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Imaging findings in a case of Gorlin-Goltz syndrome: a survey using advanced modalities

  • Received : 2011.06.30
  • Accepted : 2011.09.08
  • Published : 2011.12.31

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.

Keywords

References

  1. Jones EA, Sajid MI, Shenton A, Evans DG. Basal cell carcinomas in gorlin syndrome: a review of 202 patients. J Skin Cancer 2011; 2011 : 217378.
  2. Kantarci M, Ertas U, Alper F, Sutbeyaz Y, Karasen RM, Onbas O. Gorlin's syndrome with a thin corpus callosum and a third ventricular cyst. Neuroradiology 2003; 45 : 390-2. https://doi.org/10.1007/s00234-003-0988-y
  3. Kalogeropoulou C, Zampakis P, Kazantzi S, Kraniotis P, Mastronikolis NS. Gorlin-Goltz syndrome: incidental finding on routine CT scan following car accident. Cases J 2009; 2 : 9087. https://doi.org/10.1186/1757-1626-2-9087
  4. White SC, Pharoah MJ. Oral radiology principles and interpretation. 6th ed. St. Louis: Mosby Elsevier; 2009. p. 351.
  5. Ariji Y, Morita M, Katsumata A, Sugita Y, Naitoh M, Goto M, et al. Imaging features contributing to the diagnosis of ameloblastomas and keratocyctic odontogenic tumours: logistic regression analysis. Dentomaxillofac Radiol 2011; 40 : 133-40. https://doi.org/10.1259/dmfr/24726112
  6. Minami M, Kaneda T, Ozawa K, Yamamoto H, Itai Y, Ozawa M, et al. Cystic lesions of the maxillomandibular region: MR imaging distinction of odontogenic keratocysts and ameloblastomas from other cysts. AJR Am J Roentgenol 1996; 166 : 943-9. https://doi.org/10.2214/ajr.166.4.8610578
  7. Hisatomi M, Asaumi J, Konouchi H, Shigehara H, Yanagi Y, Kishi K. MR imaging of epithelial cysts of the oral and maxillofacial region . Eur J Radiol 2003; 48 : 178-82. https://doi.org/10.1016/S0720-048X(02)00218-8
  8. Kaneda T. MR imaging of maxillomandibular lesions. Oral Radiol 2003; 19 : 64-9. https://doi.org/10.1007/BF02493293
  9. Ortega Garcia de Amezaga A, Garcia Arregui O, Zepeda Nuno S, Acha Sagredo A, Aguirre Urizar JM. Gorlin-Goltz syndrome: clinicopathologic aspects. Med Oral Patol Oral Cir Buccal 2008; 13 : E338-43.
  10. Lauria L, Curi MM, Chammas MC, Pinto DS, Torloni H. Ultrasonography evaluation of bone lesions of the jaw. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 82 : 351-7. https://doi.org/10.1016/S1079-2104(96)80365-9
  11. Bagewadi SB, VG M, Patil K. Ultrasonography of swellings in orofacial region. J Indian Acad Oral Med Radiol 2010; 22 : 18-26. https://doi.org/10.5005/jp-journals-10011-1004
  12. Sumer AP, Danaci M, Ozen Sandikci E, Sumer M, Celenk P. Ultrasonography and Doppler ultrasonography in the evaluation of intraosseous lesions of the jaws. Dentomaxillofac Radiol 2009; 38 : 23-7. https://doi.org/10.1259/dmfr/20664232
  13. Macdonald-Jankowski DS. Orthokeratinized odontogenic cyst: a systemic review. Dentomaxillofac Radiol 2010; 39 : 455-67. https://doi.org/10.1259/dmfr/19728573
  14. Philipsen HP. Keratocystic odontogenic tumour. In: Barnes L, Eveson JW, Reichart P, Sidransky D. World Health Organization classification of tumours. Pathology and genetics of head and neck tumours. Lyon: IARC; 2005. p. 306-7.
  15. Bolbaran V, Martinez B, Rojas R. Odontogenic keratocysts. A retrospective study of 285 cases (I. Clinical aspects). Med Oral 2000; 5 : 331-7.
  16. Bolbaran V, Martinez B, Rojas R. Odontogenic keratocysts. A retrospective study of 285 cases (II. Histopathological aspects). Med Oral 2000; 5 : 338-44.
  17. MacDonald-Jankowski DS. Keratocystic odontogenic tumour: systemic review. Dentomaxillofac Radiol 2011; 40 : 1-23. https://doi.org/10.1259/dmfr/29949053
  18. Crowley TE, Kaugars GE, Gunsolley JC. Odontogenic keratocysts: a clinical and histologic comparison of the parakeratin and orthokeratin variants. J Oral Maxillofac Surg 1992; 50 : 22-6. https://doi.org/10.1016/0278-2391(92)90187-5

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