Table of Contents
Definition / general | Gross description | Microscopic (histologic) description | Microscopic (histologic) imagesCite this page: Weisenberg E. Cowden. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/stomachcowdens.html. Accessed January 10th, 2025.
Definition / general
- Also known as multiple hamartoma syndrome
- Due to rare autosomal dominant germline mutation in PTEN on 10q23
- Tricholemmomas on face, acral keratoses, oral papillomas, GI polyps that may occur in stomach, small intestine or colon (35 - 40%), increased incidence of breast and thyroid carcinomas, also endometrial and renal cell carcinomas
Gross description
- Small (1 - 2 mm), sessile polyps
Microscopic (histologic) description
- Excess lamina propria splayed and dissected into lobules by disorganized fascicles of muscularis mucosa running upward from base of mucosa