Preview

Medical alphabet

Advanced search

A case of medulloblastoma and disseminated basal cell carcinoma of the skin in an 11‑year‑old female patient

https://doi.org/10.33667/2078-5631-2025-23-58-62

Abstract

Gorlin‑Goltz syndrome (GGS) is a rare autosomal dominant disorder caused by mutations in the PTCH1 and SUFU genes, key components of the Sonic Hedgehog signaling pathway. GGS is characterized by a high risk of developing tumors, primarily basal cell carcinoma (BCC) and medulloblastoma. The article presents a clinical case of an 11‑year‑old patient with PTCH1‑associated GGS, who was diagnosed with medulloblastoma at the age of 3 years, and by the age of 6 years, multiple basal cell skin cancer manifested. The clinical case highlights the importance of early diagnosis, timely molecular genetic testing and interdisciplinary monitoring to improve the prognosis and quality of life of patients with this syndrome.

About the Authors

T. S. Belysheva
N.N. Blokhin National Medical Research Center of Oncology (N.N. Blokhin NMRCO); Central State Medical Academy of the Administrative Department of the President of the Russian Federation
Russian Federation

Belysheva Tatyana S., DM Sci (habil.), leading researcher at Outpatient Dept
of the Research Institute of Pediatric Oncology and Hematology named after
academician of the Russian Academy of Medical Sciences L.A. Durnov; professor at Dept of Dermatovenereology and Cosmetology 

Moscow 



V. V. Semenova
N.N. Blokhin National Medical Research Center of Oncology (N.N. Blokhin NMRCO); Engelhardt Institute of Molecular Biology, Russian Academy of Sciences
Russian Federation

Semenova Vera Vladimirovna, junior researcher at Laboratory of Biological
Microchips; geneticist at the Outpatient Dept

Moscow 



E. V. Sharapova
N.N. Blokhin National Medical Research Center of Oncology (N.N. Blokhin NMRCO)
Russian Federation

Sharapova Elena V., oncologist at Outpatient Dept of the Research Institute of
Pediatric Oncology and Hematology named after academician of the Russian
Academy of Medical Sciences L.A. Durnov

Moscow 



E. V. Krivova
Central State Medical Academy of the Administrative Department of the President of the Russian Federation
Russian Federation

Krivova Ekaterina V., resident physician

Moscow 



E. E. Zelenova
N.N. Blokhin National Medical Research Center of Oncology (N.N. Blokhin NMRCO); Engelhardt Institute of Molecular Biology, Russian Academy of Sciences
Russian Federation

Zelenova Ekaterina E., physician-geneticist, at Outpatient Dept of the Research
Institute of Pediatric Oncology and Hematology named after academician of the Russian Academy of Medical Sciences L.A. Durnov; senior laboratory assistant at Biological Microarray Laboratory

Moscow 



A. G. Gadzhigoroeva
Moscow Scientific And Practical Center Of Dermatovenereology And Cosmetology; Peoples’ Friendship University of Russia named after Patrice Lumumba
Russian Federation

Gadzhigoroeva Aida G., DM Sci (habil.), head of Scientific Dept of Clinical Dermatovenereology and Cosmetology; professor at Dept of Dermatovenereology, Allergology and Cosmetology of the Medical Institute

Moscow 



T. T. Valiev
N.N. Blokhin National Medical Research Center of Oncology (N.N. Blokhin NMRCO); Russian Medical Academy of Continuous Professional Education; I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Valiev Timur T., DM Sci (habil.), professor, head of Dept of Chemotherapy for
Hemoblastoses No. 1, Research Institute of Pediatric Oncology and Hematology; professor at Dept of Pediatric Oncology6, professor at Dept of Oncology 

Moscow 



T. V. Nasedkina
Engelhardt Institute of Molecular Biology, Russian Academy of Sciences; Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology
Russian Federation

Nasedkina Tatyana V., Dr Bio Sci (habil.), professor, leading researcher at
Laboratory of Biological Microchips; leading researcher

Moscow 



References

1. Reinders MG, van Hout AF, Cosgun B, Paulussen AD, Leter EM, Steijlen PM, Mosterd K, van Geel M, Gille JJ. New mutations and an updated database for the patched 1 (PTCH1) gene. Mol Genet Genomic Med. 2018 May; 6 (3): 409–415. DOI: 10.1002/mgg3.380. Epub 2018 Mar 25. PMID: 29575684; PMCID: PMC6014442

