Reconstructive SurgerySurgical Management of Gorlin Syndrome A 4-Decade Experience Using Local Excision TechniqueGriner, Devan MD; Sutphin, Daniel MD; Sargent, Larry A. MDAuthor Information From the Department of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, TN. Received September 18, 2012, and accepted for publication, after revision, October 17, 2013. Conflicts of interest and sources of funding: none declared. Reprints: Devan Griner, MD, Department of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, TN 37403. E-mail: [email protected]. Annals of Plastic Surgery: April 2015 - Volume 74 - Issue 4 - p 467-470 doi: 10.1097/SAP.0000000000000052 Buy Metrics Abstract Basal cell nevus syndrome (aka Gorlin syndrome, Gorlin-Goltz syndrome, nevoid basal cell carcinoma syndrome, and fifth phacomatosis) is a rare but well-described autosomal dominant condition with variable penetrance. We present a female patient who has been successfully treated using local surgical excision and diligent skin surveillance for more than 4 decades, demonstrating that simple local incision is an efficacious and reasonable surgical alternative that may circumvent the specialization and expense of Mohs technique. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.