“…The post zygotic mutation is responsible for the mosaic pattern of tissue distribution and the extreme variability of clinical changes (Weinstein et al, 1991). Endocrine and non-endocrine tumors: Somatic mutations of Arg201 or Gln227 have been identified in human growth hormone-secreting pituitary adenomas, (Landis et al, 1989;Landis et al, 1990), ACTHsecreting pituitary adenomas (Williamson et al, 1995;Riminucci et al, 2002), nonfunctioning pituitary tumors (Tordjman et al, 1993), thyroid tumors (Suarez et al, 1991), Leydig cell tumor (Libe et al, 2012), ovarian granulosa cell tumors (Kalfa et al, 2006a), renal cell carcinoma (Kalfa et al, 2006b), hepatocellular carcinoma (Nault et al, 2012) and myelodysplastic syndromes (Bejar et al, 2011). The mutation at codon 201 (Arg into Cys or His) is more frequent that the mutation at 227 (Gln into Arg, His, Lys or Leu).…”