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Nevoid Basal Cell Carcinoma Syndrome: A Case Report and Review of Korean Cases

  • Jung, Eun-Joo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Shin, Hyokeun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Baek, Jin-A (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Ko, Seung-O (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University)
  • Received : 2014.09.06
  • Accepted : 2014.10.16
  • Published : 2014.11.30

Abstract

Nevoid basal cell carcinoma syndrome (NBCCS) is a rare autosomal genetic disease caused by a PTCH mutation. The disease is characterized by multiple basal cell carcinomas of the skin, multiple keratocystic odontogenic tumors (KCOTs) in the jaw, palmar and/or plantar pits, bifid ribs, ectopic calcification of the falx cerebri, and skeletal abnormalities. Early diagnosis is difficult in many cases because there may be a number of systemic symptoms. The purpose of this study is to report the case of a 12-year-old girl who was hospitalized with multiple KCOTs that occurred in the upper and lower jaws. Through characteristic clinical symptoms and radiologic findings, she was finally diagnosed as having NBCCS. This study also aims to organize the symptoms often observed in Korea using previously published case reports to provide useful information for the early diagnosis of NBCCS.

Keywords

References

  1. Gorlin RJ, Goltz RW. Multiple nevoid basal-cell epithelioma, jaw cysts and bifid rib. A syndrome. N Engl J Med 1960;262:908-12. https://doi.org/10.1056/NEJM196005052621803
  2. Gorlin RJ. Nevoid basal cell carcinoma (Gorlin) syndrome: unanswered issues. J Lab Clin Med 1999;134:551-2. https://doi.org/10.1016/S0022-2143(99)90092-6
  3. Tanioka M, Takahashi K, Kawabata T, et al. Germline mutations of the PTCH gene in Japanese patients with nevoid basal cell carcinoma syndrome. Arch Dermatol Res 2005;296:303-8. https://doi.org/10.1007/s00403-004-0520-1
  4. Son YJ, Jo HG, Kim YO, Woo YJ. A case of basal cell nevus syndrome. J Korean Child Neurol Soc 2010;18:147-52.
  5. Ahn SG, Lim YS, Kim DK, Kim SG, Lee SH, Yoon JH. Nevoid basal cell carcinoma syndrome: a retrospective analysis of 33 affected Korean individuals. Int J Oral Maxillofac Surg 2004;33:458-62. https://doi.org/10.1016/j.ijom.2003.11.001
  6. Lee BD, Kim JH, Choi DH, Koh KS, Lee SR. Recurrent odontogenic keratocysts in basal cell nevus syndrome: Report of a case. Korean J Oral Maxillofac Radiol 2004;34:203-7.
  7. Lee BK, Lee JS, Chang DS, Park KY. Nevoid basal cell carcinoma syndrome: a case report and literature review. Korean J Otolaryngol-Head Neck Surg 2005;48:819-22.
  8. Roh BH, Park SJ, Lee SY, Lee JS, Whang KU. A case of nevoid basal cell carcinoma syndrome with meningioma and sclerosing stromal tumor of the ovary. Korean J Dermatol 2006;44:1030-3.
  9. Park SH, Kim HY, Kim JH, Hong SD. A case of basal cell nevus syndrome with odontogenic keratocyst. Korean J Otolaryngol-Head Neck Surg 2007;50:552-5.
  10. Park CM, Kim HK, Kim SG, Lee KJ. Treatment of basal cell nevus syndrome with enucleation following marsupialization: A case report. J Korean Assoc Oral Maxillofac Surg 2008;34:485-9.
  11. Heo SK, Choi NK, Kim SM, Yang KH. Nevoid basal cell carcinoma syndrome: a report of case. J Korean Acad Pediatr Dent 2008;35:725-30.
  12. Kim JD, Seo YS, Kim JS. Basal cell nevus syndrome: 2 case reports. Korean J Oral Maxillofac Radiol 2008;38:109-15.
  13. Park JH, Yoon KH, Park KS, Cheong JK, Shin JM, Choi MK. Case report of multiple odontogenic keratocysts with basal cell nevus syndrome. J Korean Assoc Maxillofac Plast Reconstr Surg 2008;30:172-7.
  14. Ryu DJ, Kwon YS, Roh MR, Lee MG. Two cases of nevoid basal cell carcinoma syndrome in one family. Ann Dermatol 2008;20:221-5. https://doi.org/10.5021/ad.2008.20.4.221
  15. Gang TI, Park YJ, Nam JH, et al. Case report of treatment of multiple odontogenic keratocysts with basal cell nevus syndrome using preoperative marsupialization and orthodontic extrusion. J Korean Assoc Maxillofac Plast Reconstr Surg 2009;31:429-34.
