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Erschienen in: Journal of Genetic Counseling 1/2009

01.02.2009 | Commentary

Cowden Syndrome: A Critical Review of the Clinical Literature

verfasst von: Robert Pilarski

Erschienen in: Journal of Genetic Counseling | Ausgabe 1/2009

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Abstract

Cowden syndrome (CS) is a multi-system disease involving hamartomatous overgrowth of tissues of all three embryonic origins and increased risks for thyroid, breast and possibly other cancers. Benign breast, thyroid, uterine and skin lesions are also common. Approximately 80% of patients with CS have an identifiable germline mutation in the PTEN gene. The majority of the existing data on the frequencies of component clinical features have been obtained from compilations of case reports in the literature, many of which predate the establishment in 1996 of consensus diagnostic criteria. Many of these reports also suffer from ascertainment bias which emphasized the dermatologic features of the disease. This paper presents an overview of Cowden syndrome focusing on a critical evaluation of the major literature on the component cancers, benign features, and molecular findings in CS, noting the limitations of the published data.
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Zurück zum Zitat Taylor, A. J., Dodds, W. J., & Stewart, E. T. (1989). Alimentary tract lesions in Cowden’s disease. The British Journal of Radiology, 62(742), 890–892.PubMedCrossRef Taylor, A. J., Dodds, W. J., & Stewart, E. T. (1989). Alimentary tract lesions in Cowden’s disease. The British Journal of Radiology, 62(742), 890–892.PubMedCrossRef
Zurück zum Zitat Tsou, H. C., Teng, D. H., Ping, X. L., Brancolini, V., Davis, T., Hu, R., et al. (1997). The role of MMAC1 mutations in early-onset breast cancer: Causative in association with Cowden syndrome and excluded in BRCA1-negative cases. American Journal of Human Genetics, 61(5), 1036–1043. doi:10.1086/301607.PubMedCrossRef Tsou, H. C., Teng, D. H., Ping, X. L., Brancolini, V., Davis, T., Hu, R., et al. (1997). The role of MMAC1 mutations in early-onset breast cancer: Causative in association with Cowden syndrome and excluded in BRCA1-negative cases. American Journal of Human Genetics, 61(5), 1036–1043. doi:10.​1086/​301607.PubMedCrossRef
Zurück zum Zitat Woodhouse, J., & Ferguson, M. M. (2006). Multiple hyperechoic testicular lesions are a common finding on ultrasound in Cowden disease and represent lipomatosis of the testis. The British Journal of Radiology, 79(946), 801–803. doi:10.1259/bjr/50628431.PubMedCrossRef Woodhouse, J., & Ferguson, M. M. (2006). Multiple hyperechoic testicular lesions are a common finding on ultrasound in Cowden disease and represent lipomatosis of the testis. The British Journal of Radiology, 79(946), 801–803. doi:10.​1259/​bjr/​50628431.PubMedCrossRef
Zurück zum Zitat Zbuk, K. M., Stein, J. L., & Eng, C.(2006). PTEN Hamartoma Tumor Syndrome (PHTS). GeneReviews at GeneTests: Medical Genetics Information Resource [database online]. Retrieved from http://www.genetests.org. Zbuk, K. M., Stein, J. L., & Eng, C.(2006). PTEN Hamartoma Tumor Syndrome (PHTS). GeneReviews at GeneTests: Medical Genetics Information Resource [database online]. Retrieved from http://​www.​genetests.​org.
