Description

Nevoid Basal Cell Carcinoma Syndrome (NBCCS) is a familial disorder which affects multiple organ systems and which is associated with at least 2 types of neoplasms.


Genes affected:

(1) PTCH1 (patched 1) at 9q22.32

(2) SUFU (SUFU negative regulator of hedgehog signaling) at 10q24.32

 

Inheritance: autosomal dominant

 

Major criteria:

(1) lamellar calcification of the falx

(2) multiple jaw keratocysts

(3) palmar and plantar pits

(4) multiple basal cell carcinomas

(5) first-degree relative with NBCCS

 

Minor criteria:

(1) medulloblastoma during childhood

(2) lymph-mesenteric or pleural cysts

(3) macrocephaly

(4) cleft lip and/or palate

(5) skeletal malformations (bifid ribs, wedge-shaped vertebrae)

(6) preaxial or postaxial polydactyly

(7) cardiac or ovarian fibromas

(8) ocular anomalies (cataract, developmental defect, pigmentary changes of retina)

 

Other findings:

(1) gastric polyps

(2) frontal bossing

(3) coarse facial features

(4) facial milia


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