Gorlin-Goltz syndrome, also known as the basal cell naevus syndrome, is a rare phakomatosis characterised by multiple odontogenic keratocysts (KOT), multiple . Gorlin and Goltz’s eponymous syndrome, also known as nevoid basal cell carcinoma syndrome (NBCCS), is an autosomal dominant disorder. The Gorlin-Goltz syndrome (GGS) (the nevoid basal cell carcinoma syndrome— NBCCS) is a rare autosomal dominant syndrome caused due.

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Early diagnosis is essential for detection of clinical and radiological manifestations in young patients and for synfrome of advice concerning protection of the skin from sunlight. The chest radiograph showed a bifid fifth rib on the right side [ Figure 5 ]. Bilamellar calcification of the falx cerebri.

Introduction GGS, also known as nevoid basal cell carcinoma syndrome NBCCSis an infrequent multisystemic disease with an autosomal dominant trait, with a complete penetrance and variable expressivity, though sporadic cases syncrome been described [ 12 ].

As this condition requires early diagnosis to prevent clinical progression and complication, the onus for this often lies with the dental teams. The goflin of the swelling was 10 month and the growth was slow in nature.

Gorlin-Goltz Syndrome

The aggressive nature of odontogenic keratocyst: Abstract Gorlin-Goltz syndrome is an uncommon autosomal dominant inherited disorder, which is characterized by multiple odontogenic Keratocysts and basal cell carcinomas, skeletal, dental, ophthalmic, and neurological abnormalities, intracranial ectopic calcifications of the falx cerebri, and facial dysmorphism.

Location of gene for Gorlin syndrome. Small cysts can be enucleated, whereas large cysts can be marsupialized. Copy the following to cite this article: Ongoing surveillance as well as treatment for sequelae of Gorlin-Goltz syndrome GGS requires regular followups times a year or more to detect new odontogenic cysts and basal cell carcinomas that occur continuously [ 81011 ].

A diagnosis of Gorlin Goltz Syndrome was made. The first report of the syndrome was made in by Jarisch and White in a patient with multiple basal cell carcinomas, scoliosis, and learning disability.


The basal cell layer was cuboidal to columnar with well-polarized nuclei. Rai S, Gauba K. Dent Res J Isfahan.

Gorlin-Goltz syndrome

FZD4 Familial exudative vitreoretinopathy 1. Vismodegib significantly reduced the rate of appearance of new surgically eligible BCCs among patients with Gorlin-Goltz syndrome. The parents of the patient were examined and underwent radiological evaluation; neither of them had any features of the Gorlin-Goltz syndrome.

Multiple odontogenic keratocysts associated with Gorlin-Goltz syndrome. These swellings were present since birth. Kathmandu Univ Med J.

By using this site, you agree to the Terms of Use and Privacy Policy. Clinical photographs a, b and c and Intraoral Photograph d of patient. In the meanwhile the swelling had not increased in size and had no associated pain or discomfort.

Gorlin-Goltz syndrome – EyeWiki

Br J Oral Maxillofac Surg. As a result, uncontrolled proliferation of cells takes place. In our case the patient had multiple odontogenic keratocysts in the jaw,calcification of the falx cerebri, calcification of tentorium cerebri, expansile rib and scoliosis.

Lateral photograph shows the increased occipitofrontal circumference. Fig 5 These sgndrome confirmed those jaw cysts were odontogenic keratocysts.

Diagnosis, Gorlin-Goltz syndrome, odontogenic keratocyst. Golts Gorlin-Goltz syndrome goelin a well-known syndrome with a variety of findings in and outside the head and neck region.

The reports of the patient also revealed the presence of nabothian cyst in cervix. The present paper highlights the importance of diagnostic criteria and histopathology in early and prompt diagnosis which will lead to proper treatment and genetic counseling of the patient. A case of Gorlin-Goltz syndrome is presented here in which various findings of the syndrome are evident.

They should look for symptoms referable to other potentially involved systems: Ovarian tumors are usually benign with risk of recurrence. Considering the possibility of the Gorlin- Goltz syndrome, further evaluation was done with chest radiographs, which revealed an expansile right anterior 4 th rib.


This page was last modified on October 2,at Nevoid basal cell carcinoma syndrome Gorlin’s syndrome: Indian J Dermatol Venereol Leprol. We report here one such patient, diagnosed at a rural hospital. Am J Orthod Dentofacial Orthop. Gorlin-goltz syndrome Gorlin syndrome Basal cell nevus syndrome Basal cell naevus syndrome Bifid rib syndrome Nevoid basal cell carcinoma Naevoid basal cell carcinoma syndrome Nevoid basal cell carcinoma syndrome NBCCS.

Diagnosis is based upon established major and minor clinical and radiological criteria and ideally confirmed by deoxyribo nucleic acid analysis. More than minor criteria have been described. Fig 4 Basal layer of the lining epitheliumwas composed of palisading columnar cells. The histopathological examination of the enucleated tissue showed an odontogenic keratocyst on the right side [ Figure 6 ] and an odontogenic keratocyst with secondary infection on the left side.

GGS is a multidisciplinary problem, early diagnosis of which allows introduction of secondary prophylaxis and following an appropriate treatment to delay the progress of the syndrome. Three months back he was referred to a hospital but was refused treatment owing to medical risk Asthmatic.

Diagnosis of this syndrome is based on major and minor criteria.

Case Reports in Dentistry

It is important to establish an earlier diagnosis to prevent fatal consequences, due to multiple skin cancers and other tumors associated with the syndrome [ 8 ]. Clinical and genetic study in 22 patients with basal cell nevus syndrome. Gorlin-Goltz syndrome is an autosomal dominant disorder with a high penetrance and variable expressivity. The reported review revealed that, to date, there are only seven cases of the Gorlin-Goltz syndrome reported from India, out of which only two were from North India, [ 1011 ] and five were from South India.

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