Although the genetic causes of FCCTX are still unknown, several studies identified some CRC predisposing genes including BRCA2, SEMA4A, APC, BMPR1A, NTS, CDH18, RPS20, GREM1, BCR, KIF24, GALNT12, ZNF367, HABP4, GABBR2, TP53, SMAD4, and BMP4 (11–13, 22–24). The gene discussed is GREM1; the disease is colorectal carcinoma.