Abstract

20 years have passed since the discovery of the major breast cancer susceptibility gene, BRCA1. Extraordinary progress has been made in the understanding of how BRCA1 and its associated proteins function, and the clinical consequences of malfunctioning BRCA proteins are now evident.1,2 The initial concerns3 about the risks of genetic testing for women carrying mutations in BRCA1 and BRCA2 seem to have receded. Moreover, the recent ruling by the US Supreme Court that genes are not patentable has opened up the genetic testing field, at least in the USA, in an unprecedented manner.

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