ISSN: 2639-2127
Authors: Yuri M*, Raposo Amaral CA, Buzzo CL and Raposo Amaral CE
Introduction: The Gorlin Syndrome (GS), also known as Naevoid Basal Cell Carcinoma (BCC) Syndrome or Basal Cell Naevus Syndrome. The life expectancy of these patients is good and the greatest concern being the aesthetic and dysfunctional effect of the multiples tumors resections, with implications both at a psychological and social level. The objective of this paper is to demonstrate the efficiency of dermatoscopy in the diagnosis of basal cel carcinoma and their margins to avoid unnecessary resections in Gorlins syndrome, avoiding deformities. Methods: An observational retrospective study was performed on consecutive patients who underwent BCC and dermal and odontogenic cysts exeresis between 2004 and March 2020 that had a follow-up of at least 6 months after surgical resection. The dermatoscopy images were captured using the Dermlite DL4 Dermatoscope. Results: The mean age of beginning BCC is at 15.27 years. Altogether, 168 lesions were resected in the studied patients. Complaints: scarring (71.42%), periorbital region (42.85%), nasal valves incompetence (28.57%), alopecia (42.85%) and negative psychological and social influence (28.57%). Discussion: Several are the possibilities of treatment. Surgical excision is the treatment of choice. A dermatoscope can assess structures till the depth of reticular dermis to visualize subtle features of the subsurface skin structures of the lesion under investigation. Conclusion: The dermatoscope could be used to help in GS treatment considering its accuracy and level of detail to decide which lesion and margin must be resected avoiding disfigurements, without function lost and maintain patients psychologically and socially well conducted.
Keywords: Syndrome Carcinoma; Carcinoma; Basal Cell; Dermoscopy; Basal Cell Nevus Syndrome; Cysts
