TABLE 1.
Patient characteristics in PTEN mosaicism
PMID | CHOP case 1 |
UPenn case 2 |
Gammon et al. 23240978 |
Pritchard et al. 23619277 |
Salo-Mullen et al. 24609522 |
Golas et al. 31062505 |
Golas et al. 31062505 |
Goldenberg et al. 31796102 |
Rofes et al. 35102303 |
---|---|---|---|---|---|---|---|---|---|
PTEN variant | c.1003C>T, p.R335* | c.697C>T, p.R233* | c.966_967delinsG, p.Asn323Metfs*21 | c.767_768del, p.Glu256Valfs*41 | Partial deletion (exons 6-9) | 10q23.1q23.3 del (6 Mb) | 10q23.1q23.3 del (4.4 Mb) | c.970dup, p.(Asp324Glyfs*3) | c.331T>C, p.(Trp111Arg) |
Blood VAF | 20% | 5.6% | <10% | 1.7% | ~47% | Not reported | <10% | 3.5% | 22.5% |
Tumor VAF | 49% | 45% | N/A | ~50% (dysplastic gangliocytoma) | 30% (glioneuronal hamartoma) | N/A *sperm 5.7% | |||
Age at evaluation (years) | 3 | 41 | 20 | 40 | 43 | 16 | 15 | 11 | 53 |
Family history | Son with known PHTS | Daughter: CS, thyroid goiter Mother: endometrial cancer Father: melanoma |
No | Nephew: macrocephaly, speech delay Aunt: breast cancer |
Mother: colorectal polyps Paternal grandfather: colorectal polyps |
Paternal grandmother: breast cancer Paternal grandfather: pancreatic cancer Maternal grandmother: thyroid cancer |
None | None | |
Major criteria | |||||||||
Adult lhermitteduclos disease (cerebellar dysplastic gangliocytoma) | x | ||||||||
Macrocephaly (≥97 percentile) | x | x | x | x | x | x | x | x | |
Macular pigmentation of glans penis | x | x | |||||||
Multiple mucocutaneous lesions (trichilemmomas (≥3), acral keratoses (≥3), mucocutaneous neuromas (≥3), oral papillomas) | x | x | x | ||||||
Breast cancer | x | x (DCIS) | |||||||
Endometrial cancer (epithelial) | |||||||||
Thyroid cancer (follicular) | |||||||||
Gastrointestinal hamartomas | x | x | x | x | |||||
Minor criteria | |||||||||
Autism spectrum disorder | x | x | |||||||
Intellectual disability (IQ ≤75) | |||||||||
Colon cancer | |||||||||
Esophageal glycogenic acanthosis (≥3) | |||||||||
Lipomas | x | x | |||||||
Fibromas | x | x | |||||||
Renal cell carcinoma | |||||||||
Testicular lipomatosis | |||||||||
Thyroid structural lesions (e.g., adenoma, goiter) | x | x | |||||||
Vascular anomalies | x | ||||||||
Other | Hashimoto's thyroiditis | Neuroendocrine pancreatic tumor, later developed metastatic breast cancer | Mild intellectual disability | Central and peripheral nervous system hamartomas | |||||
Met clinical criteria for testing | x | x | x | x | x | x |