Central giant cell lesions with an unusual behavior in patient with Noonan syndrome: A case report with 8-year follow-up
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/11563 |
Resumo: | This study describes a patient with Noonan syndrome affected by multiple Central Giant Cell Lesions (CGCL) in jaws. The lesions presented an unusual behavior since there was no regression size after puberty. The syndrome was diagnosed by collecting clinical information, represented by ocular hypertelorism, low insertion of ears, pulmonary stenosis, cryptorchidism, cardiac abnormalities, short stature, multiple CGCL in the jaws, and blood analysis that found a mutation of the PTPN11 gene. The treatment consisted of systemic calcitonin for a period of 14 months and three surgical procedures at distinct moments. The patient is currently with 20 years and in the eighth-year of follow-up. Although he presented an improvement in deformity, radiological findings showed remodeling without resolution of mandibular injuries, making it clear that injuries will did not always regress after puberty and not confirm previously publications in the literature. We therefore advocate a larger time of follow-up before patient discharge in these cases. |
id |
UNIFEI_9e522bfe1c058f6308567221944199a8 |
---|---|
oai_identifier_str |
oai:ojs.pkp.sfu.ca:article/11563 |
network_acronym_str |
UNIFEI |
network_name_str |
Research, Society and Development |
repository_id_str |
|
spelling |
Central giant cell lesions with an unusual behavior in patient with Noonan syndrome: A case report with 8-year follow-up Lesiones centrales de células gigantes con comportamiento inusual en un paciente con síndrome de Noonan: reporte de un caso con 8 años de seguimiento Lesões Centrais de Células Gigantes com comportamento incomum em paciente com Síndrome de Noonan: Um relato de caso com 8 anos de acompanhamentoGranuloma de células gigantesSíndrome de NoonanTerapia combinadaCalcitonina.Granuloma de células gigantesSíndrome de NoonanTratamiento multimodalCalcitonina.Giant cell granulomaNoonan syndromeMultimodal treatmentCalcitonin.This study describes a patient with Noonan syndrome affected by multiple Central Giant Cell Lesions (CGCL) in jaws. The lesions presented an unusual behavior since there was no regression size after puberty. The syndrome was diagnosed by collecting clinical information, represented by ocular hypertelorism, low insertion of ears, pulmonary stenosis, cryptorchidism, cardiac abnormalities, short stature, multiple CGCL in the jaws, and blood analysis that found a mutation of the PTPN11 gene. The treatment consisted of systemic calcitonin for a period of 14 months and three surgical procedures at distinct moments. The patient is currently with 20 years and in the eighth-year of follow-up. Although he presented an improvement in deformity, radiological findings showed remodeling without resolution of mandibular injuries, making it clear that injuries will did not always regress after puberty and not confirm previously publications in the literature. We therefore advocate a larger time of follow-up before patient discharge in these cases.Este artículo describe un caso clínico de un paciente con síndrome de Noonan afectado por múltiplas lesiones centrales de células gigantes (LCCG) en los maxilares. Las lesiones exhibieron un comportamiento inusual ya que no hubo regresión de tamaño después de la pubertad. El síndrome se diagnosticó mediante la recolección de datos clínicos, incluyendo hipertelorismo ocular, inserción baja del oído, estenosis pulmonar, criptorquidia, anomalías cardíacas, baja estatura, múltiples LCCG en los maxilares y hallazgo de una mutación del gen PTPN11. El tratamiento consistió en calcitonina sistémica por un período de 14 meses y tres procedimientos quirúrgicos en diferentes momentos. Actualmente el paciente tiene 20 años y se encuentra en el octavo año de procervación. Aunque se observó mejora de la deformidad, los hallazgos radiológicos exhibieron remodelación sin resolución de las lesiones mandibulares, dejando claro que, al contrario de lo que prevalece en la literatura, las lesiones no siempre sufren regresión después de la pubertad. Por lo tanto, abogamos por un largo período de procervación antes de que estos pacientes sean dados de alta.Este trabalho descreve um relato de caso de paciente com síndrome de Noonan afetado por múltiplas Lesões Centrais de Células Gigantes (LCCG) nos maxilares. As lesões apresentaram um comportamento incomum desde que não houve regressão do tamanho após a puberdade. A síndrome foi diagnóstica por coleta de dados clínicos, representados por hipertelorismo ocular, baixa inserção das orelhas, estenose pulmonar, criptorquidismo, anormalidades cardíacas, baixa estatura, múltiplas LCCG nos maxilares e análise sanguínea que encontrou uma mutação do gene PTPN11. O tratamento consistiu no uso de calcitonina sistêmica por um período de 14 meses e três procedimentos cirúrgicos em momentos distintos. O paciente está atualmente com 20 anos de idade e no oitavo ano de acompanhamento. Embora ele tenha apresentado uma melhora na deformidade, achados radiológicos mostraram remodelamento sem resolução das lesões mandibulares, deixando claro que as lesões não regridem sempre após a puberdade e não confirmam as publicações anteriores na literatura. Desta forma, nós defendemos um grande período de acompanhamento antes da alta destes pacientes.Research, Society and Development2021-01-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1156310.33448/rsd-v10i1.11563Research, Society