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Published in: Oral and Maxillofacial Surgery 4/2009

01-12-2009 | Case Report

Basal cell nevus syndrome: clinical and genetic diagnosis

Authors: José A. García de Marcos, Alicia Dean-Ferrer, Susana Arroyo Rodríguez, Javier Calderón-Polanco, Francisco J. Alamillos Granados, Enrique Poblet

Published in: Oral and Maxillofacial Surgery | Issue 4/2009

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Abstract

Introduction

Basal cell nevus syndrome (BCNS), also known as Gorlin–Goltz syndrome, comprises five main pathological features: nevoid basal cell carcinomas, keratocystic odontogenic tumors, congenital skeletal anomalies, calcification of the falx cerebri, and point skin depressions on the palms and/or soles. The disease exhibits a dominant autosomal hereditary trait, with implication of the human homologue of the Drosophila segment polarity Patched (PTCH) gene. BCNS is diagnosed on the basis of clinical and radiological criteria and can be confirmed by genetic study. The patient prognosis is very good, with normal life expectancy in most cases.

Methods

The present study reports two cases of BCNS with the presence of maxillo-mandibular keratocystic odontogenic tumors.

Results

One case was diagnosed according to clinical criteria, while the other required genetic confirmation that revealed a germ line mutation in exon 17 (c.2868delC), not previously described in the databases, which was considered to be responsible for the disease.
Literature
1.
go back to reference High A, Zedan W (2005) Basal cell nevus syndrome. Cur Opin Oncol 17:160–166CrossRef High A, Zedan W (2005) Basal cell nevus syndrome. Cur Opin Oncol 17:160–166CrossRef
2.
go back to reference Bitar GJ, Herman CK, Dahman MI, Hoard MA (2002) Basal cell nevus syndrome: guidelines for early detection. Am Fam Physician 65:2501–2504PubMed Bitar GJ, Herman CK, Dahman MI, Hoard MA (2002) Basal cell nevus syndrome: guidelines for early detection. Am Fam Physician 65:2501–2504PubMed
3.
go back to reference Ortega-García de Amezaga A, García-Arregui O, Zepeda-Nuño S, Acha-Sagredo A, Aguirre-Urizar JM (2008) Gorlin-Goltz syndrome: clinicopathologic aspects. Med Oral Patol Oral Cir Bucal 13:E338–343PubMed Ortega-García de Amezaga A, García-Arregui O, Zepeda-Nuño S, Acha-Sagredo A, Aguirre-Urizar JM (2008) Gorlin-Goltz syndrome: clinicopathologic aspects. Med Oral Patol Oral Cir Bucal 13:E338–343PubMed
4.
go back to reference Cassarino DS, Linden KG, Barr RJ (2005) Cutaneous keratocyst arising independently of the nevoid basal cell carcinoma syndrome. Am J Dermatopathol 27:177–178CrossRefPubMed Cassarino DS, Linden KG, Barr RJ (2005) Cutaneous keratocyst arising independently of the nevoid basal cell carcinoma syndrome. Am J Dermatopathol 27:177–178CrossRefPubMed
5.
go back to reference Díaz-Fernández JM, Infante-Cossío P, Belmonte-Caro R, Ruiz-Laza L, García-Perla A, Gutiérrez-Pérez JL (2005) Basal cell nevus syndrome. Presentation of six cases and literature review. Med Oral Patol Oral Cir Bucal 10:E57–E66 Díaz-Fernández JM, Infante-Cossío P, Belmonte-Caro R, Ruiz-Laza L, García-Perla A, Gutiérrez-Pérez JL (2005) Basal cell nevus syndrome. Presentation of six cases and literature review. Med Oral Patol Oral Cir Bucal 10:E57–E66
6.
go back to reference Veenstra-Knol HE, Scheewe JH, van der Vlist GJ, van Doorn ME, Ausems MG (2005) Early recognition of basal cell naevus syndrome. Eur J Pediatr 164:126–130CrossRefPubMed Veenstra-Knol HE, Scheewe JH, van der Vlist GJ, van Doorn ME, Ausems MG (2005) Early recognition of basal cell naevus syndrome. Eur J Pediatr 164:126–130CrossRefPubMed
7.
go back to reference Campbell RM, Mader RD, Dufresne RG (2005) Meningiomas after medulloblastoma irradiation treatment in a patient with basal cell nevus syndrome. J Am Acad Dermatol 53:S256–S259CrossRefPubMed Campbell RM, Mader RD, Dufresne RG (2005) Meningiomas after medulloblastoma irradiation treatment in a patient with basal cell nevus syndrome. J Am Acad Dermatol 53:S256–S259CrossRefPubMed
8.
go back to reference Pastorino L, Cusano R, Baldo C, Forzano F, Nasti S, Di Rocco M, Carta M, Bricarelli FD, Faravelli F, Scarrá GB (2005) Nevoid basal cell carcinoma syndrome in infants: improving diagnosis. Child Care Health Dev 31:351–354CrossRefPubMed Pastorino L, Cusano R, Baldo C, Forzano F, Nasti S, Di Rocco M, Carta M, Bricarelli FD, Faravelli F, Scarrá GB (2005) Nevoid basal cell carcinoma syndrome in infants: improving diagnosis. Child Care Health Dev 31:351–354CrossRefPubMed