2. Jones EA, Sajid MI, Shenton A, Evans DG. Basal cell carcinomas in gorlin syndrome: a review of 202 patients. J Skin Cancer. 2011; 2011: 217378. DOI: 10.1155/2011/217378. Epub 2010 Sep 28. PMID: 21152126; PMCID: PMC2998699

3. Ramesh M, Krishnan R, Chalakkal P, Paul G. Gorlin Goltz Syndrome: Case report and literature review. J Oral Maxillofac Pathol. 2015 May Aug; 19 (2): 267. DOI: 10.4103/0973–029X.164557. PMID: 26604511; PMCID: PMC4611943

4. Evans DG, Oudit D, Smith MJ, Rutkowski D, Allan E, Newman WG, Lear JT. First evidence of genotype phenotype correlations in Gorlin syndrome. J Med Genet. 2017 Aug; 54 (8): 530–536. DOI: 10.1136/jmedgenet 2017–104669. Epub 2017 Jun 8. PMID: 28596197

5. Guerrini Rousseau L, Smith MJ, Kratz CP, Doergeloh B, Hirsch S, Hopman SMJ, Jorgensen M, Kuhlen M, Michaeli O, Milde T, Ridola V, Russo A, Salvador H, Waespe N, Claret B, Brugieres L, Evans DG. Current recommendations for cancer surveillance in Gorlin syndrome: a report from the SIOPE host genome working group (SIOPE HGWG). Fam Cancer. 2021 Oct; 20 (4): 317–325. DOI: 10.1007/s10689–021–00247 z. Epub 2021 Apr 16. PMID: 33860896; PMCID: PMC8484213

6. Guerrini-Rousseau L, Dufour C, Varlet P, Masliah-Planchon J, Bourdeaut F, Guillaud-Bataille M, Abbas R, Bertozzi AI, Fouyssac F, Huybrechts S, Puget S, Bressac-De Paillerets B, Caron O, Sevenet N, Dimaria M, Villebasse S, Delattre O, Valteau Couanet D, Grill J, Brugières L. Germline SUFU mutation carriers and medulloblastoma: clinical characteristics, cancer risk, and prognosis. Neuro Oncol. 2018 Jul 5; 20 (8): 1122–1132. DOI: 10.1093/neuonc/nox228. PMID: 29186568; PMCID: PMC6280147

7. Familial Tumor Syndromes David A. Solomon MD, PhD, Arie Perry MD, in Practical Surgical Neuropathology: A Diagnostic Approach (Second Edition), 2018 https://doi.org/10.1016/B978-0-323-44941-0.00022–9

8. Fernández LT, Ocampo Garza SS, Elizondo Riojas G, Ocampo Candiani J. Basal cell nevus syndrome: an update on clinical findings. Int J Dermatol. 2022 Sep; 61 (9): 1047–1055. DOI: 10.1111/ijd.15884. Epub 2021 Sep 8. PMID: 34494262

9. Solis DC, Kwon GP, Ransohoff KJ, Li S, Chahal HS, Ally MS, Peters MAD, Schmitt Burr K, Lindgren J, Bailey Healy I, Teng JM, Epstein EH Jr, Tang JY. Risk Factors for Basal Cell Carcinoma Among Patients With Basal Cell Nevus Syndrome: Development of a Basal Cell Nevus Syndrome Patient Registry. JAMA Dermatol. 2017 Feb 1; 153 (2): 189–192. DOI: 10.1001/jamadermatol.2016.4347. PMID: 27902821

10. Pediatric dermato oncology: a guide for doctors / T.S. Belysheva, T.T. Valiev, S.R. Varfolomeeva, et al.– Moscow: Limited Liability Company Publishing Group GEOTAR Media, 2023. 280 p. (In Russ.). DOI: 10.33029/9704–7689–5-CDO-2023-1-280

11. Al Jarboua MN, Al Husayni AH, Al Mgran M, Al Omar AF. Gorlin Goltz Syndrome: A Case Report and Literature Review. Cureus. 2019 Jan 8; 11 (1): e3849. DOI: 10.7759/cureus.3849. PMID: 30891389; PMCID: PMC6411325


Review

For citations:


Belysheva T.S., Semenova V.V., Sharapova E.V., Krivova E.V., Zelenova E.E., Gadzhigoroeva A.G., Valiev T.T., Nasedkina T.V. A case of medulloblastoma and disseminated basal cell carcinoma of the skin in an 11‑year‑old female patient. Medical alphabet. 2025;1(23):58-62. (In Russ.) https://doi.org/10.33667/2078-5631-2025-23-58-62

Views: 10


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)