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Imaging findings in a case of Gorlin-Goltz syndrome: a survey using advanced modalities

Imaging Science in Dentistry 2011³â 41±Ç 4È£ p.171 ~ 175
Pegah Bronoosh, Ali Reza Shakibafar, Maneli Houshyar, Shima Nafarzade,
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 ( Pegah Bronoosh ) - Shiraz University of Medical Sciences Dental School Department of Oral Radiology
 ( Ali Reza Shakibafar ) - TABA Medical Imaging Center
 ( Maneli Houshyar ) - Shiraz University of Medical Sciences Dental School Department of Oral Radiology
 ( Shima Nafarzade ) - Babol Dental School Oral Pathology Department

Abstract


Gorlin-Goltz syndrome is an infrequent multi-systemic disease which is characterized by multiple keratocysts in the jaws, calcification of falx cerebri, and basal cell carcinomas. We report a case of Gorlin-Goltz syndrome in a 23-year-old man with emphasis on image findings of keratocyctic odontogenic tumors (KCOTs) on panoramic radiograph, computed tomography, magnetic resonance (MR) imaging, and Ultrasonography (US). In this case, pericoronal lesions were mostly orthokeratinized odontogenic cyst (OOC) concerning the MR and US study, which tended to recur less. The aim of this report was to clarify the characteristic imaging features of the syndrome-related keratocysts that can be used to differentiate KCOT from OOC. Also, our findings suggested that the recurrence rate of KCOTs might be predicted based on their association to teeth.

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Gorlin-Goltz syndrome; Tomography; X-Ray Computed; Magnetic Resonance Imaging; Ultrasonography

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