Gardner syndrome is one of the polyposis syndromes. It is characterized by:
- familial adenopolyposis
- multiple osteomas: especially of the mandible, skull, and long bones
- epidermal cysts
- desmoid tumors of mesentery and anterior abdominal wall
Other abnormalities include:
- supernumerary teeth and odontomas 4
- duodenal tumors / ampullary carcinoma 2,3
- papillary thyroid carcinoma
There is an autosomal dominant inheritance in the FAP gene (chromosome 5q) in a majority of patients but with 20% of cases resulting from new mutations. Extracolonic features often precede the diagnosis of colonic polyps.
History and etymology
First described in 1953 by Gardner and Richards 3.
- 1. Robbins SL, Kumar V, Abbas AK et-al. Robbins and Cotran pathologic basis of disease. W.B. Saunders Company. (2010) ISBN:1416031219. Read it at Google Books - Find it at Amazon
- 2. Hirokawa M, Manabe T, Hino K. Ampullary carcinoma in Gardner's syndrome: case report. Jpn. J. Clin. Oncol. 1988;18 (1): 43-50. Jpn. J. Clin. Oncol. (link) - Pubmed citation
- 3. Newman CA, Reuther WL, Wakabayashi MN et-al. Gastrointestinal case of the day. Gardner syndrome. Radiographics. 19 (2): 546-8. Radiographics (full text) - Pubmed citation
- 4. Wolf J, Järvinen HJ, Hietanen J. Gardner's dento-maxillary stigmas in patients with familial adenomatosis coli. (1986) The British journal of oral & maxillofacial surgery. 24 (6): 410-6. doi:10.1016/0266-4356(86)90054-9 - Pubmed