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BRCA1/2 mutations account for 5%–10% of breast cancer cases and 15% of ovarian cancer cases. In 2013, the U.S. Preventive Services Task Force (USPSTF) recommended referral to genetic counseling only for women with a family history of breast, ovarian, tubal, or peritoneal cancer. Now, these updated guidelines reflect the latest evidence regarding benefits and harms of risk assessment and genetic testing.
Primary care providers should screen patients who have a personal history or family history of breast and ovarian/peritoneal/tubal cancers.
One of the seven available risk assessment tools should be used to estimate the likelihoo…