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“Breast cancer is a significant health concern for African American women, with more than 26,000 of these women diagnosed every year (The Breast Cancer Linkage Consortium 1999). BRCA1/2 gene mutations account for approximately 10 % of breast and ovarian cancer cases, and confer an estimated range from 40–60 % lifetime risk of developing invasive breast cancer, and a 20–40 % lifetime risk for invasive ovarian cancer (Cancer Institute NSW 2013a, 2013b). Similar rates of BRCA1 and BRCA2 mutations have been identified in African American and Caucasian populations, although the spectrum of mutations of risk among ethnic minorities are not completely defined (Olopade et al. 2003; Shen et al. 2000; Pal et al. 2004; Gao et al. 2000; Armstrong et al. 2005; Hall and Olopade 2006; Hughes et al. 2004; Nanda et al. 2005).