5-10 % of women with breast cancer carry an inherited mutation in eith
er the BRCA1 or BRCA2 genes. These genes confer a very high lifetime r
isk of breast cancer, ovarian cancer (especially BRCA1) and male breas
t cancer (especially BRCA2). These genes are large, of essentially unk
nown function, and surprisingly, play a very small role in the develop
ment of tumors in non-predisposed individuals. These genes have now be
en cloned a highly automated genetic test developed and high risk popu
lations have been screened to establish the utility of the test. The v
alue to women and preliminary clinically recommendations are discussed
.