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Table 1 Main syndromes including cystic lymphatic malformations (LMs)

From: French national diagnosis and care protocol (PNDS, protocole national de diagnostic et de soins): cystic lymphatic malformations

Syndrome (MIM, ORPHA)

Main abnormalities associated with LMs

Gene

Proteus syndrome (MIM 176,920 Orpha 744)

Capillary and venous malformation, asymmetric musculoskeletal hypertrophy, epidermal hamartomas

AKT1 (S)

CLOVES (MIM 612,918 Orpha 140,944)

Venous and capillary malformation, asymmetric lipomatous and musculoskeletal hypertrophy

PIK3CA (S)

Klippel-Trenaunay syndrome (MIM 149,000 Orpha 2346)

Capillary malformation of limb, elongated affected limb, venous malformations (varicose veins) with thrombotic risk

PIK3CA (S)

Bannayan-Riley-Ruvalcaba (MIM 158,350, ORPHA 109)

Capillary and venous malformation, arteriovenous malformation, macrocephaly, intestinal hamartomatous polyposis

PTEN (G)

CLAPO (MIM 613,089, ORPHA 168,984)

Capillary malformation of the lower lip, asymmetry of face and limbs, partial or generalize overgrowth of one or more body segments

PIK3CA (S)

Gorham–Stout syndrome (MIM 123,880, ORPHA 73)

Massive osteolysis associated with proliferation and dilation of lymphatic vessels

 

Generalized lymphatic abnormality

Diffuse involvement (pulmonary, hepatic, splenic, etc.)

 
  1. S: somatic; G: germline