Gorlin-Goltz Syndrome and Neoplasms: A Case Study

Author:

Lopes Nilza1,Caran Eliana2,Lee Maria Lucia3,Silva Nasjla Saba2,Rocha André Caroli4,Macedo Carla2

Affiliation:

1. Pediatric Oncology Institute – GRAACC, Medical School of São Paulo, Federal University of São Paulo, SP, Brazil

2. Pediatric Hematologist. Pediatric Oncology Institute – GRAACC, Medical School of São Paulo, Federal University of São Paulo, SP, Brazil

3. Pediatric Oncologist. Pediatric Oncology Institute – GRAACC, Medical School of São Paulo, Federal University of São Paulo, SP, Brazil

4. Oral and Maxillo-Facial Surgeon at the Hospital das Clínicas of São Paulo State University

Abstract

Gorlin syndrome is a rare autosomal dominant disorder exhibiting high penetrance and variable expressivity. It is characterized by facial dysmorphism, skeletal anomalies, multiple basal cell carcinomas, odontogenic keratocysts (OKC), palmar and plantar pits, bifid ribs, vertebral anomalies and a variety of other malformations. Various neoplasms, such as medulloblastomas, meningiomas, ovarian and cardiac fibromas are also found in this syndrome. Objective: To describe a twelve-year-old patient with Gorlin-Goltz syndrome,with basal cell carcinomas and promyelocytic leukemia developed after receiving craniospinal radiation for a medulloblastoma. Bifid ribs as well as mandibular and maxillar OKC were also diagnosed. Conclusion:The patient with Gorlin-Goltz syndrome should receive close follow-up for early detection of malformations and malignant neoplasias.

Publisher

The Journal of Clinical Pediatric Dentistry

Subject

General Medicine

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