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An autosomal recessive constitutional mismatch repair deficiency syndrome caused by pathogenic variants in the PMS2 mismatch repair gene. It is characterized by a high risk of childhood cancers, including hematological malignancies and brain tumors, as well as colorectal cancers with polyposis.
Features include always present findings: Agenesis of corpus callosum; and common findings: Astrocytoma and Gray matter heterotopia. 8 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 1 | Non-Hodgkin lymphoma |
PMS2 function has not been fully characterized.
Mismatch repair cancer syndrome 4 is associated with mutations in the PMS2 gene on chromosome 7.
Genetic testing for PMS2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 always present feature, 2 common features.
No clinical trials have been registered for mismatch repair cancer syndrome 4.
4 publications have been identified in PubMed for mismatch repair cancer syndrome 4. Research spans Case Report / Case Series (75%) and Review / Meta-Analysis (25%).
Vazzano Goldstone J (2026). [PMID: 41572278](https://pubmed.ncbi.nlm.nih.gov/41572278/). *Diagn Pathol*. [Review / Meta-Analysis]
Erbağcı A (2026). [PMID: 41886087](https://pubmed.ncbi.nlm.nih.gov/41886087/). *Childs Nerv Syst*. [Case Report / Case Series]
Massett M (2025). [PMID: 40743633](https://pubmed.ncbi.nlm.nih.gov/40743633/). *Cancer Genet*. [Case Report / Case Series]
Chattannavar G (2025). [PMID: 40415278](https://pubmed.ncbi.nlm.nih.gov/40415278/). *Ophthalmic Genet*. [Case Report / Case Series]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 9:32 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
AI-curated news mentioning mismatch repair cancer syndrome 4
Updated Feb 14, 2026
A recent study identifies a distinct mutational signature and clonal evolution in high-grade gliomas associated with constitutional mismatch repair deficiency. This research enhances understanding of the genetic underpinnings of these tumors, potentially guiding future therapeutic strategies.