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Gorlin-Goltz syndrome and neoplasms: a case study
Authors:Lopes Nilza N F  Caran Eliana M  Lee Maria Lucia  Silva Nasjla Saba  Rocha André Caroli  Macedo Carla R D
Institution:Pediatric Oncology Institute--GRAACC, Medical School of S?o Paulo, Federal University of S?o Paulo, SP, Brazil. nnflopes@terra.com.br
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.
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