Transparency Document

NCCN Guidelines for Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic V.1.2025

Request Number Guideline Page Specific change request Panel Decision Comment Institution Vote
2740 CRIT-2
Testing Criteria Submission from Myriad Genetics, Ambry Genetics, Illumina Inc., Quest Diagnostics on 03-07-2024

We request that the age of breast cancer diagnosis that qualifies for genetic testing be raised to <65y to match the recently released American Society of Clinical Oncology - Society for Surgical Oncology (ASCO-SSO) guideline, which provides evidence-based recommendations on germline testing in patients with breast cancer1. Specifically:

 

-        Page CRIT-2, second bullet (Personal history of breast cancer…):

  • First arrow, change “<50y” to “<65y”.
Change not made, current language sufficient Language on CRIT-3 (Testing may be considered) revised to include: Personal history of breast cancer ≤65 y not meeting any of the above criteria Yes: 13
No: 17
Abstain:0
Absent:4
4557 CRIT-2 Submitted by AstraZeneca on 08-03-23 In the table for testing criteria for high-penetrance breast cancer susceptibility genes, under the “personal history of breast cancer with specific features:” bullet - change “<50 y” to “<65 y” Change not made, panel supported alternate language Language on CRIT-3 (Testing may be considered) revised to include: Personal history of breast cancer ≤65 y not meeting any of the above criteria Yes: 13
No: 17
Abstain:0
Absent:4