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Tian ZY, Ma W, Zhao ZY, Li M. [Basal cell nevus syndrome with Duchenne muscular dystrophy: a case report]. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2021; 39:230-232. [PMID: 33834681 DOI: 10.7518/hxkq.2021.02.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Basal cell nevus syndrome (BCNS), also known as Gorlin-Goltz syndrome, is a rare autosomal dominant genetic disease. It is thought to be caused by a mutation in the PTCH1 gene, and its incidence is 1/57 000 to 1/256 000. The case of a 7-year-old patient with BCNS and Duchenne muscular dystrophy was reported in this paper.
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Affiliation(s)
- Zi-Yi Tian
- Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Kunming Medical University, Kunming 650000, China
| | - Wen Ma
- Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Kunming Medical University, Kunming 650000, China
| | - Zhi-Yue Zhao
- Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Kunming Medical University, Kunming 650000, China
| | - Ming Li
- Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Kunming Medical University, Kunming 650000, China
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Narang A, Maheshwari C, Aggarwal V, Bansal P, Singh P. Gorlin-Goltz Syndrome with Intracranial Meningioma: Case Report and Review of Literature. World Neurosurg 2019; 133:324-330. [PMID: 31605858 DOI: 10.1016/j.wneu.2019.09.156] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Accepted: 09/28/2019] [Indexed: 10/25/2022]
Abstract
BACKGROUND Gorlin-Goltz syndrome is a rare hereditary disease affecting multiple organ systems. Medulloblastoma is the most common intracranial malignancy in these patients, radiotherapy makes them more susceptible to intracranial meningioma. Here we report an intracranial meningioma without radiation exposure. CASE DESCRIPTION We present a case of intracranial meningioma in a young woman who was postoperatively diagnosed to have Gorlin-Goltz syndrome based on presence of calcification of bilateral tent and falx. Further clinical and radiological assessment helped us identify many other syndromic features and patient was promptly advised multispecialty consultations to screen for other malignancies and counselled regarding risk factors. CONCLUSIONS Early identification of the syndrome is important for prevention of secondary radiation-induced malignancies, both intracranial and extracranial. Patients need multidisciplinary approach for management.
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Affiliation(s)
- Amit Narang
- Department of Neurosurgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Chandni Maheshwari
- Department of Anaesthesia, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Varun Aggarwal
- Department of Neurosurgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India.
| | - Puneet Bansal
- Department of Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
| | - Paramdeep Singh
- Deparment of Radiology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
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Ramesh M, Krishnan R, Chalakkal P, Paul G. Gorlin-Goltz Syndrome: Case report and literature review. J Oral Maxillofac Pathol 2015; 19:267. [PMID: 26604511 PMCID: PMC4611943 DOI: 10.4103/0973-029x.164557] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Gorlin-Goltz syndrome (GGS) is an infrequent multisystemic disease with an autosomal dominant trait, with complete penetrance and variable expressivity, though sporadic cases have been described. This article includes a case report and an extensive review of the GGS with regard to its history, incidence, etiology, features, investigations, diagnostic criteria, keratocystic odontogenic tumor and treatment modalities.
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Affiliation(s)
- Maya Ramesh
- Department of Oral Pathology, Vinayaka Mission's Sankarachariyar Dental College, Salem, Tamil Nadu, India
| | - Ramesh Krishnan
- Department of Pedodontics and Preventive Dentistry, Vinayaka Mission's Sankarachariyar Dental College, Salem, Tamil Nadu, India
| | - Paul Chalakkal
- Department of Pedodontics and Preventive Dentistry, Goa Dental College and Hospital, Bambolim, Goa, India
| | - George Paul
- Dental Polyclinic and Maxillofacial Centre, Salem, Tamil Nadu, India
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Hajalioghli P, Ghadirpour A, Ataie-Oskuie R, Kontzialis M, Nezami N. Imaging findings of Gorlin-Goltz syndrome. Acta Radiol Short Rep 2015; 4:2047981614552294. [PMID: 25610614 PMCID: PMC4299365 DOI: 10.1177/2047981614552294] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2014] [Accepted: 08/30/2014] [Indexed: 11/17/2022] Open
Abstract
A 15-year-old girl was referred to a dentist complaining of parageusia, bad taste in the mouth, which started 9 months ago. Panoramic X-ray and non-enhanced computed tomography scan revealed multiple bilateral unilocular cysts in the mandible and maxilla, along with calcification of anterior part of the falx cerebri. She was eventually diagnosed with Gorlin-Goltz syndrome based on imaging and histopathologic finding of keratocystic odontogenic tumor.
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Affiliation(s)
- Parisa Hajalioghli
- Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Ali Ghadirpour
- Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Reza Ataie-Oskuie
- School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Marinos Kontzialis
- The Russell H. Morgan Department of Radiology and Radiological Sciences, the Johns Hopkins Hospital, Baltimore, MD, USA
| | - Nariman Nezami
- The Russell H. Morgan Department of Radiology and Radiological Sciences, the Johns Hopkins Hospital, Baltimore, MD, USA ; Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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Pandeshwar P, Jayanthi K, Mahesh D. Gorlin-goltz syndrome. Case Rep Dent 2012; 2012:247239. [PMID: 23082255 PMCID: PMC3469076 DOI: 10.1155/2012/247239] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2012] [Accepted: 09/12/2012] [Indexed: 11/17/2022] Open
Abstract
The Gorlin-Goltz syndrome (GGS) (the nevoid basal cell carcinoma syndrome-NBCCS) is a rare autosomal dominant syndrome caused due to mutations in the PTCH (patched) gene found on chromosome arm 9q. The syndrome, characterized by increased predisposition to develop basal cell carcinoma and associated multiorgan anomalies, has a high level of penetrance and variable expressiveness. GGS is a multidisciplinary problem, early diagnosis of which allows introduction of secondary prophylaxis and following an appropriate treatment to delay the progress of the syndrome. The following report emphasizes the need for awareness of the diagnostic criteria of this syndrome in cases with no typical skin lesions.
