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Gorlin Syndrome
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MedPix Image - MedPix Case
Affiliation: Brooke Army Medical Center
ABSTRACT
Diagnosis: Gorlin Syndrome History: 51 yo female injured right index finger. Review of prior studies and labs revealed diagnosis. Findings: Hands: Multiple well circumscribed elongated (flame shaped) cortical lucencies throughout both hands. Nondisplaced fracture at the base of the right second proximal phalanx. Foot: Healed fractures of the second/third metatarsals. Multiple lucencies of hindfoot and distal tibia/fibula. Bone Scan: Multiple areas of focal increased and decreased uptake. Increased uptake along the falx cerebri. Head CT: Calcifications along the falx and tentorium. Ddx: Differential Diagnosis of Multiple Lytic Lesions: Fibrous Dysplasia, Metastases, Myeloma, Osteoporosis, Disseminated Osteomyelitis, Hyperparathyroidism, Gorlin Syndrome. Dxhow: Multiple biopsies diagnosed as Basal Cell Carcinoma Also meets several of the major and minor diagnostic criteria. (See Factoid) Exam: Multiple skin biopsies diagnosed as Basal Cell Carcinoma No MeSH data available. |
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MPX2007_synpic18257: Multiple well circumscribed elongated (flame shaped) cortical lucencies throughout the hand. Nondisplaced fracture at the base of the second proximal phalanx. |
View Article: MedPix Image - MedPix Case
Affiliation: Brooke Army Medical Center
Diagnosis: Gorlin Syndrome
History: 51 yo female injured right index finger. Review of prior studies and labs revealed diagnosis.
Findings: Hands: Multiple well circumscribed elongated (flame shaped) cortical lucencies throughout both hands. Nondisplaced fracture at the base of the right second proximal phalanx. Foot: Healed fractures of the second/third metatarsals. Multiple lucencies of hindfoot and distal tibia/fibula. Bone Scan: Multiple areas of focal increased and decreased uptake. Increased uptake along the falx cerebri. Head CT: Calcifications along the falx and tentorium.
Ddx: Differential Diagnosis of Multiple Lytic Lesions: Fibrous Dysplasia, Metastases, Myeloma, Osteoporosis, Disseminated Osteomyelitis, Hyperparathyroidism, Gorlin Syndrome.
Dxhow: Multiple biopsies diagnosed as Basal Cell Carcinoma Also meets several of the major and minor diagnostic criteria. (See Factoid)
Exam: Multiple skin biopsies diagnosed as Basal Cell Carcinoma
No MeSH data available.
