raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:201

Cowden syndrome

Synonyms: Cowden disease · Multiple hamartoma syndrome

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal dominant
Age of onset
All ages
Status
active

A genodermatosis characterized by the presence of multiple hamartomas in various tissues and an increased risk for malignancies of the breast, thyroid, endometrium, kidney and colorectum. When CS is accompanied by germline <i>PTEN</i> mutations, it belongs to the PTEN hamartoma tumor syndrome (PHTS) group.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCowden syndromeCowden disease · Multiple hamartoma syndrome
frSyndrome de CowdenMaladie de Cowden · Syndrome des hamartomes multiples
deCowden-SyndromCowden-Krankheit · Multiples Hamartom-Syndrom
esSíndrome de CowdenEnfermedad de Cowden · Síndrome de hamartoma múltiple
itSindrome di CowdenMalattia di Cowden · Sindrome da amartomi multipli
nlSyndroom van CowdenMultipele hamartomen-syndroom · Ziekte van Cowden
ptSíndrome CowdenSíndrome de hamartoma múltiplo
plZespół CowdenaChoroba Cowdena · Zespół mnogich zmian typu hamartoma
csCowdenův syndromCowdenova nemoc · Syndrom mnohočetných hamartomů
ukСиндром КоуденаХвороба Коудена · Синдром множинної гамартоми
zhCowden综合征多发性错构瘤综合征
trCowden sendromuCowden hastalığı · Çoklu hamartom sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM158350BTNTvalidated
OMIM615107BTNTvalidated
OMIM615108BTNTvalidated
OMIM615109BTNTvalidated
OMIM616858BTNTvalidated
ICD-10Q85.8NTBTattributedvalidated
ICD-11LD2D.YNTBTindexvalidated
MONDO0016063Evalidated
MeSHD006223Evalidated
UMLSC0018553Evalidated
GARD6202Evalidated
MedDRA10051906Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (6):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PTENDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:9588ENSG0000017186260172810q23.31phosphatase and tensin homolog
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.45 / 100 000NetherlandsValue and classValidated10234502[PMID]
Point prevalenceUnknown—WorldwideClass onlyValidated10234502[PMID]_35422633[PMID]_ORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

57 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003002Breast carcinoma
HP:0200063Colorectal polyposis
HP:0100780Conjunctival hamartoma
HP:0005595Generalized hyperkeratosis
HP:0000853Goiter
HP:0012733Macule
HP:0008069Neoplasm of the skin
HP:0000982Palmoplantar keratoderma
HP:0012740Papilloma
HP:0200034Papule
Frequent (79-30%)
HP:0000036Abnormality of the penis
HP:0000820Abnormality of the thyroid gland
HP:0009720Adenoma sebaceum
HP:0001251Ataxia
HP:0001048Cavernous hemangioma
HP:0100543Cognitive impairment
HP:0010614Fibroma
HP:0000221Furrowed tongue
HP:0001263Global developmental delay
HP:0004390Hamartomatous polyposis
HP:0001249Intellectual disability
HP:0012032Lipoma
HP:0000256Macrocephaly
HP:0000158Macroglossia
HP:0000995Melanocytic nevus
HP:0002858Meningioma
HP:0100579Mucosal telangiectasiae
HP:0002664Neoplasm
HP:0001482Subcutaneous nodule
Occasional (29-5%)
HP:0001317Abnormal cerebellum morphology
HP:0000077Abnormality of the kidney
HP:0000130Abnormality of the uterus
HP:0000717Autism
HP:0012062Bone cyst
HP:0001156Brachydactyly
HP:0000518Cataract
HP:0005374Cellular immunodeficiency
HP:0012114Endometrial carcinoma
HP:0008675Enlarged polycystic ovaries
HP:0001508Failure to thrive
HP:0006731Follicular thyroid carcinoma
HP:0000771Gynecomastia
HP:0000365Hearing impairment
HP:0000218High palate
HP:0001053Hypopigmented skin patches
HP:0002516Increased intracranial pressure
HP:0002808Kyphosis
HP:0002861Melanoma
HP:0007565Multiple cafe-au-lait spots
HP:0000545Myopia
HP:0100006Neoplasm of the central nervous system
HP:0100031Neoplasm of the thyroid gland
HP:0000767Pectus excavatum
HP:0005584Renal cell carcinoma
HP:0002650Scoliosis
HP:0001250Seizure
HP:0004322Short stature

Run the differential on the 10 obligate / very frequent terms

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Sources for this card