Considerations in Testing for Inherited Breast Cancer Predisposition in the Era of Personalized Medicine

Surg Oncol Clin N Am. 2018 Jan;27(1):1-22. doi: 10.1016/j.soc.2017.08.003.


Technological advances realized through next-generation sequencing technologies coupled with the loss of the ability to patent genes have led to reduction in costs for genetic testing. As a result, more people are being identified with inherited breast cancer syndromes that may affect recommendations for surveillance and risk reduction. Surgeons, at the forefront for patients newly diagnosed with breast cancer, must keep current with the changing landscape of genetics to continue to provide appropriate counsel and care. This article provides an overview of individuals at risk for inherited cancer predisposition and recommendations for surveillance and management.

Keywords: Germline mutation; Inherited breast cancer syndromes; Personalized medicine; Surgical considerations.

Publication types

  • Review

MeSH terms

  • Breast Neoplasms / diagnosis*
  • Female
  • Genetic Predisposition to Disease / genetics*
  • Humans
  • Precision Medicine / methods
  • Precision Medicine / trends*

Supplementary concepts

  • Breast Cancer, Familial