Cowden Syndrome (PTEN Hamartoma Tumor Syndrome, Multiple Hamartoma Syndrome, Bannayan-Riley-Ruvalcaba Syndrome, Lhermitte-Duclos Syndrome)
Are You Confident of the Diagnosis? What you should be alert for in the history A personal or family history of multiple facial and mucosal papules coupled with breast or thyroid carcinoma strongly suggests Cowden syndrome. Characteristic findings on physical examination Cowden syndrome features multiple facial, acral and mucosal papules, as well as mucosal and…