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Features include always present findings: Peripheral schwannoma; and common findings: Spinal cord tumor. 4 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Ears | 1 | Vestibular schwannoma |
Consensus diagnostic criteria for LZTR1- and SMARCB1-related schwannomatosis have been published .
LZTR1- or SMARCB1-related schwannomatosis should be suspected in a proband with the following:
Two or more non-intradermal tumors suggestive of schwannomas
Absence of bilateral vestibular schwannomas
No approved treatments are currently available for SMARCB1-related schwannomatosis. The disease remains an area of unmet medical need.
A multispecialty guideline group has developed the first comprehensive recommendations for treatment and surveillance for schwannomatosis . Evaluations Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with LZTR1- or SMARCB1-related schwannomatosis, the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended. Table 4. LZTR1- and SMARCB1-Related Schwannomatosis: Recommended Evaluations Following Initial Diagnosis
To monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations, the evaluations summarized in are recommended by a multispecialty guideline group .
Table 6.
LZTR1- and SMARCB1-Related Schwannomatosis: Recommended Surveillance
System/Concern | Evaluation | Frequency
3 clinical trials registered, 2 recruiting. Interventions under study include drug therapy and other interventions. Pipeline includes 2 PHASE2. Research is primarily sponsored by academic and government institutions.
112 publications have been identified in PubMed for SMARCB1-related schwannomatosis. Research spans Review / Meta-Analysis (36%), Basic Science / Preclinical (20%), and Case Report / Case Series (16%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 39 |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 9:56 AM UTC
Online Mendelian Inheritance in Man
Common questions about SMARCB1-related schwannomatosis
LZTR1- and SMARCB1-related schwannomatosis are characterized by a predisposition to develop multiple schwannomas (histologically benign nerve sheath tumors) . Individuals most commonly present between the second and fourth decade of life. The most common presenting symptoms are localized or diffuse pain or an asymptomatic mass. Focal weakness and/or muscle atrophy rarely occur as the only presenting sign of LZTR1- or SMARCB1-related schwannomatosis . Schwannomas most often affect peripheral nerves and spinal nerves . Among the spinal nerves, the lumbar spine is most commonly affected . Although cranial nerve involvement is rare, the most common cranial nerve affected is the trigeminal nerve .
Source: GeneReviews — "LZTR1- and SMARCB1-Related Schwannomatosis"
A family history of schwannomatosis consistent with autosomal dominant inheritance (e.g., affected males and females in multiple generations). Absence of a known family history does not preclude the diagnosis.
A diagnosis of LZTR1- or SMARCB1-related schwannomatosis is established in a proband with by identification of a heterozygous germline pathogenic (or likely pathogenic) variant in LZTR1 or SMARCB1 by molecular genetic testing ; or identification of ...
Source: GeneReviews — "LZTR1- and SMARCB1-Related Schwannomatosis"
An individual with suspected schwannomatosis should have comprehensive molecular genetic testing (i.e., analysis of LZTR1, SMARCB1, NF2, and other genetic causes of predisposition to schwannomatosis [see ]), which may involve multiple tissues, including tumor tissue if available/possible. Table 3. LZTR1- and SMARCB1-Related Schwannomatosis: Differential Diagnosis
Gene /Genetic Mechanism | Disorder | MOI | Clinical Features of Disorder |
|---|---|---|---|
Overlapping w/LZTR1- SMARCB1-Schwannomatosis | Distinguishing from LZTR1- SMARCB1-Schwannomatosis Chr 22q LOH1 | 22q-related schwannomatosis | Peripheral nerve sheath tumors (schwannomas) |
DGCR8 | DGCR8-related schwannomatosis2 | AD | Peripheral nerve sheath tumors (schwannomas) |
Neurofibromatosis 1 | AD | Peripheral nerve sheath tumors (neurofibromas); Malignant peripheral nerve sheath tumors | Cutaneous stigmata w/caf au lait macules freckling NF2 |
NF2-related schwannomatosis | AD | Peripheral nerve sheath tumors (schwannomas); Unilateral vestibular schwannoma; Meningioma | Bilateral vestibular schwannomas; Ependymomas; Cataracts; Retinal hamartomas; Epiretinal membrane; Intradermal schwannomas; Cutaneous schwannomas PRKAR1A |
Carney complex | AD | Schwannomas or psammomatous melanotic schwannomas | Endocrine features; Cardiac skin myxomas; Pigmented skin lesions PTPN11 |
Noonan syndrome with multiple lentigines | AD | Multiple peripheral nerve tumors3 | Hearing loss SMARCE1 |
SUFU | Familial susceptibility to meningioma (OMIM 607174) | AD | Meningioma |
Source: GeneReviews — "LZTR1- and SMARCB1-Related Schwannomatosis"
Biomarker and diagnostic research for SMARCB1-related schwannomatosis has been reported in the published literature.
