We report three new mutations in PTEN, the gene responsible for Cowden
disease in five patients with Bannayan-Riley-Ruvalcaba syndrome from
three unrelated families. This finding confirms that Cowden disease, a
dominant cancer predisposing syndrome, and Bannayan-Riley-Ruvalcaba s
yndrome, which includes macrocephaly, multiple lipomas, intestinal ham
artomatous polyps, vascular malformations, and pigmented macules of th
e penis, are allelic disorders at the PTEN locus on chromosome 10q.