Table 5.
Screening recommendations for patients with GS
| Tumors | Methods for screening | Indications for PTCH1 variants carriers | Indications for SUFU variants carriers |
|---|---|---|---|
| BCC | Dermatologic examination | Annually beginning at 10 Earlier if previous radiotherapy |
Annually beginning at 20 Earlier if previous radiotherapy |
| KCOT | Dental examination Orthopanthogram (consider MRI) |
Annually beginning at 2 Annually beginning at 8 |
|
| Medulloblastomas |
Brain MRI (without contrast agent) The first can be performed with a contrast agent |
Neurological examination. Brain MRI, only if symptoms or neurological signs appear | Every 3–4 months during the first 3 years then every 6 months until 5 years |
| Meningioma | Brain MRI | Every 3–5 years beginning at age 30 for patients with no previous MB and after healing of the MB in other patients | |
| Ovarian tumors | Pelvic ultrasound | Once at the end of adolescence (18 years) | Every 3 years beginning at age 5 years |
| Cardiac fibroma | Echocardiogram | At the time of diagnosis of GS, ideally in the first 6 months of life | At the time of diagnosis of GS, ideally in the first 6 months of life |