Oral manifestations of hereditary nonpolyposis colorectal cancer syndrome: A family case series

被引:1
作者
Almeida F.T. [1 ]
Gomes R.R. [1 ]
Leite A.F. [1 ]
Sousa J.B. [2 ]
Acevedo A.C. [1 ]
Guerra E.N.S. [1 ]
机构
[1] Oral Care Center for Inherited Diseases, University Hospital of Brasilia, Faculty of Health Sciences, Brasilia
[2] Coloproctology Division, University Hospital of Brasilia, University of Brasilia (UNB), Brasilia
关键词
Dento-osseous anomalies; Fordyce granules; Hereditary nonpolyposis colorectal cancer;
D O I
10.1186/1752-1947-8-249
中图分类号
学科分类号
摘要
Introduction. Hereditary nonpolyposis colorectal cancer is a colorectal cancer syndrome characterized by the development of colorectal cancer and extracolonic tumors, and this syndrome has an autosomal dominant mode of inheritance. To our knowledge, our study was the first to find dento-osseous anomalies and the second to observe Fordyce granules in a family with individuals with hereditary nonpolyposis colorectal cancer. Case presentations. Twenty members of one Brazilian family with individuals with hereditary nonpolyposis colorectal cancer were analyzed according to the presence of colorectal cancer and the occurrence of Fordyce granules and dento-osseous anomalies. Their average age was 29.6 (range 7 to 53 years) years. Medical examinations of this family with hereditary nonpolyposis colorectal cancer were performed at the Coloproctology Division of our hospital. Then, all individuals were referred to our Oral Care Center for Inherited Diseases for intraoral examinations to verify the presence of Fordyce granules. Dental panoramic radiographs were done in order to describe dento-osseous anomalies on applying the Dental Panoramic Radiograph System. Of the 20 family members, four were diagnosed with hereditary nonpolyposis colorectal cancer and all four presented Fordyce granules in their upper lip, but only one of these four patients (Case 2) had a significant dento-osseous anomaly. Conclusions: Our familial study verified the presence of Fordyce granules in all individuals diagnosed with hereditary nonpolyposis colorectal cancer, and the presence of significant dento-osseous anomalies in one of these cases. However, the relationship between oral manifestations and hereditary nonpolyposis colorectal cancer should be further investigated. © 2014 Almeida et al.; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 24 条
  • [1] Jasperson K.W., Tuohy T.M., Neklason D.W., Burt R.W., Hereditary and familial colon cancer, Gastroenterology, 138, pp. 2044-2058, (2010)
  • [2] De La Chapelle A., Genetic predisposition to colorectal cancer, Nature Reviews Cancer, 4, 10, pp. 769-780, (2004)
  • [3] Ministry of Health - National Institute of Cancer - INCA
  • [4] Vasen H.F.A., Mecklin J.P., Meera Khan P., Lynch H.T., The International Collaborative Group on hereditary non-polyposis colorectal cancer (ICG-HNPCC), Dis Colon Rectum, 34, pp. 424-425, (1991)
  • [5] Vasen H.F.A., Watson P., Mecklin J.-P., Lynch H.T., New clinical criteria for hereditary nonpolyposis colorectal cancer (HNPCC, Lynch syndrome) proposed by the International Collaborative Group on HNPCC, Gastroenterology, 116, 6, pp. 1453-1456, (1999)
  • [6] Lynch H.T., De La Chapelle A., Hereditary colorectal cancer, New England Journal of Medicine, 348, 10, pp. 919-932, (2003)
  • [7] Lynch H.T., Lynch P.M., Lanspa S.J., Snyder C.L., Lynch J.F., Boland C.R., Review of the Lynch syndrome: History, molecular genetics, screening, differential diagnosis, and medicolegal ramifications, Clin Genet, 76, pp. 1-18, (2009)
  • [8] Da Silva F.C., De Oliveira L.P., Santos E.M., Nakagawa W.T., Aguiar Junior S., Valentin M.D., Rossi B.M., De Oliveira Ferreira F., Frequency of extracolonic tumors in Brazilian families with Lynch syndrome: Analysis of a hereditary colorectal cancer institutional registry, Fam Cancer, 9, pp. 563-570, (2010)
  • [9] De Felice C., Latini G., Bianciardi G., Parrini S., Fadda G.M., Marini M., Laurini R.N., Kopotic R.J., Abnormal vascular network complexity: A new phenotypic marker in hereditary non-polyposis colorectal cancer syndrome, Gut, 52, 12, pp. 1764-1767, (2003)
  • [10] De Felice C., Parrini S., Chitano G., Gentile M., Dipaola L., Latini G., Fordyce granules and hereditary non-polyposis colorectal cancer syndrome, Gut, 54, 9, pp. 1279-1282, (2005)