Gorham disease of the mandible: radiographic findings and radiotherapy response.
Gorham disease, a rare condition of unknown etiology, is characterized histologically by bone disintegration and endothelial proliferation. We describe serial imaging findings, the treatment course, and radiotherapy response in a patient with pathologically confirmed Gorham disease involving the right mandible. Progressive mandibular resorption was managed initially with multiple surgical resections and reconstruction, followed by external-beam radiotherapy, which was an effective treatment method in this case. The patient's reconstructed mandible is functional and he is asymptomatic. Our literature review provides further insights regarding the clinical, radiologic, and pathologic behavior of this entity and examines the available treatment strategies.
Department of Radiation Oncology, University of Utah Medical Center and Huntsman Cancer Hospital, Salt Lake City, UT 84112-5560, USA.
Thomas B
TB
Skidmore
Christopher M
CM
Lee
Thomas M
TM
Abbott
Richard H
RH
Wiggins
Gregory E
GE
Anderson
Jonathan D
JD
Tward
Ying
Y
Hitchcock
D000328:Adult; D001707:Biopsy, Needle; D004307:Dose-Response Relationship, Radiation; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008336:Mandibular Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery; D010015:Osteolysis, Essential / Q000000981:diagnostic imaging* / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery; D011859:Radiography; D011879:Radiotherapy Dosage; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome