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    <!-- http://purl.obolibrary.org/obo/DOID_0050657 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/DOID_0050657">
        <rdfs:label xml:lang="en">Cowden syndrome 1</rdfs:label>
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        <oboInOwl:hasDbXref>UMLS_CUI:C1866398</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>ICDO:9493/0</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>GARD:6901</oboInOwl:hasDbXref>
        <oboInOwl:hasNarrowSynonym xml:lang="en">BRRS</oboInOwl:hasNarrowSynonym>
        <oboInOwl:hasDbXref>SNOMEDCT_US_2025_09_01:763867001</oboInOwl:hasDbXref>
        <skos:narrowMatch>UMLS_CUI:C0391826</skos:narrowMatch>
        <oboInOwl:hasDbXref>ORDO:109</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>MIM:158350</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>SNOMEDCT_US_2025_09_01:722859001</oboInOwl:hasDbXref>
        <skos:narrowMatch>UMLS_CUI:C1866398</skos:narrowMatch>
        <skos:narrowMatch>ORDO:65285</skos:narrowMatch>
        <oboInOwl:hasDbXref>NCI:C179915</oboInOwl:hasDbXref>
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        <oboInOwl:hasDbXref>ORDO:137608</oboInOwl:hasDbXref>
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        <oboInOwl:hasDbXref>UMLS_CUI:C0391826</oboInOwl:hasDbXref>
        <ns4:IAO_0000115 xml:lang="en">A Cowden syndrome that is characterized by macrocephaly, multiple noncancerous tumors and hamartomas, and dark freckles on the penis, and has_material_basis_in heterozygous germline mutation in the PTEN gene on chromosome 10q23.</ns4:IAO_0000115>
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        <oboInOwl:hasDbXref>ORDO:65285</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>SNOMEDCT_US_2025_09_01:716862002</oboInOwl:hasDbXref>
        <oboInOwl:hasOBONamespace>disease_ontology</oboInOwl:hasOBONamespace>
        <oboInOwl:hasAlternativeId>DOID:0080191</oboInOwl:hasAlternativeId>
        <oboInOwl:hasDbXref>MESH:D006223</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>GARD:12800</oboInOwl:hasDbXref>
        <skos:narrowMatch>UMLS_CUI:C4706610</skos:narrowMatch>
        <skos:narrowMatch>ICDO:9493/0</skos:narrowMatch>
        <oboInOwl:id>DOID:0050657</oboInOwl:id>
        <oboInOwl:hasNarrowSynonym xml:lang="en">Bannayan-Riley-Ruvalcaba syndrome</oboInOwl:hasNarrowSynonym>
        <oboInOwl:hasDbXref>NCI:C179930</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>SNOMEDCT_US_2025_09_01:67944007</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>NCI:C8419</oboInOwl:hasDbXref>
        <skos:narrowMatch>GARD:6901</skos:narrowMatch>
        <oboInOwl:hasDbXref>GARD:5887</oboInOwl:hasDbXref>
        <oboInOwl:hasNarrowSynonym xml:lang="en">Bannayan-Zonana syndrome</oboInOwl:hasNarrowSynonym>
        <oboInOwl:hasNarrowSynonym xml:lang="en">Lhermitte-Duclos disease</oboInOwl:hasNarrowSynonym>
        <oboInOwl:hasDbXref>UMLS_CUI:C4706610</oboInOwl:hasDbXref>
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        <oboInOwl:hasDbXref>MESH:D016715</oboInOwl:hasDbXref>
        <rdfs:comment xml:lang="en">OMIM mapping confirmed by DO. [SN].</rdfs:comment>
        <oboInOwl:hasExactSynonym xml:lang="en">PHTS</oboInOwl:hasExactSynonym>
        <oboInOwl:hasExactSynonym xml:lang="en">PTEN hamartoma tumor syndrome</oboInOwl:hasExactSynonym>
        <oboInOwl:hasExactSynonym xml:lang="en">PTEN hamartoma tumour syndrome</oboInOwl:hasExactSynonym>
        <oboInOwl:hasNarrowSynonym xml:lang="en">Proteus-like syndrome</oboInOwl:hasNarrowSynonym>
        <oboInOwl:hasNarrowSynonym xml:lang="en">Riley-Smith syndrome</oboInOwl:hasNarrowSynonym>
        <oboInOwl:hasNarrowSynonym xml:lang="en">Ruvalcaba-Myhre-Smith syndrome</oboInOwl:hasNarrowSynonym>
        <oboInOwl:hasNarrowSynonym xml:lang="en">SOLAMEN syndrome</oboInOwl:hasNarrowSynonym>
        <oboInOwl:hasNarrowSynonym xml:lang="en">dysplastic cerebellar gangliocytoma</oboInOwl:hasNarrowSynonym>
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        <oboInOwl:hasNarrowSynonym xml:lang="en">segmental overgrowth, lipomatosis, arteriovenous malformation, and epidermal nevus syndrome</oboInOwl:hasNarrowSynonym>
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