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Table 1 Diagnostic criteria for CNC by Stratakis CA in 2001 [3]

From: Carney complex: a case with thyroid follicular adenoma without a PRKAR1A mutation

Major Criteria

1.

Spotty skin pigmentation with a typical distribution (lips, conjunctiva and inner or outer canthi, vaginal and penile mucosa)

2.

Myxoma (cutaneous and mucosal)

3.

Cardiac myxoma

4.

Breast myxomatosis or fat-suppressed magnetic resonance imaging findings suggestive of this diagnosis

5.

PPNAD or paradoxical positive response of urinary glucocorticosteroids to dexamethasone administration during Liddle’s test

6.

Acromegaly due to GH-producing adenoma

7.

LCCSCT or characteristic calcification on testicular ultrasonography

8.

Thyroid carcinoma or multiple, hypoechoic nodules on thyroid ultrasonography, in a young patient

9.

Psammomatous melanotic schwannoma

10.

Blue nevus, epithelioid blue nevus (multiple)

11.

Breast ductal adenoma (multiple)

12.

Osteochondromyxoma

Supplemental criteria

1.

Affected first-degree relative

2.

Inactivating mutation of the PRKAR1A gene

  1. PPNAD primary pigmented nodular adrenocortical disease; GH growth hormone; LCCSCT large-cell calcifying Sertoli cell tumor