  16. Lee EY, Kim KW. Long term follow-up of multiple odontogenic keratocysts associated with basal cell nevus syndrome: a case report. J Korean Assoc Maxillofac Plast Reconstr Surg 2010;32:81-5.
  17. Go JW, Kim SH, Yi SY, Cho HK. Basal cell nevus syndrome showing several histologic types of basal cell carcinoma. Ann Dermatol 2011;23 Suppl 1:S36-40. https://doi.org/10.5021/ad.2011.23.S1.S36
  18. Tak WJ, Shin BJ, Kim MN, Ro BI. A case of nevoid basal cell carcinoma syndrome with multiple, symmetrically distributed basal cell carcinomas. Korean J Dermatol 2002;40:682-5.
  19. Kimonis VE, Goldstein AM, Pastakia B, et al. Clinical manifestations in 105 persons with nevoid basal cell carcinoma syndrome. Am J Med Genet 1997;69:299-308. https://doi.org/10.1002/(SICI)1096-8628(19970331)69:3<299::AID-AJMG16>3.0.CO;2-M
  20. Kiran NK, Tilak Raj TN, Mukunda KS, Rajashekar Reddy V. Nevoid basal cell carcinoma syndrome (Gorlin-Goltz syndrome). Contemp Clin Dent 2012;3:514-8. https://doi.org/10.4103/0976-237X.107459
  21. Manfredi M, Vescovi P, Bonanini M, Porter S. Nevoid basal cell carcinoma syndrome: a review of the literature. Int J Oral Maxillofac Surg 2004;33:117-24. https://doi.org/10.1054/ijom.2003.0435
  22. Evans DG, Ladusans EJ, Rimmer S, Burnell LD, Thakker N, Farndon PA. Complications of the naevoid basal cell carcinoma syndrome: results of a population based study. J Med Genet 1993;30:460-4. https://doi.org/10.1136/jmg.30.6.460
  23. Lee SC, Lai YL. Endothelin-1 in citric acid aerosol inhalation-induced airway constriction of guinea pigs. Chin J Physiol 2002;45:25-31.
  24. Goldstein AM, Pastakia B, DiGiovanna JJ, et al. Clinical findings in two African-American families with the nevoid basal cell carcinoma syndrome (NBCC). Am J Med Genet 1994;50:272-81. https://doi.org/10.1002/ajmg.1320500311
  25. Shimada Y, Morita K, Kabasawa Y, Taguchi T, Omura K. Clinical manifestations and treatment for keratocystic odontogenic tumors associated with nevoid basal cell carcinoma syndrome: a study in 25 Japanese patients. J Oral Pathol Med 2013;42:275-80. https://doi.org/10.1111/j.1600-0714.2012.01202.x
  26. Shanley S, Ratcliffe J, Hockey A, et al. Nevoid basal cell carcinoma syndrome: review of 118 affected individuals. Am J Med Genet 1994;50:282-90. https://doi.org/10.1002/ajmg.1320500312
  27. Lo Muzio L, Nocini PF, Savoia A, et al. Nevoid basal cell carcinoma syndrome. Clinical findings in 37 Italian affected individuals. Clin Genet 1999;55:34-40. https://doi.org/10.1034/j.1399-0004.1999.550106.x
  28. Pruvost-Balland C, Gorry P, Boutet N, et al. Clinical and genetic study in 22 patients with basal cell nevus syndrome. Ann Dermatol Venereol 2006;133:117-23. https://doi.org/10.1016/S0151-9638(06)70861-4
  29. Gutierrez MM, Mora RG. Nevoid basal cell carcinoma syndrome. J Am Acad Dermatol 1986;15:1023-30. https://doi.org/10.1016/S0190-9622(86)70266-1
  30. Choi ST, Kim TK, Leem DH, Baek JA, Shin HK, Ko SO. Carnoy's solution application for patient preliminarily diagnosed with keratocystic odotogenic tumor: case report. J Korean Assoc Maxillofac Plast Reconstr Surg 2012;34:498-504.
  31. Donatsky O, Hjorting-Hansen E. Recurrence of the odontogenic keratocyst in 13 patients with the nevoid basal cell carcinoma syndrome. A 6-year follow-up. Int J Oral Surg 1980;9:173-9. https://doi.org/10.1016/S0300-9785(80)80016-0
  32. Lo Muzio L, Nocini P, Bucci P, Pannone G, Consolo U, Procaccini M. Early diagnosis of nevoid basal cell carcinoma syndrome. J Am Dent Assoc 1999;130:669-74. https://doi.org/10.14219/jada.archive.1999.0276
  33. Bitar GJ, Herman CK, Dahman MI, Hoard MA. Basal cell nevus syndrome: guidelines for early detection. Am Fam Physician 2002;65:2501-4.

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  1. Novel PTCH1 Gene Mutation in Nevoid Basal Cell Carcinoma Syndrome pp.1049-2275, 2018, https://doi.org/10.1097/SCS.0000000000004274