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Affiliation(s)
- Padma Pandeshwar
- Sri Venkateshwara Dental College and Hospital, Kariyappanahalli, Anekal Road, Bannerughatta, Bangalore 560083, India
| | - K. Jayanthi
- Oral Medicine, Diagnosis and Radiology, Bangalore Institute of Dental Sciences, Lakkasandra, Wilson Garden, Bangalore, India
| | - D. Mahesh
- Dayananda Sagar College of Dental Sciences, Shivage Malleshwara Hills, Kumarswamy Layout, Bangalore, India
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Abstract
Gorlin-Goltz syndrome is an uncommon autosomal dominant inherited disorder, which is characterized by multiple odontogenic Keratocysts and basal cell carcinomas, skeletal, dental, ophthalmic, and neurological abnormalities, intracranial ectopic calcifications of the falx cerebri, and facial dysmorphism. Pathogenesis of the syndrome is attributed to abnormalities in the long arm of chromosome 9 (q22.3-q31) and loss or mutations of human patched gene (PTCH1 gene). Diagnosis is based upon established major and minor clinical and radiological criteria and ideally confirmed by deoxyribo nucleic acid analysis. We report a case of a 9-year-old girl presenting with three major and one minor feature of Gorlin-Goltz syndrome. Radiologic findings of the syndrome are easily identifiable on Orthopantomogram, chest X-ray, and Computed tomography scans. These investigations prompt an early verification of the disease, which is very important to prevent recurrence and better survival rates from the coexistent diseases.
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Affiliation(s)
- Priya Shirish Joshi
- Department of Oral Pathology and Microbiology, Vasantdada Patil Dental College and Hospital, Kavalapur, Sangli, India
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Bronoosh P, Shakibafar AR, Houshyar M, Nafarzade S. Imaging findings in a case of Gorlin-Goltz syndrome: a survey using advanced modalities. Imaging Sci Dent 2011; 41:171-5. [PMID: 22232727 PMCID: PMC3251791 DOI: 10.5624/isd.2011.41.4.171] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2011] [Revised: 07/26/2011] [Accepted: 09/08/2011] [Indexed: 01/09/2023] Open
Abstract
Gorlin-Goltz syndrome is an infrequent multi-systemic disease which is characterized by multiple keratocysts in the jaws, calcification of falx cerebri, and basal cell carcinomas. We report a case of Gorlin-Goltz syndrome in a 23-year-old man with emphasis on image findings of keratocyctic odontogenic tumors (KCOTs) on panoramic radiograph, computed tomography, magnetic resonance (MR) imaging, and Ultrasonography (US). In this case, pericoronal lesions were mostly orthokeratinized odontogenic cyst (OOC) concerning the MR and US study, which tended to recur less. The aim of this report was to clarify the characteristic imaging features of the syndrome-related keratocysts that can be used to differentiate KCOT from OOC. Also, our findings suggested that the recurrence rate of KCOTs might be predicted based on their association to teeth.
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Affiliation(s)
- Pegah Bronoosh
- Oral Radiology Department, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran
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Sirous M, Tayari N. A case report of Gorlin-Goltz syndrome as a rare hereditary disorder. JOURNAL OF RESEARCH IN MEDICAL SCIENCES : THE OFFICIAL JOURNAL OF ISFAHAN UNIVERSITY OF MEDICAL SCIENCES 2011; 16:836-40. [PMID: 22091315 PMCID: PMC3214404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2011] [Accepted: 06/09/2011] [Indexed: 11/24/2022]
Abstract
Gorlin-Goltz syndrome is an autosomal dominant and a rare hereditary disease. Diagnosis of this syndrome is based on major and minor criteria. We report a Gorlin-Goltz syndrome in a 25-year-old male who was presented with progressive pain of maxilla and mandible over 5 years. The pain was diffuse and compatible with expansile cyst in alveolar ridges on panoramic radiography. In physical examination, he had coarse face and prognathism. Computer tomography of face revealed two expansile maxillary and one mandibular cyst. Calcification of entire length in falx and tentorium were detected in bone window.
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Affiliation(s)
- Mehri Sirous
- Associate Professor, Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nazila Tayari
- Assistant Professor, Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran.,
Corresponding Author: Nazila Tayari E-mail:
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Caso de musculoesquelético presentado en la Sesión General de Lectura de Casos del XXX Congreso Nacional de la SERAM, A Coruña. Mayo 2010. RADIOLOGIA 2010; 52:560-2. [DOI: 10.1016/j.rx.2010.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2010] [Revised: 08/09/2010] [Accepted: 08/10/2010] [Indexed: 11/19/2022]
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