Letters Section Editor: Jody W. Zylke, MD, Senior Editor.
Author Affiliations: Duke University Medical Center, Durham, North Carolina (Mr Buchanan) (firstname.lastname@example.org); and Abramson Cancer Center of the University of Pennsylvania, Philadelphia (Ms Stopfer).
To the Editor: Dr Tung's review of the difficult decisions faced by women with a BRCA mutation mentioned the importance of genetic counseling in the process of clinical decision making.1 Decisions about definitive breast surgery, prophylactic oophorectomy, and fertility options such as preimplantation diagnosis increasingly are being informed by the awareness of a BRCA mutation.
Buchanan AH, Stopfer JE. Genetic Counseling in Oncology. JAMA. 2011;306(13):1442-1443. doi:10.1001/jama.2011.1402