The following three findings regarding the relation between the location of the germline APC mutations and extracolonic manifestations were also obtained in this study: 1) severe gastric lesions occurred in AFAP patients with an exon 4 mutation, 2) desmoid tumors developed in FAP patients with germline APC mutations outside the region between codons 1403 and 1578, 3) a multiple myeloma developed in an AFAP patient with an exon 4 mutation. This evidence concerns the gene APC and Familial adenomatous polyposis.