Abstract
Nevoid basal cell carcinoma syndrome (NBCCS, Gorlin syndrome) is an autosomal dominant condition with a wide range of manifestations, including multiple basal cell carcinomas, medulloblastoma, odontogenic keratocysts (OKC) and skeletal abnormalities. Children with NBCCS also have a predisposition for secondary cancers after exposure to ionising radiation. In children undergoing imaging for posterior fossa mass and/or maxillofacial cysts, certain additional findings can raise the possibility of NBCCS. Making the diagnosis can significantly impact patient management, especially for children with medulloblastoma.
Similar content being viewed by others
References
Scully C, Langdon J, Evans J (2010) Marathon of eponyms: 7 Gorlin-Goltz syndrome (naevoid basal-cell carcinoma syndrome). Oral Dis 16:117–118
Lo Muzio L (2008) Nevoid basal cell carcinoma syndrome (Gorlin syndrome). Orphanet J Rare Dis 3:32
Kimonis VE, Goldstein AM, Pastakia B et al (1997) Clinical manifestations in 105 persons with nevoid basal cell carcinoma syndrome. Am J Med Genet 69:299–308
Shanley S, Ratcliffe J, Hockey A et al (1994) Nevoid basal cell carcinoma syndrome: review of 118 affected individuals. Am J Med Genet 50:282–290
Evans DG, Ladusans EJ, Rimmer S et al (1993) Complications of the naevoid basal cell carcinoma syndrome: results of a population based study. J Med Genet 30:460–464
Choudry Q, Patel HC, Gurusinghe NT et al (2007) Radiation-induced brain tumours in nevoid basal cell carcinoma syndrome: implications for treatment and surveillance. Childs Nerv Syst 23:133–136
Sobota A, Pena M, Santi M et al (2007) Undifferentiated sinonasal carcinoma in a patient with nevoid basal cell carcinoma syndrome. Int J Surg Pathol 15:303–306
Fukushima Y, Oka H, Utsuki S et al (2004) Nevoid Basal cell carcinoma syndrome with medulloblastoma and meningioma—case report. Neurol Med Chir (Tokyo) 44:665–668
Wallin JL, Tanna N, Misra S et al (2007) Sinonasal carcinoma after irradiation for medulloblastoma in nevoid basal cell carcinoma syndrome. Am J Otolaryngol 28:360–362
Iwanaga S, Shimoura H, Shimizu M et al (1998) Gorlin syndrome: unusual manifestations in the sella turcica and the sphenoidal sinus. AJNR 19:956–958
Stavrou T, Dubovsky EC, Reaman GH et al (2000) Intracranial calcifications in childhood medulloblastoma: relation to nevoid basal cell carcinoma syndrome. AJNR 21:790–794
Ahn SG, Lim YS, Kim DK et al (2004) Nevoid basal cell carcinoma syndrome: a retrospective analysis of 33 affected Korean individuals. Int J Oral Maxillofac Surg 33:458–462
Lo Muzio L, Nocini PF, Savoia A et al (1999) Nevoid basal cell carcinoma syndrome. Clinical findings in 37 Italian affected individuals. Clin Genet 55:34–40
Mustaciuolo VW, Brahney CP, Aria AA (1989) Recurrent keratocysts in basal cell nevus syndrome: review of the literature and report of a case. J Oral Maxillofac Surg 47:870–873
Lo Muzio L, Nocini P, Bucci P et al (1999) Early diagnosis of nevoid basal cell carcinoma syndrome. J Am Dent Assoc 130:669–674
Neville B, Damm DD, Allen CM et al (2009) Oral and maxillofacial pathology. Saunders, St. Louis
Marx RE, Stern D (2003) Oral and maxillofacial pathology: a rationale for diagnosis and treatment. Quintessence Publishing, Chicago
Madras J, Lapointe H (2008) Keratocystic odontogenic tumour: reclassification of the odontogenic keratocyst from cyst to tumour. Tex Dent J 125:446–454
Schmidt BL, Pogrel MA (2001) The use of enucleation and liquid nitrogen cryotherapy in the management of odontogenic keratocysts. J Oral Maxillofac Surg 59:720–727
Hodez C, Griffaton-Taillandier C, Bensimon I (2011) Cone-beam imaging: applications in ENT. Eur Ann Otorhinolaryngol Head Neck Dis 128:65–78
Guerrero ME, Jacobs R, Loubele M et al (2006) State-of-the-art on cone beam CT imaging for preoperative planning of implant placement. Clin Oral Investig 10:1–7
Amlashi SF, Riffaud L, Brassier G et al (2003) Nevoid basal cell carcinoma syndrome: relation with desmoplastic medulloblastoma in infancy. A population-based study and review of the literature. Cancer 98:618–624
Garrè ML, Cama A, Bagnasco F et al (2009) Medulloblastoma variants: age-dependent occurrence and relation to Gorlin syndrome—a new clinical perspective. Clin Cancer Res 15:2463–2471
Levy RA, Blaivas M, Muraszko K et al (1997) Desmoplastic medulloblastoma: MR findings. AJNR Am J Neuroradiol 18:1364–1366
Becktor JP, Einersen S, Kjaer I (2000) A sella turcica bridge in subjects with severe craniofacial deviations. Eur J Orthod 22:69–74
Kleinerman RA (2009) Radiation-sensitive genetically susceptible pediatric sub-populations. Pediatr Radiol 1:S27–S31
Conflicts of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sartip, K., Kaplan, A., Obeid, G. et al. Neuroimaging of nevoid basal cell carcinoma syndrome (NBCCS) in children. Pediatr Radiol 43, 620–627 (2013). https://doi.org/10.1007/s00247-012-2516-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-012-2516-x