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Nusbaum R et al. – Initial research demonstrates the utility and feasibility of genetic counseling and testing before definitive surgery in women with newly diagnosed breast cancer. On the basis of the elevated risk of contralateral breast cancer in BRCA1/2 carriers, women with an inherited susceptibility may choose bilateral mastectomy at the time of initial surgical treatment. Thus, timely provision of genetic counseling and testing, which often involve facilitation of a referral to a genetic counselor or genetics team, is critical in this situation.


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