System/Concern | Evaluation | Comment |
|---|---|---|
Genetic counseling | By genetics professionals2 | To obtain a pedigree inform affected persons their families re nature, MOI, implications of LZTR1- or SMARCB1-related schwannomatosis to facilitate medical personal decision making Family support resources |
LZTR1- and SMARCB1-Related Schwannomatosis: Treatment of Manifestations Manifestation/Concern | Treatment | Considerations/Other |
Peripheral nerve schwannomas | Surgical resection is indicated for symptomatic schwannomas (e.g., uncontrolled localized pain related to a schwannoma, a schwannoma resulting in a neurologic deficit). | The principles for surgical resection are similar to sporadic nerve sheath tumors:; Benefits must be weighed against risks.; Given technical challenges, referral to expert center w/peripheral nerve surgeon is recommended. |
CNS schwannomas in general | Educate affected persons on most common early symptoms that suggest that an existing tumor is becoming problematic. Early intervention for problematic tumors improves outcomes for many CNS tumors. | Performing surgery for each newly identified tumor is impractical inadvisable. |
Source: GeneReviews — "LZTR1- and SMARCB1-Related Schwannomatosis"
Radiation can increase the risk for malignant transformation and should be avoided when possible .
Source: GeneReviews — "LZTR1- and SMARCB1-Related Schwannomatosis"
A Phase II study of tanezumab (an investigational humanized monoclonal antibody that inhibits nerve growth factor) in individuals with moderate to severe pain due to schwannomatosis is active. It is the first therapeutic clinical trial for schwannomatosis, targeting biological drivers of schwannomatosis-related pain . Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions.
Source: GeneReviews — "LZTR1- and SMARCB1-Related Schwannomatosis"
3 trials found
Pain assessment
| Annually
Brain spine MRI or whole-body MRI
Note: Fine cuts through internal auditory canal are recommended for those w/LZTR1-related schwannomatosis.
| Every 2-3 yrs beginning at age 12 yrs
Consideration of whole-body MRI exam surveillance frequency if symptomatic1 | At age 18-20 yrs, then as needed
| Assessment for anxiety/depression | Annually or as needed
, , ,
1. High cost and poor insurance reimbursement limit the wider use of whole-body MRI.
Source: GeneReviews — "LZTR1- and SMARCB1-Related Schwannomatosis"
Phenotype severity distribution: 1 always present feature, 1 common feature.
Laboratory research | 22 | 20% |
Patient case studies | 17 | 16% |
Clinical study results | 11 | 10% |
Disease patterns and progression | 8 | 7% |
New treatment approaches | 8 | 7% |
Testing and diagnosis research | 3 | 3% |
Other research | 1 | 1% |
Yin Z (2026). [PMID: 41758723](https://pubmed.ncbi.nlm.nih.gov/41758723/). *Adv Sci (Weinh)*. [Gene Therapy / Novel Therapeutics]
Yeung MCF (2026). [PMID: 41881191](https://pubmed.ncbi.nlm.nih.gov/41881191/). *Mod Pathol*. [Gene Therapy / Novel Therapeutics]
Porche K (2026). [PMID: 41237393](https://pubmed.ncbi.nlm.nih.gov/41237393/). *J Neurosurg*. [Review / Meta-Analysis]
Afridi SK (2026). [PMID: 42095036](https://pubmed.ncbi.nlm.nih.gov/42095036/). *J Neurol Surg B Skull Base*. [Review / Meta-Analysis]
Porche K (2026). [PMID: 41237389](https://pubmed.ncbi.nlm.nih.gov/41237389/). *J Neurosurg*. [Case Report / Case Series]
Nakamura K (2026). [PMID: 41565922](https://pubmed.ncbi.nlm.nih.gov/41565922/). *Brain Tumor Pathol*. [Case Report / Case Series]
Lu S (2026). [PMID: 41673019](https://pubmed.ncbi.nlm.nih.gov/41673019/). *Nat Commun*. [Basic Science / Preclinical]
Wang Z (2026). [PMID: 41399671](https://pubmed.ncbi.nlm.nih.gov/41399671/). *JAAD Int*. [Epidemiology / Natural History]
Peyre M (2026). [PMID: 41824074](https://pubmed.ncbi.nlm.nih.gov/41824074/). *Hum Genet*. [Epidemiology / Natural History]
Munoz DG (2026). [PMID: 41522855](https://pubmed.ncbi.nlm.nih.gov/41522855/). *Free Neuropathol*. [Case Report / Case Series]