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Published on: September 14, 2012
Pediatric nevoid basal cell carcinoma syndrome
Stacey Pilkington1, Lana H McKinley2, Richard A Miller2
1Azeal Dermatology Institute, Boulder, Colorado, USA.
Nevoid basal cell carcinoma syndrome (NBCCS) is a rare genetic disorder. This case study details a pediatric patient with NBCCS, emphasizing treatment considerations for darker skin types.
Area of Science:
- Dermatology
- Genetics
- Oncology
Background:
- Nevoid basal cell carcinoma syndrome (NBCCS) is an autosomal-dominant disorder characterized by multiple basal cell carcinomas (BCCs), odontogenic keratocysts, and other developmental abnormalities.
- Early diagnosis and management are crucial for improving patient outcomes and preventing complications associated with NBCCS.
Observation:
- A case report of an 11-year-old boy with Fitzpatrick skin type V presenting with multiple facial lesions and a history of maxillary keratocysts.
- Clinical examination revealed multiple pigmented basal cell carcinomas, palmoplantar pits, and calcification of the tentorium.
- Skin biopsy confirmed pigmented basal cell carcinoma.
Findings:
- Genetic testing identified a heterozygous mutation in the patched 1 (PTCH1) gene, confirming the diagnosis of NBCCS.
- The patient's presentation highlights the variability of NBCCS manifestations, particularly in pediatric patients with darker skin types.
Implications:
- This case underscores the importance of considering NBCCS in pediatric patients with characteristic skin and developmental findings, irrespective of skin type.
- It emphasizes the need for tailored treatment strategies for pediatric NBCCS patients, especially those with Fitzpatrick skin type V, to address potential complications and optimize management.
- Further research into the specific clinical course and treatment responses of NBCCS in diverse populations is warranted.
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