Patients with basal cell nevus syndrome have a high incidence of multi
ple basal cell carcinomas, medulloblastomas, and meningiomas. Because
somatic PATCHED (PTCH) mutations have been found in sporadic basal cel
l carcinomas, we have screened for PTCH mutations in several types of
sporadic extracutaneous tumors. We found that 2 of 14 sporadic medullo
blastomas bear somatic nonsense mutations in one copy of the gene and
also deletion of the other copy. In addition, me identified missense m
utations in PTCH in two of seven breast carcinomas, one of nine mening
iomas, and one colon cancer cell line. No PTCH gene mutations were det
ected in 10 primary colon carcinomas and eighteen bladder carcinomas.