and Development; Vol. 10 No. 1; e13510111563Research, Society and Development; Vol. 10 Núm. 1; e13510111563Research, Society and Development; v. 10 n. 1; e135101115632525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/11563/10331Copyright (c) 2021 Gleysson Matias de Assis; Marcelo Leite Machado da Silveira; José Wittor de Macêdo Santos; Humberto Pereira Chaves Neto; Lucas Melo da Costa; Sérgio Ricardo Fernandes de Araújo; Márcia Cristina da Costa Miguel; Adriano Rocha Germanohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAssis, Gleysson Matias deSilveira, Marcelo Leite Machado daSantos, José Wittor de MacêdoChaves Neto, Humberto Pereira Costa, Lucas Melo daAraújo, Sérgio Ricardo Fernandes deMiguel, Márcia Cristina da CostaGermano, Adriano Rocha2021-02-20T21:19:23Zoai:ojs.pkp.sfu.ca:article/11563Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:33:21.329801Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Central giant cell lesions with an unusual behavior in patient with Noonan syndrome: A case report with 8-year follow-up Lesiones centrales de células gigantes con comportamiento inusual en un paciente con síndrome de Noonan: reporte de un caso con 8 años de seguimiento Lesões Centrais de Células Gigantes com comportamento incomum em paciente com Síndrome de Noonan: Um relato de caso com 8 anos de acompanhamento |
title |
Central giant cell lesions with an unusual behavior in patient with Noonan syndrome: A case report with 8-year follow-up |
spellingShingle |
Central giant cell lesions with an unusual behavior in patient with Noonan syndrome: A case report with 8-year follow-up Assis, Gleysson Matias de Granuloma de células gigantes Síndrome de Noonan Terapia combinada Calcitonina. Granuloma de células gigantes Síndrome de Noonan Tratamiento multimodal Calcitonina. Giant cell granuloma Noonan syndrome Multimodal treatment Calcitonin. |
title_short |
Central giant cell lesions with an unusual behavior in patient with Noonan syndrome: A case report with 8-year follow-up |
title_full |
Central giant cell lesions with an unusual behavior in patient with Noonan syndrome: A case report with 8-year follow-up |
title_fullStr |
Central giant cell lesions with an unusual behavior in patient with Noonan syndrome: A case report with 8-year follow-up |
title_full_unstemmed |
Central giant cell lesions with an unusual behavior in patient with Noonan syndrome: A case report with 8-year follow-up |
title_sort |
Central giant cell lesions with an unusual behavior in patient with Noonan syndrome: A case report with 8-year follow-up |
author |
Assis, Gleysson Matias de |
author_facet |
Assis, Gleysson Matias de Silveira, Marcelo Leite Machado da Santos, José Wittor de Macêdo Chaves Neto, Humberto Pereira Costa, Lucas Melo da Araújo, Sérgio Ricardo Fernandes de Miguel, Márcia Cristina da Costa Germano, Adriano Rocha |
author_role |
author |
author2 |
Silveira, Marcelo Leite Machado da Santos, José Wittor de Macêdo Chaves Neto, Humberto Pereira Costa, Lucas Melo da Araújo, Sérgio Ricardo Fernandes de Miguel, Márcia Cristina da Costa Germano, Adriano Rocha |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Assis, Gleysson Matias de Silveira, Marcelo Leite Machado da Santos, José Wittor de Macêdo Chaves Neto, Humberto Pereira Costa, Lucas Melo da Araújo, Sérgio Ricardo Fernandes de Miguel, Márcia Cristina da Costa Germano, Adriano Rocha |
dc.subject.por.fl_str_mv |
Granuloma de células gigantes Síndrome de Noonan Terapia combinada Calcitonina. Granuloma de células gigantes Síndrome de Noonan Tratamiento multimodal Calcitonina. Giant cell granuloma Noonan syndrome Multimodal treatment Calcitonin. |
topic |
Granuloma de células gigantes Síndrome de Noonan Terapia combinada Calcitonina. Granuloma de células gigantes Síndrome de Noonan Tratamiento multimodal Calcitonina. Giant cell granuloma Noonan syndrome Multimodal treatment Calcitonin. |
description |
This study describes a patient with Noonan syndrome affected by multiple Central Giant Cell Lesions (CGCL) in jaws. The lesions presented an unusual behavior since there was no regression size after puberty. The syndrome was diagnosed by collecting clinical information, represented by ocular hypertelorism, low insertion of ears, pulmonary stenosis, cryptorchidism, cardiac abnormalities, short stature, multiple CGCL in the jaws, and blood analysis that found a mutation of the PTPN11 gene. The treatment consisted of systemic calcitonin for a period of 14 months and three surgical procedures at distinct moments. The patient is currently with 20 years and in the eighth-year of follow-up. Although he presented an improvement in deformity, radiological findings showed remodeling without resolution of mandibular injuries, making it clear that injuries will did not always regress after puberty and not confirm previously publications in the literature. We therefore advocate a larger time of follow-up before patient discharge in these cases. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-05 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/11563 10.33448/rsd-v10i1.11563 |
url |
https://rsdjournal.org/index.php/rsd/article/view/11563 |
identifier_str_mv |
10.33448/rsd-v10i1.11563 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/11563/10331 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 1; e13510111563 Research, Society and Development; Vol. 10 Núm. 1; e13510111563 Research, Society and Development; v. 10 n. 1; e13510111563 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
_version_ |
1797052667964424192 |