This variant, formerly titled COWDEN SYNDROME 7, has been reclassified based on a review of the ExAC database by Hamosh (2018).
In 2 unrelated women (probands CCF02565 and CCF05664) with a Cowden-like syndrome (see 616858), Yehia et al. (2015) identified heterozygosity for a c.490G-T transversion in the SEC23B gene, resulting in a val164-to-leu (V164L; rs36023150) substitution at a highly conserved residue within the SEC23 trunk domain that forms the interface between SEC23 and SEC34 and also contacts SAR1 (see 607690). The T allele was present in 97 of 12,909 alleles in the NHLBI ESP6500 database (minor allele frequency = 0.0075). One of the affected women was diagnosed with follicular variant papillary thyroid cancer at age 52 years and also exhibited macrocephaly; the other woman was diagnosed with papillary thyroid cancer at age 45, and also had fibrocystic breast disease, atypical ductal hyperplasia, and ductal carcinoma in situ, as well as hemangioma and macrocephaly.
Hamosh (2018) found that the V164L variant was present in heterozygous state in 1,432 of 121,406 alleles and in 18 homozygotes, giving an allele frequency of 0.0118, in the ExAC database (July 11, 2018).