Gorlin - goltz syndrome: a case report

Authors

  • Ahmad Haidar Department of Oral and Maxillofacial Surgery, College of Dentistry, Hawler Medical University, Erbil, Iraq
  • Amera Kamal Khaleel Department of Oral Diagnosis, College of Dentistry, Hawler Medical University, Erbil, Iraq
  • Layla Muhammad Department of Oral Diagnosis, College of Dentistry, Hawler Medical University, Erbil, Iraq

DOI:

https://doi.org/10.15218/zjms.2012.0027

Keywords:

Basal cell carcinoma, Gorlin syndrome, Nevoid basal cell carcinoma, Odontogenic keratocysts

Abstract

Gorlin-Goltz syndrome, also known as basal cell nevus syndrome, is an uncommon, autosomal dominant inherited disorder, which is characterized by numerous basal cell carcinoma, odontogenic keratocysts and musculoskeletal malformations. However, medical literature documents both common and lesser known manifestations involving the skin, central nervous system, craniofacial anomalies etc. A case of Gorlin –Goltz syndrome with no family history has been reported here, the patient have multiple odontogenic keratocysts, tiny pits involving the palms and soles, rib anomalies, numerous nevi and nodes predominantly present on his face, chest and back. Histopathological study confirms the presence of multiple keratocysts in the jaws and the absence of basal cell carcinoma of the skin. Immunohistochemical study showed negatively p53 staining result. Early diagnosis and treatment is important to prevent long term sequelae including malignancy and oromaxillofacial deformation and destruction.

Metrics

Metrics Loading ...

References

Ljubenovic M, Ljubennovic D, Binic I, Jovanovic D, Stanojevic M. Gorlin-Goltiz syndrome. Acta Dermatoven APA 2007; 16 (4):166-169.

Patil K, Mahima VG, Gupta B. Gorlin syndrome: A case report. J Indian Soc Pedod and Prev Dent 2005;23(4):198-203.

Rai S, Gauba K. Jaw cyst-Basal cell nevus-Bifid rib syndrome: a case report. J Indian Soc Pedod Prev Dent 2007; 25:137-139.

Jawa DS, Sircar K, Somani R, Grover N, Jaidka S, Singh S. Gorlin-Goltz syndrome. Journal of Oral and Maxillofacial Pathology 2009;13(2):89-92.

Gorlin RJ. Nevoid basal cell carcinoma (Gorlin) syndrome. Genet Med 2004; 6(6):530-539.

Friedrich RE. Diagnosis and treatment of patients with nevoid basal cell carcinoma syndrome [Gorlin-Goltiz syndrome (GGS)]. Anticancer Res 2007;27(4): 1783-1787.

Lo Muzio L. Nevoid basal cell carcinoma syndrome (Gorlin syndrome). Orphanet J Rare Dis 2008; 3:32-37.

Myoung H, Hong SP, Hong SD, Lee JI, Lim CY, Choung PH, et al. Review of 256 cases for recurrence and clinicopathologic parameters. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;91:328-33.

Shah J, Thakkar S. Basal cell nevus syndrome - a case report. HAOMR 2001;12:386-90. 10. Lo Muzio L, Nocini PF, Savoia A, Consolo U, Procaccini M, Zelante L, et al. Nevoid basal cell carcinoma syndrome. Clinical findings in 37 Italian affected individuals. Clin Genet 1999;55:34-40.

Woolgar JA, Pippin JW, Browne RM. The odontogenic keratocyst and its occurrence in the nevoid basal cell carcinoma syndrome. Oral Surg Oral Med Oral Pathol 1987;64:727-30.

Maroto MR, Porras JL, Saez RS, de los Rios MH, Gonzaley LB. The role of orthodontist in the diagnosis of Gorlin syndrome. Am J Orthod Dentofacial Orthop 1999;115:89-98.

Katase N, Nagatsuka H, Tsujigiwa H, Gunduz M, Tamamura R, Pwint HP, et al. Analysis of the neoplastic nature and biological potential of sporadic and nevoid basal cell carcinoma syndrome-associated keratocystic odontogenic tumor. J Oral Pathol Med 2007;36:550-4.

Pruvost-Balland C, Gorry P, Boutet N, Magnaldo T, Mamelle G, Margulis A, et al. Clinical and genetic study in 22 patients with basal cell nevus syndrome. Ann Dermatol Venereol 2006;133:117-23.

Agram NP. Collins BM, Barnes L. Molecular analysis to demonstrate that odontogenic keratocysys are neoplastic. Arch Pathol Lab Med 2004;128(3):313-317.

Gailani MR, Bale SJ, Leffell DJ, Glynn M, Zaphi- ropoulos PG, Pressman C, Unden AB et al. Developmental defects in Gorlin syndrome related to a putative tumor suppressor gene on chromosome 9. Cell 1992;69(1):111-117.

Amlashi SF, Riffaud L, Brassier G, Morandi X. Nevoid basal cell carcinoma syndrome, relation with desmoplastic medulloblastoma in infancy. A population–based study and review of the literature. Cancer 2003; 98(3):618-624.

Rao S, Arulselvi S, Gupta K, Arora R, Shrivastava D. Nevoid basal cell carcinoma syndrome (Gorlin′s syndrome): a case report. Indian J Pathol Microbiol 2006;49:578-80.

Downloads

Published

2012-08-01

How to Cite

Haidar, A., Khaleel, A. K., & Muhammad, L. (2012). Gorlin - goltz syndrome: a case report. Zanco Journal of Medical Sciences (Zanco J Med Sci), 16(2), 157–161. https://doi.org/10.15218/zjms.2012.0027

Issue

Section

Original Articles