基底细胞痣综合征:牙科和皮肤病学之间的界面。

B Cosgun, B J A Verkouteren, P A W H Kessler, K Mosterd
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引用次数: 0

摘要

基底细胞痣综合征是一种罕见的常染色体显性遗传病,主要由PTCH1基因突变引起。由于基底细胞癌和角化囊肿是最常见的异常,皮肤科医生、口腔颌面外科医生和牙医在患者护理中起着关键作用。从8岁开始,建议每隔一年进行一次骨断层扫描或核磁共振检查,以检查牙源性角化囊肿。在首次出现牙源性角化囊肿后,强度增加到每年筛查一次。如果BCNS是由潜在的SUFU突变引起的,则不需要筛查,因为迄今为止没有这些患者中牙源性角化囊肿的报道。应尽量减少计算机断层扫描等放射暴露,因为它会诱发新的基底细胞癌。建议终生由皮肤科医生定期随访,进行早期诊断和治疗(多发)BCC。
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[Basal cell nevus syndrome: the interface between dentistry and dermatology].

Basal cell nevus syndrome is a rare, autosomal dominant disorder, predominantly caused by a mutation in the PTCH1 gene. As basal cell carcinomas and keratocysts are the most common abnormalities, dermatologists, orofacial maxillary surgeons, and dentists play a key role in patient care. From the age of 8, screening for odontogenic keratocysts with an orthopantomogram or MRI is recommended every other year. The intensity increases to annual screening after the development of the first odontogenic keratocyst. If BCNS is caused by an underlying SUFU mutation, screening is not indicated since there are no reports of odontogenic keratocyst in these patients to date. Radiation exposure by, for example, computed tomography, should be minimized as it induces new BCCs. Regular follow-up by a dermatologist for early diagnosis and treatment of (multiple) BCC's is recommended for life.

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