Şereflican Betül, Tuman Bengü, Şereflican Murat, Halıcıoğlu Sıddıka, Özyalvaçlı Gülzade, Bayrak Seval
Department of Dermatological and Veneral Diseases, Abant İzzet Baysal University Faculty of Medicine, Bolu, Turkey.
Department of Otolaryngology, Abant İzzet Baysal University Faculty of Medicine, Bolu, Turkey.
Turk Pediatri Ars. 2017 Sep 1;52(3):173-177. doi: 10.5152/TurkPediatriArs.2017.2992. eCollection 2017 Sep.
Gorlin-Goltz syndrome is a rare multisystemic disease inherited in an autosomal dominant pattern. It is characterized by numerous basal cell carcinoma of the skin, jaw cysts, and skeletal anomalies such as frontal bossing, vertebral anomalies, palmoplantar pits, and falx cerebri calcification. There is a tendency to tumors including medullablastoma, fibroma, rabdomyoma, leiomyosarcoma etc.. The diagnosis is based on major and minor clinical and radiologic criteria. Early diagnosis and treatment are of utmost importance in reducing the severity of long-term sequelae of this syndrome. In this article, we present a 15-year-old boy who was admitted to our clinic with brown-black papules and plaques on his scalp and was thought to have Gorlin-Goltz syndrome. He had a history of medulloblastoma that was treated with surgical resection followed by cranial radiotherapy and unilateral retinoblastoma. We present this case, because association of Gorlin-Goltz syndrome and retinoblastoma has not been described previously in the literature and we aimed to draw attention to radiation-induced basal cell carcinomas.
戈林-戈尔茨综合征是一种罕见的多系统疾病,以常染色体显性模式遗传。其特征为皮肤出现大量基底细胞癌、颌骨囊肿以及骨骼异常,如额部隆突、椎体异常、掌跖凹陷和大脑镰钙化。还易患包括髓母细胞瘤、纤维瘤、横纹肌瘤、平滑肌肉瘤等在内的肿瘤。诊断基于主要和次要的临床及放射学标准。早期诊断和治疗对于减轻该综合征长期后遗症的严重程度至关重要。在本文中,我们介绍一名15岁男孩,他因头皮出现棕黑色丘疹和斑块入住我院,被怀疑患有戈林-戈尔茨综合征。他有髓母细胞瘤病史,接受过手术切除,随后进行了颅脑放疗,还患有单侧视网膜母细胞瘤。我们呈现此病例,是因为戈林-戈尔茨综合征与视网膜母细胞瘤的关联此前在文献中未曾描述,我们旨在引起对辐射诱发基底细胞癌的关注。