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  • See Evidence submitted by expert panel for details.

Variant: NM_000314.6(PTEN):c.-909T>C

CA000631

127681 (ClinVar)

Gene: PTEN
Condition: PTEN hamartoma tumor syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: 6645334e-8bca-425f-949d-27eb2959bb70

HGVS expressions

NM_000314.6:c.-909T>C
NM_000314.6(PTEN):c.-909T>C
NC_000010.11:g.87863560T>C
CM000672.2:g.87863560T>C
NC_000010.10:g.89623317T>C
CM000672.1:g.89623317T>C
NC_000010.9:g.89613297T>C
NG_007466.2:g.5123T>C
NG_033079.1:g.4878A>G
NM_000314.5:c.-909T>C
NM_001304717.2:c.-390T>C
NM_001304718.1:c.-1614T>C
ENST00000371953.7:c.-910T>C
ENST00000610634.1:c.-1012T>C

Likely Benign

Met criteria codes 2
BP5 BP2
Not Met criteria codes 21
PVS1 BA1 BP7 BP4 BS1 BS3 BS4 BS2 PP3 PP2 PP1 PP4 PM2 PM6 PS1 PS3 PS4 PS2 PM5 PM4 PM1

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
PTEN VCEP
PTEN c.-909T>C (NC_000010.10:g.87863560T>C) meets criteria to be classified as likely benign for PTEN Hamartoma Tumor syndrome in an autosomal dominant manner using modified ACMG criteria (PMID 30311380). Please see a summary of the rules and criteria codes in the “PTEN ACMG Specifications Summary” document (assertion method column). BP2: Observed in trans with a pathogenic or likely pathogenic PTEN variant. (internal laboratory contributor ClinVar Organization ID 19864) BP5: Variant found in multiple cases with alternate molecular basis for disease. (internal laboratory contributors SCV000185347.1, SCV000149485.5)
Met criteria codes
BP5
1 definite co-occurrence (APC and adenomatous polyposis), others with BrCA, phenotypes overlap with PHTS Case 1: Endometrial ca in late 30s, loss of MSH2/MSH6 on IHC. FHx: father colon in 50s, pat GF colon in 30s; pat aunt ovarian in 50s; uncle colon in 40s. Family meets ACII criteria. Co-occurrence with a pathogenic mutation in MSH2. Case 2: Colon in early 30s, loss of MLH1/PMS2 on IHC. FHx: mother colon 3x in 50s; mat aunt colon in 60s; mat cousin colon in 40s; 2 mat cousins colon in 40s; mat cousin breast in 40s; pat aunt breast in 50s. Family meets ACI criteria. Co-occurrence with a pathogenic mutation in MLH1. Case 3: Proband dx with Gorlin syndrome. FHx: father Gorlin syndrome, sister Gorlin syndrome. Co-occurrence with a pathogenic mutation in PTCH1. BP5 approved by EP.
BP2
1 internal GDX case phase unk. Communication from Ambry re: CCF study patient with phase proven in trans with PATH variant. BP2 approved by EP.
Not Met criteria codes
PVS1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BA1
Per Jessi: Looks to be a possible EAS allele, but N insufficient. Present in PRISM: 3/750 individuals (3/1500 alleles), again N insufficient to apply criteria.
BP7
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BP4
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BS1
Per Jessi: Looks to be a possible EAS allele, but N insufficient. Present in PRISM: 3/750 individuals (3/1500 alleles), again N insufficient to apply criteria.
BS3
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BS4
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BS2
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PP3
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PP2
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PP1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PP4
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PM2
Per Jessi: Looks to be a possible EAS allele, but N insufficient. Present in PRISM: 3/750 individuals (3/1500 alleles), again N insufficient to apply criteria.
PM6
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PS1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PS3
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PS4
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PS2
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PM5
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PM4
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PM1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
Approved on: 2018-07-25
Published on: 2018-12-10
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