Synonyms
Basal cell carcinoma syndrome; Gorlin syndrome; Gorlin-Goltz syndrome; Multiple basal cell carcinoma syndrome; Naevoid basal cell carcinoma (Gorlin) syndrome
Definition
Nevoid basal cell carcinoma syndrome is a genetic disease inherited in an autosomal dominant fashion with complete penetrance and variable expressivity. It is characterized by multiple basal cell carcinomas presenting at an early age, odontogenic keratocysts of the jaw, pits of the hands and feet, ectopic calcification with lamellar calcification of the falx cerebri, skeletal abnormalities, and facial dysmorphism (macrocephaly, cleft lip/palate, eye anomalies).
Clinical Features
Incidence
The prevalence of nevoid basal cell carcinoma syndrome is estimated to range between l in 30,000 and 1 in 250,000. About 70–80 % of patients have an affected parent and about 20–30 % have a de novo mutation.
Age
Basal cell carcinomas, odontogenic keratocysts, and palmar and plantar pits start to develop in childhood or...
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References and Further Reading
Atwood, S. X., Chang, A. L., & Oro, A. E. (2012). Hedgehog pathway inhibition and the race against tumor evolution. J Cell Biol, 199, 193–7.
Bree, A. F., & Shah, M. R. (2011). BCNS Colloquium group. Consensus statement from the first international colloquium on basal cell nevus syndrome (BCNS). Am J Med Genet A, 155A, 2091–2097.
Kim, J., Aftab, B. T., Tang, J. Y., Kim, D., Lee, A. H., Rezaee, M., Kim, J., Chen, B., King, E. M., Borodovsky, A., Riggnins, G. J., Epstein, E. H. Jr, Beachy, P. A., & Rudin, C. M. (2013). Itraconazole and arsenic trioxide inhibit Hedgehog pathway activation and tumor growth associated with acquired resistance to smoothened antagonists. Cancer Cell, 23, 23–34.
Kimonis, V. E., Goldstein, A. M., Pastakia, B., Yang, M. L., Kase, R., DiGiovanna, J. J., Bale, A. E., & Bale, S. J. (1997). Clinical manifestations in 105 persons with nevoid basal cell carcinoma syndrome. American Journal of Medical Genetics, 69, 299–308.
Lo Muzio, L. (2008). Nevoid basal cell carcinoma syndrome (Gorlin syndrome). Orphanet Journal of Rare Diseases, 3, 32.
Tang, J. Y., Mackay-Wiggan, J. M., Aszterbaum, M., Yauch, R. L., Lindgren, J., Chang, K., Coppola, C., Chanana, A. M., Marji, J., Bickers, D. R., & Epstein, E. H. jr (2012). Inhibiting the hedgehog pathway in patients with basal-cell nevus syndrome. N Engl J Med, 366, 2180–9.
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Weyers, W. (2016). Nevoid Basal Cell Carcinoma (Gorlin) Syndrome. In: Massi, D. (eds) Dermatopathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-30006-1_451
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DOI: https://doi.org/10.1007/978-3-319-30006-1_451
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