PTEN Hamartoma Tumor Syndrome (PHTS) encompasses Cowden syndrome (CS), Bannayan-Riley-Ruvalcaba syndrome (BRRS), and Proteus syndrome (PS), which have phenotypic overlap that includes hamartomatous tumors. PHTS has been estimated to affect 1 in 200,000 people worldwide. PHTS is caused by sequence variants in the tumor suppressor phosphatase and tensin homolog (PTEN) gene. PHTS is inherited in an autosomal dominant manner with > 200 pathogenic sequence variants described to date.