ABSTRACT

Key Points Question What is the prevalence of germline pathogenic variants in breast cancer susceptibility genes among women with newly diagnosed invasive breast cancer? Findings In this cross-sectional study of 729 female patients with a first diagnosis of breast cancer who participated in a universal genetic testing program, 5.3% had germline pathogenic variants in BRCA1/2 or PALB2, and 1.8% were considered eligible for poly(adenosine diphosphate–ribose) polymerase inhibitors based on their genetic testing result. Meaning Findings suggest that universal genetic testing identifies actionable germline pathogenic variants in more than 1 in 20 patients with newly diagnosed breast cancer and is associated with systemic therapy recommendations in one-third of these cases.

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