Clinical Study

Basal Cell Carcinomas in Gorlin Syndrome: A Review of 202 Patients

Table 1

Diagnostic criteria for Gorlin Syndrome. A diagnosis can be made when 2 major or 1 major and 2 minor criteria are fulfilled.

Major criteriaMinor criteria

Lamellar (sheet-like) calcification of the falx or clear evidence of calcification in an individual younger than age of 20 yearsChildhood medulloblastoma
Jaw keratocystLympho-mesenteric or pleural cysts
2 or more palmar/plantar pitsMacrocephaly (OFC >97th centile)
Multiple BCCs (more than five in a lifetime) or a BCC before age of 30 years.Cleft lip/palate
First degree relative with Gorlin SyndromeVertebral/rib anomalies such as bifid/splayed/extra ribs or bifid vertebrae
Preaxial or postaxial polydactyly
Ovarian/cardiac fibromas
Ocular anomalies (cataract, developmental defects, and pigmentary changes of the retinal epithelium)