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?

  1. Perform an excisional biopsy of any skin lesions
  2. Order a full blood count
  3. Take a panoramic radiograph
  4. Refer to dermatology immediately
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.

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