Gorlin-Goltz syndrome and neoplasms: a case study

J Clin Pediatr Dent. 2010 Winter;35(2):203-6. doi: 10.17796/jcpd.35.2.x01248284w166485.

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 nd malignant neoplasias.

Publication types

  • Case Reports

MeSH terms

  • Basal Cell Nevus Syndrome / pathology
  • Brain Stem Neoplasms / radiotherapy*
  • Brain Stem Neoplasms / surgery
  • Child
  • Cranial Irradiation
  • Disease Progression
  • Fatal Outcome
  • Follow-Up Studies
  • Humans
  • Leukemia, Promyelocytic, Acute / pathology*
  • Leukemia, Radiation-Induced / pathology
  • Male
  • Medulloblastoma / radiotherapy*
  • Medulloblastoma / surgery
  • Neoplasm Recurrence, Local / pathology
  • Neoplasms, Multiple Primary / pathology*
  • Neoplasms, Second Primary / pathology*
  • Spine / radiation effects