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Gardner Syndrome Showing Multiple Osteomas in the Jaws

  • Kim, Yongsoo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Lee, Sun Jae (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Baek, Jin-A (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Ko, Seung-O (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University)
  • Received : 2013.07.29
  • Accepted : 2013.11.26
  • Published : 2013.11.30

Abstract

Gardner syndrome, an autosomal dominant inherited condition, is a subtype of familial adenomatous polyposis. It causes lesions in bones, skin, and teeth, as well as multiple gastrointestinal polyps, which, if left untreated, become malignant. Because patients with colorectal cancer have a low survival rate, early diagnosis and treatment of Gardner syndrome is critical. Therefore, the characteristic lesions of Gardner disease that appear on the face, jaws, and oral cavity must be understood; these can be evaluated by oral and maxillofacial clinicians. This report describes a case that was diagnosed and treated earlier with the help of a routine oral and maxillofacial examination and has had a seemingly good prognosis so far.

Keywords

References

  1. Chi AC. Bone pathology. In: Neville BW, Damm DD, Allen CM, Bouquot JE, editors. Oral and maxillofacial pathology. St.Louis: Saunders/Elsevier; 2009. p.613-77.
  2. Lee YC, Kim NK, Baik SH, Lee KY, Sohn SK, Cho CH. Clinical analysis of 40 patients with familial adenomatous polyposis (FAP). J Korean Soc Coloproctol 2006;22:24-8.
  3. Boffano P, Bosco GF, Gerbino G. The surgical management of oral and maxillofacial manifestations of Gardner syndrome. J Oral Maxillofac Surg 2010;68:2549-54. https://doi.org/10.1016/j.joms.2009.09.084
  4. Devic A, Bussy MM. Un cas de polypose adenomateuse generalisee autour de intestine. Arch Mal Appar Dig 1912;6: 278-99.
  5. Gardner EJ, Richards RC. Multiple cutaneous and subcutaneous lesions occurring simultaneously with hereditary polyposis and osteomatosis. Am J Hum Genet 1953;5:139-47.
  6. Gardner EJ. Follow-up study of a family group exhibiting dominant inheritance for a syndrome including intestinal polyps, osteomas, fibromas and epidermal cysts. Am J Hum Genet 1962;14:376-90.
  7. Madani M, Madani F. Gardner's syndrome presenting with dental complaints. Arch Iran Med 2007;10:535-9.
  8. Ascari-Raccagni A, Baldari U, Righini MG. Cutaneous symptoms of Gardner's syndrome. J Eur Acad Dermatol Venereol 1999;12:80-1.
  9. Park JG, Park, KJ, Won CK, et al. Polyposis coli syndrome in Koreans (1990): Korean polyposis registry. J Korean Soc Coloproctol 1991;7:1-13.
  10. Fonseca LC, Kodama NK, Nunes FC, et al. Radiographic assessment of Gardner's syndrome. Dentomaxillofac Radiol 2007;36:121-4. https://doi.org/10.1259/dmfr/18554322
  11. Jeon HS, Lee MH, Jung HS, Lee DG, Kim SG, Cho BO. Multiple central osteoma of the mandible: report of a case. J Korean Assoc Maxillofac Plast Reconstr Surg 2002;24:348-50.
  12. Ida M, Nakamura T, Utsunomiya J. Osteomatous changes and tooth abnormalities found in the jaw of patients with adenomatosis coli. Oral Surg Oral Med Oral Pathol 1981;52: 2-11. https://doi.org/10.1016/0030-4220(81)90164-X
  13. Lew D, DeWitt A, Hicks RJ, Cavalcanti MG. Osteomas of the condyle associated with Gardner's syndrome causing limited mandibular movement. J Oral Maxillofac Surg 1999;57:1004-9. https://doi.org/10.1016/S0278-2391(99)90026-5
  14. Kim IK, Kim HJ, Choi JH, Chang KS, Oh NS. Central osteoma on the jaw bone: case report. J Korean Assoc Maxillofac Plast Reconstr Surg 2002;24:76-80.
  15. Takeuchi T, Takenoshita Y, Kubo K, Iida M. Natural course of jaw lesions in patients with familial adenomatosis coli (Gardner's syndrome). Int J Oral Maxillofac Surg 1993;22:226-30. https://doi.org/10.1016/S0901-5027(05)80641-1
  16. Ramaglia L, Morgese F, Filippella M, Colao A. Oral and maxillofacial manifestations of Gardner's syndrome associated with growth hormone deficiency: case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103: e30-4.
  17. Tomoda C, Miyauchi A, Uruno T, et al. Cribriform-morular variant of papillary thyroid carcinoma: clue to early detection of familial adenomatous polyposis-associated colon cancer. World J Surg 2004;28:886-9. https://doi.org/10.1007/s00268-004-7475-4
  18. Gayther SA, Wells D, SenGupta SB, et al. Regionally clustered APC mutations are associated with a severe phenotype and occur at a high frequency in new mutation cases of adenomatous polyposis coli. Hum Mol Genet 1994;3:53-6. https://doi.org/10.1093/hmg/3.1.53
  19. Wijn MA, Keller JJ, Giardiello FM, Brand HS. Oral and maxillofacial manifestations of familial adenomatous polyposis. Oral Dis 2007;13:360-5. https://doi.org/10.1111/j.1601-0825.2006.01293.x