MSH6 and Familial adenomatous polyposis: Those rare cases that are hereditary, include cases due to either familial adenomatous polyposis (FAP), resulting from a defect in the adenomatous polyposis coli (APC) tumor suppressor gene and carrying a nearly 100% risk of colon cancer development [14], or the more common but less severe Lynch Syndrome, caused by mutations in DNA mismatch repair mechanisms (genes involved include MLHL, MSH2, MSH6, and PMS2) [15].