Cowden disease - multiple hamartoma syndrome: a case report

ABSTRACT

We report the case of a 59 year old woman who presented with a 17 year history of acral keratoses, facial trichilemmomas, skin fibromas and a benign tongue fibrous polyp. Cowden disease was suspected and after appropriate investigations the patient was found to have Hashimoto's thyroiditis. She also presented to our clinic five years after her first visit, where her clinical examination and investigations showed that she developed cancer in her right breast