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Start free with EleplanCowden syndrome
ORPHA:201Clinical subtype
Also called Cowden disease · Multiple hamartoma syndrome
What it is
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 PTEN mutations, it belongs to the PTEN hamartoma tumor syndrome (PHTS) group.
Key facts
- Prevalence
- 1-9 / 1 000 000 (Netherlands)
- Age of onset
- All ages
- Inheritance
- Autosomal dominant
- Classified as
- Clinical subtype
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
10Common30–79%
19- Abnormality of the penis
- Abnormality of the thyroid gland
- Adenoma sebaceum
- Ataxia
- Cavernous hemangioma
- Cognitive impairment
- Fibroma
- Furrowed tongue
- Global developmental delay
- Hamartomatous polyposis
- Intellectual disability
- Lipoma
- Macrocephaly
- Macroglossia
- Melanocytic nevus
- Meningioma
- Mucosal telangiectasiae
- Neoplasm
- Subcutaneous nodule
Sometimes5–29%
28- Abnormal cerebellum morphology
- Abnormality of the kidney
- Abnormality of the uterus
- Autism
- Bone cyst
- Brachydactyly
- Cataract
- Cellular immunodeficiency
and 20 more in this range
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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