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Basel Cell Nevus Syndrome. Presented by Irving Abrahams, MD.
History—
A 44-year-old Puerto Rican doorman has had multiple skin cancers since 1956. In 1945 the patient was treated for primary syphilis with penicillin at Bellevue Hospital. In 1947 he was treated at another hospital for numerous cysts of the lower jaw. At still another hospital several "malignant moles" were removed in 1956.The patient was first seen at Vanderbilt Clinic in August 1958 for several "moles" around both eyes. Biopsy showed these to be basal cell epitheliomas and they were treated with x-rays. In October 1959 he was hospitalized because of new basal cell epitheliomas on both eyelids. X-ray of the chest showed multiple anomalies of the ribs. A tumor of the lid was excised and the defect was closed by rotation of a flap from the cheek. After discharge he was treated for several basal cell