| Summary: | Coexistence of the Poland syndrome and gynaecomastia is a rare condition. Poland's syndrome itself is a rare anomaly which consists of unilateral absence or under development of pectoralis major muscle, hypoplasia of the breast, associated in some cases with a genesis of ipsilateral costal cartilages, athelia and ipsilateral webbing of the
fingers. It has reported incidence of 1 in 7000-1 in 100,000 live births with a male preponderance (male: female ratio of 3:1). Gynaecomastia by contrast is the benign enlargement of breast tissue in males. Poland's syndrome is a rare congenital anomaly but co-occurrence of contralateral gynaecomastia is even rarer with only four cases reported till date. We report a 22-year-old male patient with right gynaecomastia and left sided Poland's syndrome. In order to correct his asymmetry on the anterior chest wall, liposuction and gland excision on the right side was done.
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