What are the USPSTF guidelines on risk assessment for BRCA-related breast cancer?

Updated: Feb 04, 2021
  • Author: Pavani Chalasani, MD, MPH; Chief Editor: John V Kiluk, MD, FACS  more...
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The US Preventive Services Task Force (USPSTF) has updated its 2005 guidelines on risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women. The current USPSTF recommendations are as follows [83] :

  • Women who have family members with breast, ovarian, tubal, or peritoneal cancer should be screened to identify a family history that may be associated with an increased risk for mutations in the breast cancer susceptibility genes BRCA1 or BRCA2

  • Women who have positive screening results should receive genetic counseling and then BRCA testing if warranted

  • Women without a family history associated with an increased risk for mutations should not receive routine genetic counseling or BRCA testing

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