HGG Advances (Oct 2020)

Orofacial overgrowth with peripheral nerve enlargement and perineuriomatous pseudo-onion bulb proliferations is part of the PIK3CA-related overgrowth spectrum

  • Ioannis G. Koutlas,
  • Ana-Lia Anbinder,
  • Rana Alshagroud,
  • Ana Sueli Rodrigues Cavalcante,
  • Mohammed Al Kindi,
  • Molly M. Crenshaw,
  • Julie C. Sapp,
  • Hannah Kondolf,
  • Marjorie J. Lindhurst,
  • Jeffrey N. Dudley,
  • Jennifer J. Johnston,
  • Elyse Ryan,
  • Keith Rafferty,
  • Arupa Ganguly,
  • Leslie G. Biesecker

Journal volume & issue
Vol. 1, no. 1
p. 100009

Abstract

Read online

Summary: Individuals with orofacial asymmetry due to mucosal overgrowths, ipsilateral bone and dental aberrations with perineurial hyperplasia and/or perineuriomatous pseudo-onion bulb proliferations, comprise a recognizable clinical entity. In this article, we describe three individuals with this clinical entity and mosaic PIK3CA variants c.3140A>G (p. His1047Arg), c.328_330delGAA (p. Glu110del), and c.1353_1364del (p.Glu453_Leu456del). We conclude that the identification of these mosaic variants in individuals with orofacial asymmetry presenting histopathologically perineurial hyperplasia and/or intraneural pseudo-onion bulb perineurial cell proliferations supports the inclusion of this clinical entity in the PIK3CA-related overgrowth spectrum.

Keywords