A gynecologist ordered genetic testing for a 16-year-old girl with an unspecified breast finding and a limited family history of cancer. Genetic testing detected a variant of unknown significance (VUS) in BRCA2. Since this patient had this breast finding, a grandmother with late-onset breast cancer, and the BRCA2 VUS, the gynecologist referred the girl to a breast surgeon.
The surgeon evaluated the girl and concluded that the finding in her breast was benign and explained that medical management decisions shouldn’t be based on a VUS finding. However, the surgeon thought it was unusual that the gynecologist had ordered genetic testing for such a young patient and referred her for genetic counseling to discuss the results.
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