Gynecomastia and Congenital Anomalies of the Breast
Breast and chest wall appearance is an important component of an individual’s body image that can have a profound impact on their psychological well-being. Given the inherent complexity of breast embryogenesis, multiple anomalies exist that differ with respect to their clinical management and reconstructive approach. In this review, the authors outline fundamentals of breast embryology, pathophysiology of common congenital breast and chest wall anomalies, and potential reconstructive solutions. It is the aim of this chapter to provide readers with a broad yet concise overview of the spectrum of congenital breast and chess wall disorders to aid in the proper diagnosis and management of affected patients. This review contains 7 tables, and 4 figures, and 31 references. Keywords: breast embryology, pediatric breast reconstruction, gynecomastia, juvenile hypertrophy, polythelia, athelia, Poland syndrome, congenital breast