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儿童基底细胞痣综合征中的基底样滤泡性错构瘤:诊断难题。

Basaloid follicular hamartomas in pediatric Basal Cell Nevus Syndrome: A diagnostic challenge.

机构信息

Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy.

Dermatology Unit, IRCCS of Azienda Ospedaliero-Universitaria Policlinico Sant'Orsola Hospital, Bologna, Italy.

出版信息

J Dermatol. 2021 Jul;48(7):1101-1105. doi: 10.1111/1346-8138.15892. Epub 2021 May 21.

DOI:10.1111/1346-8138.15892
PMID:34021633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8362058/
Abstract

Basal Cell Nevus Syndrome (BCNS) is an autosomal dominant inherited disease caused by PTCH1 (9q22.3-q31) germline mutations. Skin manifestations are mainly characterized by hyperkeratosis of the palms and soles, palmoplantar pits and a strong predisposition to develop multiple basal cell carcinomas (BCCs). Recently, it has been hypothesized that basaloid follicular hamartomas (BFH) could be included in BCNS skin features. We present three pediatric cases of GS with BCCs and BFHs. Clinical, dermoscopic and immunohistochemical tools are reported.

摘要

基底细胞痣综合征(BCNS)是一种常染色体显性遗传性疾病,由 PTCH1(9q22.3-q31)种系突变引起。皮肤表现主要特征为手掌和足底过度角化、掌跖凹陷和多发性基底细胞癌(BCC)的强烈易感性。最近,有人假设基底样滤泡错构瘤(BFH)可能包含在 BCNS 的皮肤特征中。我们报告了三例具有 BCC 和 BFH 的 GS 儿科病例。报告了临床、皮肤镜和免疫组织化学工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb4f/8362058/b1af581db35b/JDE-48-1101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb4f/8362058/e03c1bf54b4b/JDE-48-1101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb4f/8362058/b1af581db35b/JDE-48-1101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb4f/8362058/e03c1bf54b4b/JDE-48-1101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb4f/8362058/b1af581db35b/JDE-48-1101-g002.jpg

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本文引用的文献

1
Germline Mutations and the Basaloid Follicular Hamartoma Values in the Tumor Spectrum of Basal Cell Carcinoma Syndrome (NBCCS).种系突变与基底细胞癌综合征(NBCCS)肿瘤谱中的基底样毛囊错构瘤价值
Anticancer Res. 2018 Jan;38(1):471-476. doi: 10.21873/anticanres.12246.
2
Histologic Mimics of Basal Cell Carcinoma.基底细胞癌的组织学模仿物
Arch Pathol Lab Med. 2017 Nov;141(11):1490-1502. doi: 10.5858/arpa.2017-0222-RA.
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Acral basal cell carcinomas in an infant with Gorlin syndrome: expanding the phenotype?
J Dtsch Dermatol Ges. 2017 Jan;15(1):89-90. doi: 10.1111/ddg.12934. Epub 2016 Dec 30.
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Dermoscopic features of small size pigmented basal cell carcinomas.小尺寸色素性基底细胞癌的皮肤镜特征
J Dermatol. 2016 May;43(5):543-6. doi: 10.1111/1346-8138.13173. Epub 2015 Oct 13.
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Cytokeratin 20 expression in basaloid follicular hamartoma and infundibulocystic basal cell carcinoma.细胞角蛋白20在基底样毛囊错构瘤和漏斗状囊样基底细胞癌中的表达
J Cutan Pathol. 2014 Dec;41(12):916-21. doi: 10.1111/cup.12410.
6
Early-onset acral basal cell carcinomas in Gorlin syndrome.Gorlin 综合征中的早发性肢端基底细胞癌。
Br J Dermatol. 2014 Nov;171(5):1227-9. doi: 10.1111/bjd.13118. Epub 2014 Oct 1.
7
Basal cell carcinomas in gorlin syndrome: a review of 202 patients.基底细胞痣综合征中的基底细胞癌:202例患者的回顾
J Skin Cancer. 2011;2011:217378. doi: 10.1155/2011/217378. Epub 2010 Sep 28.
8
Basaloid follicular hamartoma.基底细胞样滤泡性错构瘤。
Arch Pathol Lab Med. 2010 Aug;134(8):1215-9. doi: 10.5858/2008-0620-RS.1.
9
Dermatoscopic characteristics of acrochordon-like basal cell carcinomas in Gorlin-Goltz syndrome.戈林-戈尔茨综合征中疣状基底细胞癌的皮肤镜特征。
J Am Acad Dermatol. 2009 May;60(5):857-61. doi: 10.1016/j.jaad.2008.11.023. Epub 2009 Feb 23.
10
Nevoid basal cell carcinoma syndrome (Gorlin syndrome).痣样基底细胞癌综合征(戈林综合征)。
Orphanet J Rare Dis. 2008 Nov 25;3:32. doi: 10.1186/1750-1172-3-32.