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.
Skidmore
Thomas B
TB
Department of Radiation Oncology, University of Utah Medical Center and Huntsman Cancer Hospital, Salt Lake City, UT 84112-5560, USA.
Lee
Christopher M
CM
Abbott
Thomas M
TM
Wiggins
Richard H
RH
Anderson
Gregory E
GE
Tward
Jonathan D
JD
Hitchcock
Ying
Y
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