PDF | Familial gigantiform cementoma is an exceedingly rare but distinct subtype of cemento-osseous-fibrous lesion. Undocumented. Very few cases of gigantiform cementoma have been reported, and those associated with a positive family history are especially rare. Confusion exists about the. Familial gigantiform cementoma is a rare benign fibrocemento-osseous lesion of the jaws that can cause severe facial deformity. It has an.

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The most famous case is of Novemthree Siahaan who died on September 15,a young Indonesian boy from Batam Island who received medical care in Haulien, Taiwan through a Buddhist missionary from the Tzu Chi Foundationwhich was documented on the Discovery Health Channel.

The sharp contrast of CT images between densely bony deposits in FGC lesion and the radiolucent low-density images confirmed our hypothesis that both maxilla and mandible of FGC shared unevenly and favorable distribution of calcium deposits in the general calcium metabolism of whole body.

Besides, his pelvis was also considered to be susceptible to fractures because both cortical and trabecular bones were undergoing a progeric gigajtiform osteopenic conversion signifying an unexpected calcium loss. Familial gigantiform cementoma with brittle bone disease, pathologic fractures, and osteosarcoma: Besides, it follows an autosomal dominant inheritance pattern with divergent phenotypic expression. Topics Discussed in This Paper.

Familial Gigantiform Cementoma

iggantiform By clicking accept or continuing to use the site, you agree to the terms outlined in our Privacy PolicyTerms of Serviceand Dataset License. Clinical Synopsis Toggle Dropdown. The disorder appears to occur mainly in asymptomatic black females with a mean age of onset of 42 years. It affects mostly Caucasian people under the age of Nevertheless, in terms of his description, the progression of disease and related underlying causes has not been clarified.


His chief concern was dysmasesis and dysphagia caused by a protuberant mandible since 10 years old.

The ethical approval was granted by the Institutional Clinical Research Supervision Committee of our hospital. The feasibility of using fibular flaps was ruled out in view of his unfortunate history of frequent lower-extremity fractures. For sake of differential diagnosis with hyperparathyroidism-jaw tumor HPT-JT syndrome, 4 several laboratory analyses, cemengoma included serum parathyroid hormone PTHphosphate levels, calcium levels, and alkaline phosphatase ALP activity, were undertaken accordingly.

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By using this site, you agree to the Terms of Use and Privacy Policy. His previous surgical history was remarkable and extensive. They found no definite evidence of familial occurrence. Articles lacking sources from December All articles lacking gigantifirm Infobox medical condition All stub articles.

E Postoperative panorex X-ray showed vascularized iliac bone flap for reconstruction. There was a presumably affected male in an earlier generation who had an affected son. Clinicopathologic presentation of 3 cases. Florid osseous dysplasia, which is histologically similar, may be distinct. J Neurosurg Pediatr ; 7: They observed the disorder in a mother, 2 of her daughters, and a son.

Skip to search form Skip to main content. However, extragnathic presentations of FGC in patients have often been neglected, owing in part to rarity of this disease. Admittedly, not every FGC case will present such evident array of disorganized conditions.


Gigantiform cementoma in a child.

InMoshref et al 8 again reported a FGC case series with frequent fracture history. Large vascular malformation in a child presenting with vascular steal phenomenon managed with pial synangiosis.


Circumstantial evidence and thorough reasoning were presented in his article for differential diagnosis with other easily mistaken diseases, such as Paget disease, cemento-ossifying fibromas and osteogenesis imperfecta. Citations Publications citing this paper. As far as our knowledge is concerned, this pathognomonic trait thus necessitates timely and appropriate surgical treatment to prevent these terrible clinical scenarios from spinning out of control.

Among all the reports available, Rossbach et al 3 was the first to postulate the correlation of a brittle bone disorder with FGC. Panoramic radiography showing periapical lesions and missing teeth. Dentomaxillofac Radiol ; According to the latest World Health Organization WHO classification of cemento-osseous dysplasias CODsFGC is generally characterized by rapid osseous expansion involving all 4 jaw quadrants with predilection for young patients.

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