Zurück zum Zitat Zhou, X., Hampel, H., Thiele, H., Gorlin, R. J., Hennekam, R. C., Parisi, M., et al. (2001a). Association of germline mutation in the PTEN tumour suppressor gene and Proteus and Proteus-like syndromes. Lancet, 358(9277), 210–211. doi:10.1016/S0140-6736(01)05412-5.PubMedCrossRef Zhou, X., Hampel, H., Thiele, H., Gorlin, R. J., Hennekam, R. C., Parisi, M., et al. (2001a). Association of germline mutation in the PTEN tumour suppressor gene and Proteus and Proteus-like syndromes. Lancet, 358(9277), 210–211. doi:10.​1016/​S0140-6736(01)05412-5.PubMedCrossRef
Zurück zum Zitat Zhou, X. P., Marsh, D. J., Hampel, H., Mulliken, J. B., Gimm, O., & Eng, C. (2000). Germline and germline mosaic mutations associated with a Proteus-like syndrome of hemihypertrophy, lower limb asymmetry, arterio-venous malformations and lipomatosis. Human Molecular Genetics, 9, 765–768. doi:10.1093/hmg/9.5.765.PubMedCrossRef Zhou, X. P., Marsh, D. J., Hampel, H., Mulliken, J. B., Gimm, O., & Eng, C. (2000). Germline and germline mosaic mutations associated with a Proteus-like syndrome of hemihypertrophy, lower limb asymmetry, arterio-venous malformations and lipomatosis. Human Molecular Genetics, 9, 765–768. doi:10.​1093/​hmg/​9.​5.​765.PubMedCrossRef
Zurück zum Zitat Zhou, X. P., Marsh, D. J., Morrison, C. D., Chaudhury, A. R., Maxwell, M., Reifenberger, G., et al. (2003a). Germline inactivation of PTEN and dysregulation of the phosphoinositol-3-kinase/Akt pathway cause human Lhermitte–Duclos disease in adults. American Journal of Human Genetics, 73(5), 1191–1198. doi:10.1086/379382.PubMedCrossRef Zhou, X. P., Marsh, D. J., Morrison, C. D., Chaudhury, A. R., Maxwell, M., Reifenberger, G., et al. (2003a). Germline inactivation of PTEN and dysregulation of the phosphoinositol-3-kinase/Akt pathway cause human Lhermitte–Duclos disease in adults. American Journal of Human Genetics, 73(5), 1191–1198. doi:10.​1086/​379382.PubMedCrossRef
Zurück zum Zitat Zhou, X. P., Waite, K. A., Pilarski, R., Hampel, H., Fernandez, M. J., Bos, C., et al. (2003b). Germline PTEN promoter mutations and deletions in Cowden/Bannayan–Riley–Ruvalcaba syndrome result in aberrant PTEN protein and dysregulation of the phosphoinositol-3-kinase/Akt pathway. American Journal of Human Genetics, 73(2), 404–411. doi:10.1086/377109.PubMedCrossRef Zhou, X. P., Waite, K. A., Pilarski, R., Hampel, H., Fernandez, M. J., Bos, C., et al. (2003b). Germline PTEN promoter mutations and deletions in Cowden/Bannayan–Riley–Ruvalcaba syndrome result in aberrant PTEN protein and dysregulation of the phosphoinositol-3-kinase/Akt pathway. American Journal of Human Genetics, 73(2), 404–411. doi:10.​1086/​377109.PubMedCrossRef
Zurück zum Zitat Zhou, X. P., Woodford-Richens, K., Lehtonen, R., Kurose, K., Aldred, M., Hampel, H., et al. (2001b). Germline mutations in BMPR1A/ALK3 cause a subset of cases of juvenile polyposis syndrome and of Cowden and Bannayan–Riley–Ruvalcaba syndromes. American Journal of Human Genetics, 69(4), 704–711. doi:10.1086/323703.PubMedCrossRef Zhou, X. P., Woodford-Richens, K., Lehtonen, R., Kurose, K., Aldred, M., Hampel, H., et al. (2001b). Germline mutations in BMPR1A/ALK3 cause a subset of cases of juvenile polyposis syndrome and of Cowden and Bannayan–Riley–Ruvalcaba syndromes. American Journal of Human Genetics, 69(4), 704–711. doi:10.​1086/​323703.PubMedCrossRef
Metadaten
Titel
Cowden Syndrome: A Critical Review of the Clinical Literature
verfasst von
Robert Pilarski
Publikationsdatum
01.02.2009
Verlag
Springer US
Erschienen in
Journal of Genetic Counseling / Ausgabe 1/2009
Print ISSN: 1059-7700
Elektronische ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-008-9187-7

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