Pathology · single question
A patient reports a family history of nevoid basal cell carcinoma (Gorlin) syndrome. What should you do?
Show answer and explanation
Correct answer: C. Take a panoramic radiograph to screen for odontogenic keratocysts
- A. A single anterior periapical would miss the classic posterior mandibular locations.
- B. Screening in a known at-risk family is exactly the appropriate indication for radiographs.
- C. Correct. Multiple OKCs are a major diagnostic criterion for Gorlin syndrome and are frequently the earliest detectable manifestation. A panoramic screens both jaws and may also reveal calcification of the falx cerebri.
- D. Bitewings do not image the posterior mandible or ramus where OKCs typically arise.