How reliable is somatic testing to detect an underlying germline predisposition?
Would your counseling change if she reported a history of unplanned pregnancy? Is there any wording or waiver you might be able to use warning her of ...
Would you have reservations in treating patients with breast, GI, or pelvic malignancies with radiation alone or concurrent chemoradiation?
Are you placing more weight on patient risk factors such as age >65 or co-morbidities?