“…An association between pilomatricoma and some genetic conditions has been suggested, with tumorigenesis linked to genes responsible for these genetic conditions via beta-catenin regulation in the Wnt signaling pathways. A number of patients with pilomatricoma(s) in the presence of concurrent genetic conditions have been reported, including Gardner syndrome [ 2 – 4 ], Rubinstein-Taybi syndrome [ 5 – 10 ], myotonic dystrophy [ 11 – 16 ], Turner syndrome [ 17 – 22 ], Kabuki syndrome [ 23 , 24 ], tuberous sclerosis [ 25 , 26 ], constitutive mismatch repair deficiency [ 27 ], Sotos syndrome [ 28 , 29 ], neurofibromatosis I [ 30 ], Stickler syndrome [ 22 ], MYH-associated polyposis [ 31 ], partial trisomy 9 [ 32 ], and tetrasomy 9p syndrome [ 33 , 34 ]. The CTNNB1 gene (OMIM∗116806) on chromosome 3p22.1 encodes beta-catenin, a 92 kD cytoplasmic protein that plays an important role in the creation and maintenance of epithelial cell layers by regulating cell growth and adhesion between cells.…”