The authors recommend that breast surgeons, genetic counselors, and medical professionals knowledgeable in genetic testing offer patient education and counseling, make recommendations for genetic testing, and arrange testing for their patients. All patients with a personal history of breast cancer should be offered genetic testing, including BRCA1/2 and PALB2. Patients who have already undergone testing may benefit from updated testing; this benefit is particularly relevant for patients who had negative germline BRCA1/2 testing. Patients without a history of breast cancer who meet National Comprehensive Cancer Network guidelines should be offered genetic testing. Variants of uncertain significance are not clinically actionable and patients with these sequences should be managed based on risk factors.
https://www.physiciansweekly.com/genetic-testing-recommended-for-all-patients-with-breast-cancer/