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加德纳综合征的结肠外表现:一例报告。

Extracolonic manifestations of Gardner syndrome: A case report.

作者信息

Blackwell McKenzie C, Thakkar Bhushan, Flores Andres, Zhang Wenjian

机构信息

Department of Surgical Sciences, East Carolina University School of Dental Medicine, Greenville, NC, USA.

Department of General Dentistry, East Carolina University School of Dental Medicine, Greenville, NC, USA.

出版信息

Imaging Sci Dent. 2023 Jun;53(2):169-174. doi: 10.5624/isd.20230006. Epub 2023 Mar 24.

Abstract

Gardner syndrome has head and neck manifestations that may be recognized during dental visits. Features such as multiple gnathic osteomas, impacted supernumerary teeth, and multiple foci of idiopathic osteosclerosis can be easily identified on dental radiographs, prompting the clinician to refer the patient for further investigation. A dental examination and routine radiographs play a vital role in revealing the extracolonic presentation of Gardner syndrome, which facilitates timely screening and detection of colorectal cancer and other malignancies associated with this condition. This report discusses the case of a 50-year-old Caucasian man who presented with a hard swelling of the left angle of the mandible and was diagnosed with Gardner syndrome based on abnormal findings from an oral examination, dental imaging, and medical and family history.

摘要

加德纳综合征有一些头颈部表现,在牙科就诊时可能会被发现。诸如多发性颌骨骨瘤、阻生多生牙以及特发性骨硬化的多个病灶等特征,在牙科X光片上很容易识别,这促使临床医生将患者转诊做进一步检查。牙科检查和常规X光片在揭示加德纳综合征的结肠外表现方面起着至关重要的作用,这有助于及时筛查和发现与该病症相关的结直肠癌及其他恶性肿瘤。本报告讨论了一名50岁白人男性的病例,该患者下颌左角出现硬性肿胀,根据口腔检查、牙科影像学以及病史和家族史的异常发现,被诊断为加德纳综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/308e/10315231/b274768815da/isd-53-169-g001.jpg

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