Nevoid basal cell carcinoma syndrome: bilateral ovarian fibromas in a 3 1/2-year-old girl.

A 3 1/2-year-old black girl with bilateral ovarian fibromas was subsequently diagnosed as having nevoid basal cell carcinoma syndrome at the age of 4 years, when basal cell tumors and pits of the hands and feet were noted on examination. This case is unusual because of the development of bilateral ovarian fibromas at an extremely early age. Prepubertal patients with this ovarian tumor should be thoroughly investigated for the possibility of nevoid basal cell carcinoma syndrome.