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Living with Cowden syndrome

A genetic condition with many non-cancerous growths and a higher risk of some cancers, such as breast and thyroid.

Understanding Cowden syndrome

Cowden syndrome is a genetic condition marked by many noncancerous, tumor-like growths called hamartomas and a higher risk of certain cancers.

Almost everyone with Cowden syndrome develops hamartomas, most often on the skin and the lining of the mouth and nose, but also in the intestine. The skin growths usually show up by the late twenties. Cancer risk is higher for the breast, thyroid, and uterine lining, and cancers tend to appear earlier, often in the thirties or forties. Other features include a larger head and, in a small share of people, delayed development, intellectual disability, or autism.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Many noncancerous growths (hamartomas)
  • Higher risk of breast, thyroid, and uterine cancer
  • Colon polyps
  • Larger than usual head (macrocephaly)
  • Thyroid problems, such as goiter
  • Developmental delay in some people

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include cancer specialists, digestive system specialists, genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    FORCE: Facing Our Risk of Cancer Empowered may keep lists of experts for this condition.

Care & treatment

Care team
Cancer specialists (oncologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: FORCE: Facing Our Risk of Cancer Empowered
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with FORCE: Facing Our Risk of Cancer Empowered and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would genetic testing help me and my relatives?
What cancer screening should I have, and when should it start?
Which specialists should be on my care team?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant

GARD says changes in genes cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it. GARD doesn't name a gene.

GeneticGastrointestinalSkin

Also known as: cowden disease; cowden's disease; cowden's syndrome; cs; multiple hamartoma syndrome

Patient organizations

Source: NIH GARD · Cowden syndromeGARD ID 6202 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Cowden syndrome.

Explore the Cowden syndrome blog

Explore research for Cowden syndrome

Explore actively recruiting Cowden syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Cowden syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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