Pathology · single question
A patient's family member has Basal Cell Nevus Syndrome (Gorlin Syndrome). What is the MOST important diagnostic step in the dental office?
Show answer and explanation
Correct answer: C. Take a panoramic radiograph
- A. Incorrect. Biopsy of skin lesions is outside the dental scope. The dental priority is screening for jaw OKCs.
- B. Incorrect. A full blood count is not a priority for this syndrome in a dental context.
- C. Correct. Gorlin Syndrome is associated with multiple odontogenic keratocysts (OKCs). A panoramic radiograph is the primary dental screening tool to identify these jaw cysts, which appear as well-defined radiolucencies and can be multiple/bilateral.
- D. Incorrect. While dermatology referral is appropriate for skin basal cell carcinomas, the dental office's most important action is the panoramic radiograph.