What Is the Primary Risk Reducing Recommendation for Management of Patients

What is the primary risk reducing recommendation for management of patients with a BRCA gene mutation?

A) Strict breast cancer and ovarian cancer surveillance for women and breast and prostate cancer screen in men.
B) Intensive breast cancer screening.
C) Bilateral mastectomy and adjuvant hormonal therapy with Tamoxifen or an aromatase inhibitor.
D) A bilateral salpingo-oophorectomy between ages 35-40.