Syndromes of Tumor SuppressionBasal Cell Nevus Syndrome (Gorlin Syndrome) | Figure 2.20 A: Ataxia-Telangiectasia (Reprint from Morgan MB, Smoller BR, Somach SC. Deadly Dermatologic Diseases. New York, NY: Springer; 2007) B: Basal cell nevus syndrome* C: Palmar pits (BCNS)* *Courtesy of Dr. Paul Getz |
(Figure 2.20B, C) - AD, PTCH (PATCHED) gene, inhibits sonic hedgehog signaling (unbound PTCH inhibits Smoothened (SMO) signaling; when inactivating mutation occurs in PTCH → repression of SMO removed → constitutive activation of Gli and downstream targets)
- Presents with numerous BCCs, palmar/plantar pits, odontogenic keratocysts of jaw, characteristic facies (frontal bossing, hypertelorism), cataracts, glaucoma, bifid ribs, calcification of falx cerebrum, agenesis of corpus callosum, ovarian fibromas, medulloblastoma, meningioma
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