The naevoid basal cell carcinoma syndrome (NBCCS; Gorlin's Syndrome) was first fully described by Gorlin and Goltz in 1960 and consists of the classic triad of multiple basal cell carcinomas, odontogenic keratocysts and skeletal anomalies (Gorlin & Goltz, 1960; Gorlin, 1987). Osteosclerotic foci are a rare feature of this condition (Hermann & Som, 1981; Blinder et al, 1984) and we present a case in which bone scintigraphy proved helpful in excluding presumed metastatic disease as a cause of these sclerotic lesions. A 46-year-old woman on follow-up for NBCCS complained of 2 months low back pain and sciatica in February 1990. Lumbosacral and pelvic radiographs, obtained at the time, showed multiple sclerotic foci within the pelvis (Figure 1) and lumbar vertebral bodies (Figure 2). A presumptive diagnosis of multiple metastases was made and the patient referred for further assessment.
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