Samela P C, Tosi V, Cervini A B, Bocian M, Buján M M, Pierini A M
Servicio de Dermatología, Hospital de Pediatría Dr. Prof. Juan P. Garrahan, Buenos Aires, Argentina.
Actas Dermosifiliogr. 2013 Jun;104(5):426-33. doi: 10.1016/j.adengl.2013.04.006. Epub 2013 May 11.
Nevoid basal cell carcinoma (BCC) syndrome, or Gorlin syndrome, is a rare autosomal dominant disorder associated with mutations in the patched 1 gene, PTCH1. It is characterized by the presence of multiple BCCs in association with disorders affecting the bones, the skin, the eyes, and the nervous system. We describe 6 cases of nevoid BCC syndrome evaluated in our department. Palmoplantar pitting was observed in all 6 patients, multiple BCCs in 5 patients (83%), skeletal anomalies in 3 patients (50%), and odontogenic keratocysts in 1 patient (17%). We would like to stress the importance of early diagnosis and treatment in nevoid BCC syndrome and the need for continuous, long-term follow-up by a multidisciplinary team.
痣样基底细胞癌(BCC)综合征,即戈林综合征,是一种罕见的常染色体显性遗传病,与patched 1基因(PTCH1)突变有关。其特征是存在多个基底细胞癌,并伴有影响骨骼、皮肤、眼睛和神经系统的病症。我们描述了在我们科室评估的6例痣样基底细胞癌综合征病例。6例患者均观察到掌跖点状凹陷,5例患者(83%)有多个基底细胞癌,3例患者(50%)有骨骼异常,1例患者(17%)有牙源性角化囊肿。我们想强调痣样基底细胞癌综合征早期诊断和治疗的重要性,以及多学科团队进行持续长期随访的必要性。