Table 1

Presence of the diagnostic criteria of Cowden syndrome in proband according to US National Comprehensive Cancer Network (2008)

Pathognomonic criteria

Lhermitte-Duclos disease (dysplastic cerebellar gangliocytoma)

no

Mucocutaneous lesions (trichilemmomas, acral keratoses, papillomatous lesions, mucosal lesions)

no

Major criteria

Breast cancer

no

Thyroid cancer (especially follicular)

no

Endometrial cancer

yes

Macrocephaly (≥ 97% percentile)

yes

Minor criteria

Other thyroid lesions (e.g., adenoma, multinodular goiter)

yes

Mental retardation (IQ ≤ 75)

no

Gastrointestinal hamartomas

yes

Fibrocystic breast disease

no

Lipomas

yes

Fibromas

no

Genitourinary tumors (especially renal cell carcinoma)

no

Genitourinary structural malformations

no

Uterine fibroids

no


Melbārde-Gorkuša et al. Hereditary Cancer in Clinical Practice 2012 10:5   doi:10.1186/1897-4287-10-5

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