Syndromes of Tumor Suppression

Basal 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 2.20
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