The detection of deleterious germline mutations in BRCA1 and BRCA2 considerably influences the clinical management of healthy and diseased carriers. Therefore, the identification of persons at risk who could uptake genetic counseling and testing is pivotal. We developed a checklist with validated criteria to improve the identification, and prospectively evaluate the incidence, of familial cancer history in 5091 breast cancer patients. The rate of 30.4% of patients at high genetic risk underpins the demand for care in risk identification and counseling. The easy-to-use instrument promotes the implementation and dissemination of risk counseling by physicians.
K E Y W O R D SBRCA1, BRCA2, breast cancer, familial risk, genetic testing
Abstract. We consider semigroups of operators on a W * -algebra and prove, under appropriate assumptions, the existence of a Jacobs-DeLeeuw-Glicksberg type decomposition. This decomposition splits the algebra into a "stable" and "reversible" part with respect to the semigroup and yields, among others, a structural approach to the PerronFrobenius spectral theory for completely positive operators on W * -algebras.
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