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从基因到疾病:基底细胞痣综合征

[From gene to disease: basal cell naevus syndrome].

作者信息

de Meij T G J, Baars M J H, Gille J J P, Hack W W M, Haasnoot K, van Hagen J M

机构信息

Academisch Medisch Centrum/Universititeit van Amsterdam, locatie Emma Kinderziekenhuis, Amsterdam.

出版信息

Ned Tijdschr Geneeskd. 2005 Jan 8;149(2):78-81.

Abstract

Nevoid basal cell carcinoma syndrome (NBCCS, basal cell naevus syndrome, Gorlin syndrome) is an autosomal dominant disorder, caused by mutations in the PTCH gene mapped to chromosome 9q22.3. It is characterised by multiple basal cell carcinomas, keratocysts of the jaws, palmar and plantar pits, cerebral ectopic calcification and several skeletal anomalies. Occasionally, patients with NBCCS develop other neoplasms, particularly medulloblastomas and ovarian fibromas, indicating that the PTCH gene is a tumor-suppressor gene. Early recognition and careful follow-up are needed. Guidelines for managing these patients are presented.

摘要

痣样基底细胞癌综合征(NBCCS,基底细胞痣综合征,戈林综合征)是一种常染色体显性疾病,由定位于9号染色体q22.3的PTCH基因突变引起。其特征为多发性基底细胞癌、颌骨角化囊肿、掌跖凹陷、脑异位钙化以及多种骨骼异常。偶尔,NBCCS患者会发生其他肿瘤,尤其是髓母细胞瘤和卵巢纤维瘤,这表明PTCH基因是一种肿瘤抑制基因。需要早期识别并进行仔细随访。本文给出了这些患者的管理指南。

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