It is widely accepted that tumors are monoclonal in origin, arising fr
om a mutation or series of mutations in a single cell and its descenda
nts. The clonal origin of colonic adenomas and uninvolved intestinal m
ucosa from an XO/XY mosaic individual with familial adenomatous polypo
sis (FAP) was examined directly by in situ hybridization with Y chromo
some probes. In this patient, the crypts of the small and large intest
ine were clonal, but at least 76 percent of the microadenomas were pol
yclonal in origin.