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. Author manuscript; available in PMC: 2023 Dec 19.
Published in final edited form as: Am J Med Genet C Semin Med Genet. 2022 Dec 19;190(4):530–540. doi: 10.1002/ajmg.c.32018

Table 1:

Incidence of Specific Cancer Types in RASopathies. ALL: Acute lymphocytic leukemia; AML: Acute myeloid leukemia; JMML: Juvenile myelomonocytic leukemia

RASopathy Most Common
Cancer Type(s)
Approximate Incidence
Costello syndrome (HRAS) General ~40-fold increase over general population
Bladder cancer ~1.5%
Neuroblastoma ~2%
Rhabdomyosarcoma ~7%
Noonan syndrome (PTPN11; e.g., codon 61 or T73I), (KRAS; e.g., T58I) JMML, rhabdomyosarcoma, ALL, neuroblastoma, brain tumors ~8-fold increase over general population
Noonan syndrome (SOS1, RAF1, RIT1, SOS2, RRAS, LZTR1, BRAF) Case reports of ALL, neuroblastoma, rhabdomyosarcoma Unclear risk
Noonan syndrome with multiple lentigines (PTPN11, RAF1, BRAF, MAP2K1) Case reports of AML, ALL, neuroblastoma, melanoma Possibly mildly elevated, although unclear how much so
Noonan syndrome with loose anagen hair (PPPC1B, SHOC2) Case reports of neuroblastoma, myelofibrosis, t cell lymphoma Possibly mildly elevated, although unclear how much so
CBL syndrome (CBL) JMML Elevated, but unclear how much so
Cardiofaciocutaneous syndrome (BRAF, MAP2K1, MAP2K2, KRAS) Case reports of rhabdomyosarcoma, ALL, lymphoma Possibly mildly elevated, although unclear how much so
Legius syndrome (SPRED1) Case reports of pediatric leukemias Not believed to be elevated