I've been 'doing' whole exome sequencing for a few months now, but I'm still unclear on the reliability of zygocity calls.
From simple genetics a het should be 50:50 for each allele and a hom should be 100:0. However, as I'm sure you're all aware, in WES you rarely get these ratios. So at what point do we say that a het call is unreliable? 30:70 or 40:60? Also, when does a het become a hom? 75:25 or 80:20?
How do others deal with this uncertainty when communicating to clinicians or geneticists?
Are these tumor samples? if so, issues of ploidy and purity come into play and often result in skewed frequencies. If not, Istvan's answer below is solid.
Nope, not cancer related.
I suggest calling you alleles, with a minimal allele freq threshold (let's say minimum 10%). Then plot the allele frequency of all SNPs, you should get a bellcurve with the mode at 50%. it will tell you how streched your bellcurve is. I personally use 35% as a cutoff typically, but I do think it depends on the data.
Just to add to what I said earlier, here is a publication "http://journals.plos.org/plosgenetics/article?id=10.1371/journal.pgen.1003215#s2" where in Figure 3 they do an allele frequency plot of a tetraploid, so in that case your 50/50 peak would start at 0.4 and finish at 0.6.