Gorlin syndrome: Importance of clinical signs and danger of delayed diagnosis - A case report with eight years follow-up

Nevoid basal cell carcinoma (NBCCS) or Gorlin-Goltz syndrome (GS) is a multidisciplinary problem, the early diagnosis of which allows secondary prophylaxis that follows an appropriate regimen to delay progression of the syndrome. The aim of this study was to present a case of delayed diagnosis of GS...

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Main Authors: Erica Dorigatti de-Avila, Rafael Scaf de-Molon, Mario Francisco Real Gabrielli, Eduardo Hochuli-Vieira, Marisa Aparecida Cabrini Gabrielli
Format: Article
Language:English
Published: GESDAV 2015-02-01
Series:Archives of Clinical and Experimental Surgery
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=43373
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author Erica Dorigatti de-Avila
Rafael Scaf de-Molon
Mario Francisco Real Gabrielli
Eduardo Hochuli-Vieira
Marisa Aparecida Cabrini Gabrielli
author_facet Erica Dorigatti de-Avila
Rafael Scaf de-Molon
Mario Francisco Real Gabrielli
Eduardo Hochuli-Vieira
Marisa Aparecida Cabrini Gabrielli
author_sort Erica Dorigatti de-Avila
collection DOAJ
description Nevoid basal cell carcinoma (NBCCS) or Gorlin-Goltz syndrome (GS) is a multidisciplinary problem, the early diagnosis of which allows secondary prophylaxis that follows an appropriate regimen to delay progression of the syndrome. The aim of this study was to present a case of delayed diagnosis of GS in a young patient who received multidisciplinary treatment 5 years after onset. The patient presented for evaluation with painless swelling of the left maxilla. Histological examination confirmed the diagnosis of a keratocyst odontogenic tumor (KOT) that was enucleated. On presentation, the patient's symptoms and clinical signs were not related to complications of GS, and the possibility of GS was initially rejected, as he did not have a family history of the syndrome. Four years after the first surgery to remove the lesion, the patient came to our clinic with a brown, pigmented lesion. Computed tomography revealed ectopic lamellar calcification of the falx cerebri, which was the conclusive factor for the diagnosis of GS. It is important that clinicians recognize the clinical signs of GS, which mainly manifests itself as multiple basal cell carcinomas in the skin. [Arch Clin Exp Surg 2015; 4(1.000): 49-53]
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spelling doaj.art-636dc70b4d454f91a540d22822db68792023-02-15T16:15:55ZengGESDAVArchives of Clinical and Experimental Surgery2146-81332015-02-0141495310.5455/aces.2014010803404443373Gorlin syndrome: Importance of clinical signs and danger of delayed diagnosis - A case report with eight years follow-upErica Dorigatti de-Avila0Rafael Scaf de-Molon1Mario Francisco Real Gabrielli2Eduardo Hochuli-Vieira3Marisa Aparecida Cabrini Gabrielli4Univ Estadual Paulista - UNESP Univ Estadual Paulista - UNESP Univ Estadual Paulista - UNESP Univ Estadual Paulista - UNESP Univ Estadual Paulista - UNESPNevoid basal cell carcinoma (NBCCS) or Gorlin-Goltz syndrome (GS) is a multidisciplinary problem, the early diagnosis of which allows secondary prophylaxis that follows an appropriate regimen to delay progression of the syndrome. The aim of this study was to present a case of delayed diagnosis of GS in a young patient who received multidisciplinary treatment 5 years after onset. The patient presented for evaluation with painless swelling of the left maxilla. Histological examination confirmed the diagnosis of a keratocyst odontogenic tumor (KOT) that was enucleated. On presentation, the patient's symptoms and clinical signs were not related to complications of GS, and the possibility of GS was initially rejected, as he did not have a family history of the syndrome. Four years after the first surgery to remove the lesion, the patient came to our clinic with a brown, pigmented lesion. Computed tomography revealed ectopic lamellar calcification of the falx cerebri, which was the conclusive factor for the diagnosis of GS. It is important that clinicians recognize the clinical signs of GS, which mainly manifests itself as multiple basal cell carcinomas in the skin. [Arch Clin Exp Surg 2015; 4(1.000): 49-53]http://www.scopemed.org/fulltextpdf.php?mno=43373Basal cell nevus syndromeGorlin syndromekeratocyst odontogenic tumor
spellingShingle Erica Dorigatti de-Avila
Rafael Scaf de-Molon
Mario Francisco Real Gabrielli
Eduardo Hochuli-Vieira
Marisa Aparecida Cabrini Gabrielli
Gorlin syndrome: Importance of clinical signs and danger of delayed diagnosis - A case report with eight years follow-up
Archives of Clinical and Experimental Surgery
Basal cell nevus syndrome
Gorlin syndrome
keratocyst odontogenic tumor
title Gorlin syndrome: Importance of clinical signs and danger of delayed diagnosis - A case report with eight years follow-up
title_full Gorlin syndrome: Importance of clinical signs and danger of delayed diagnosis - A case report with eight years follow-up
title_fullStr Gorlin syndrome: Importance of clinical signs and danger of delayed diagnosis - A case report with eight years follow-up
title_full_unstemmed Gorlin syndrome: Importance of clinical signs and danger of delayed diagnosis - A case report with eight years follow-up
title_short Gorlin syndrome: Importance of clinical signs and danger of delayed diagnosis - A case report with eight years follow-up
title_sort gorlin syndrome importance of clinical signs and danger of delayed diagnosis a case report with eight years follow up
topic Basal cell nevus syndrome
Gorlin syndrome
keratocyst odontogenic tumor
url http://www.scopemed.org/fulltextpdf.php?mno=43373
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