DIAGNOSIS OF GORLIN-GOLTZ SYNDROME: CLINCIAL CASE REPORT

Abstract

The diagnosis of Gorlin-Goltz syndrome involves clinical, radiographic, and histopathological aspects. Computed tomography contributes to the evaluation of the characteristics, to the extension of cystic lesions, and to the diagnosis of signs, such as calcifications in the falx cerebri. A 22-year-old male presented a complaint of halitosis. Upon extraoral examination, a slight increase in volume in the lower third of the right face, suggestive of a cystic lesion in the soft tissue, and a scar on the skin of the nasolabial region, were noted. Tomographic imaging revealed hypodense lesions involving impacted teeth, two in the maxilla (with extension to the maxillary sinuses) and two in the mandible. The intraosseous lesions underwent biopsy, and the histopathological findings were consistent with keratocysts. Intracranial calcifications were also detected. Additionally, an anatomical alteration of the incisive foramen and nasal cavity was identified. Basal cell carcinomas were not observed. The patient is undergoing follow-up. The diagnosis of Gorlin-Goltz syndrome involves clinical, radiographic, and histopathological aspects. Computed tomography contributes to the evaluation of the characteristics, to the extension of cystic lesions, and to the diagnosis of signs, such as calcifications in the falx cerebri. A 22-year-old male presented a complaint of halitosis. Upon extraoral examination, a slight increase in volume in the lower third of the right face, suggestive of a cystic lesion in the soft tissue, and a scar on the skin of the nasolabial region, were noted. Tomographic imaging revealed hypodense lesions involving impacted teeth, two in the maxilla (with extension to the maxillary sinuses) and two in the mandible. The intraosseous lesions underwent biopsy, and the histopathological findings were consistent with keratocysts. Intracranial calcifications were also detected. Additionally, an anatomical alteration of the incisive foramen and nasal cavity was identified. Basal cell carcinomas were not observed. The patient is undergoing follow-up.