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Multiple Basal Cell Carcinoma in a 24-year-old Man (Nevoid Basal Cell Carcinoma Syndrome). Presented by Drs. Carroll F. Burgoon, Jr.; Mark Gordon; and David J. Tuckman.
This 24-year-old white man, a draftsman, first noted a skin lesion at age 18 years at the right side of his lower lip. Since that time, there have been new lesions appearing gradually on his face and upper back. Four sebaceous cysts were removed from his face and neck at age 15-16, and he also had numerous electrodesiccations and curettages for tumors, but otherwise his past medical history was noncontributory. There is no family history of skin diseases of any kind.
There are multiple pearly telangiectatic erythematous papules ranging in size from 0.4 to 2.0 cm in diameter on the upper trunk, neck, and face (Fig 1). Several large eroded lesions are present on his face and scalp. In addition there are
Corson JK, Graham JH, Siegel JM. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Dermatol. 1968;97(3):349-362. doi:10.1001/archderm.1968.01610090121029