old female had a complete absence of the breast on one side, though the breast on the other side was intact. The defect was reconstructed successfully with a transverse rectus abdominis myocutaneous flap (TRAM) flap. The present study introduces this rare case with reference to past reports of amastia.


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        • Tindholdt T.T.
        • Saidian S.
        • Tønseth K.A.
        Microcirculatory evaluation of deep inferior epigastric artery perforator flaps with laser Doppler perfusion imaging in breast reconstruction.
        J Plast Surg Hand Surg. 2011; 45: 143-147
        • Minabe T.
        • Harii K.
        • Imanishi N.
        Latissimus dorsi flaps oriented on the lateral intercostal artery perforators: anatomical study and application in autologous breast reconstruction.
        J Plast Surg Hand Surg. 2011; 45: 58-65
        • Gopie J.P.
        • Hilhorst M.T.
        • Kleijne A.
        • et al.
        Women’s motives to opt for either implant or DIEP-flap breast reconstruction.
        J Plast Reconstr Aesthet Surg. 2011; 64: 1062-1067
        • Damen T.H.
        • Wei W.
        • Mureau M.A.
        • et al.
        Medium-term cost analysis of breast reconstructions in a single Dutch centre: A comparison of implants, implants preceded by tissue expansion, LD transpositions and DIEP flaps.
        J Plast Reconstr Aesthet Surg. 2011; 64: 1043-1053
        • Trier W.C.
        Complete breast absence.
        Plast Reconstr Surg. 1965; 36: 430-439
        • Borschel G.H.
        • Costantino D.A.
        • Cederna P.S.
        Individualized implant-based reconstruction of Poland syndrome breast and soft tissue deformities.
        Ann Plast Surg. 2007; 59: 507-514
        • Liao H.T.
        • Cheng M.H.
        • Ulusal B.G.
        • Wei F.C.
        Deep inferior epigastric perforator flap for successful simultaneous breast and chest wall reconstruction in a Poland anomaly patient.
        Ann Plast Surg. 2005; 55: 422-426
        • Lin K.Y.
        • Nguyen D.B.
        • Williams R.M.
        Complete breast absence revisited.
        Plast Reconstr Surg. 2000; 106: 98-101
        • Wylie W.
        Case of entire absence of both mammæ in a female, aged 21 years.
        Brit M J. 1888; 2: 235
        • Batchelor H.T.
        Absence of mammæ in a woman.
        Brit M J. 1888; 2: 876
        • Taylor A.
        Reconstruction of congenital amastia with complication.
        Ann Plast Surg. 1979; 2: 531-534
        • Paull F.
        Total absence of the left mammary gland from non-development.
        Lancet. 1862; 1: 648
        • Wilson M.G.
        • Hall E.B.
        • Ebbin A.J.
        Dominant inheritance of absence of the breast.
        Humangenetik. 1972; 15: 268-270
        • Garcia O.
        Reconstruction of total absence of the breast.
        Ann Plast Surg. 2007; 58: 12-17
        • Kowlessar M.
        • Orti E.
        Complete breast absence in siblings.
        Amer J Dis Child. 1968; 115: 91-92