Fig. 2: Family history guidelines lead to many missed women at risk for breast cancer.

Potential rate difference between NHB and NHW women based on the estimated percent with family history of cancer for TNBC. The age-adjusted incidence for TNBC is 19 per 100,000 and 38 per 100,000 for NHW and NHB women, respectively. 34% and 18% of NHW and NHB TNBC patients, respectively, report a family-history of BC. Assuming a conservative 100% uptake in genetic counseling and testing, this translates into an estimated incidence rate difference between NHB and NHW women with TNBC without a family history of 31 versus 13 per 100,000. Abbreviations: NHW non-Hispanic white, NHB non-Hispanic black, TNBC triple negative breast cancer, FH family history.