9.
go back to reference Toro M, Segura R, Moledo A, Fanego J (2000) Quistes de los maxilares. In: Ceballos A, Bullón P, Gándara JM, Chilenos E, Blanco A, Martínez-Sahuquillo A, García García A (eds) Medicina bucal práctica. Editorial Danú, S.L, Santiago de Compostela, pp 387–388 Toro M, Segura R, Moledo A, Fanego J (2000) Quistes de los maxilares. In: Ceballos A, Bullón P, Gándara JM, Chilenos E, Blanco A, Martínez-Sahuquillo A, García García A (eds) Medicina bucal práctica. Editorial Danú, S.L, Santiago de Compostela, pp 387–388
10.
go back to reference Kimonis VE, Goldstein AM, Pastakia B, Yang ML, Kase R, DiGiovanna JJ et al (1997) Clinical manifestations in 105 persons with nevoid basal cell carcinoma syndrome. Am J Med Genet 69:299–308CrossRefPubMed Kimonis VE, Goldstein AM, Pastakia B, Yang ML, Kase R, DiGiovanna JJ et al (1997) Clinical manifestations in 105 persons with nevoid basal cell carcinoma syndrome. Am J Med Genet 69:299–308CrossRefPubMed
11.
go back to reference Philipsen HP (2005) Keratocystic odontogenic tumours tumour. In: Barnes L, Eveson JW, Reichardt P, Sidransky D (eds) WHO classification of tumours, pathology & genetics, head and neck tumours. IARC, Lyon, pp 306–307 Philipsen HP (2005) Keratocystic odontogenic tumours tumour. In: Barnes L, Eveson JW, Reichardt P, Sidransky D (eds) WHO classification of tumours, pathology & genetics, head and neck tumours. IARC, Lyon, pp 306–307
12.
go back to reference Odontogenic and nonodontogenic cysts (2003) In: Marx RE, Stern D (eds) Oral and Maxillofacial Pathology. A rationale for diagnosis and treatment. Quintessence Publishing Co., Inc, Illinois, pp 602-606 Odontogenic and nonodontogenic cysts (2003) In: Marx RE, Stern D (eds) Oral and Maxillofacial Pathology. A rationale for diagnosis and treatment. Quintessence Publishing Co., Inc, Illinois, pp 602-606
13.
go back to reference Lindström E, Shimokawa T, Toftgard R, Zaphiropoulos PG (2006) PTCH mutations: distribution and analyses. Hum Mutat 27:215–219CrossRefPubMed Lindström E, Shimokawa T, Toftgard R, Zaphiropoulos PG (2006) PTCH mutations: distribution and analyses. Hum Mutat 27:215–219CrossRefPubMed
14.
go back to reference Li TJ, Yuan JW, Gu XM, Sun LS, Zhao HS (2008) PTCH germline mutation in Chinese nevoid basal cell carcinoma syndrome patients. Oral Dis 14:174–179CrossRefPubMed Li TJ, Yuan JW, Gu XM, Sun LS, Zhao HS (2008) PTCH germline mutation in Chinese nevoid basal cell carcinoma syndrome patients. Oral Dis 14:174–179CrossRefPubMed
15.
go back to reference Goodrich LV, Johnson RL, Milenkovic L, McMahon JA, Scott MP (1996) Conservation of the hedgehog/patched signaling pathway from flies to mice: induction of a mouse patched gene bay Hedgehog. Genes Dev 10:301–312CrossRefPubMed Goodrich LV, Johnson RL, Milenkovic L, McMahon JA, Scott MP (1996) Conservation of the hedgehog/patched signaling pathway from flies to mice: induction of a mouse patched gene bay Hedgehog. Genes Dev 10:301–312CrossRefPubMed
16.
go back to reference Barreto DC, Gomez RS, Bale AE, Boson WL, De Marco L (2000) PTCH gene mutations in odontogenic keratocysts. J Dent Res 79:1418–1422CrossRefPubMed Barreto DC, Gomez RS, Bale AE, Boson WL, De Marco L (2000) PTCH gene mutations in odontogenic keratocysts. J Dent Res 79:1418–1422CrossRefPubMed
17.
go back to reference Barreto DC, Chimenos Küstner E (2001) New considerations about the diagnosis of odontogenic keratocyst. Med Oral 6:350–357PubMed Barreto DC, Chimenos Küstner E (2001) New considerations about the diagnosis of odontogenic keratocyst. Med Oral 6:350–357PubMed
18.
go back to reference Martínez-Pérez D (2006) Queratoquistes maxilares: marsupialización. Rev Esp Cir Oral y Maxilofac 28:222–224 Martínez-Pérez D (2006) Queratoquistes maxilares: marsupialización. Rev Esp Cir Oral y Maxilofac 28:222–224
19.
go back to reference Acero-Sanz J (2006) Queratoquistes maxilares: cirugía resectiva. Rev Esp Cir Oral y Maxilofac 28:215–221 Acero-Sanz J (2006) Queratoquistes maxilares: cirugía resectiva. Rev Esp Cir Oral y Maxilofac 28:215–221
Metadata
Title
Basal cell nevus syndrome: clinical and genetic diagnosis
Authors
José A. García de Marcos
Alicia Dean-Ferrer
Susana Arroyo Rodríguez
Javier Calderón-Polanco
Francisco J. Alamillos Granados
Enrique Poblet
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
Oral and Maxillofacial Surgery / Issue 4/2009
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-009-0169-1

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