Germline testing and genetic counseling recommendations were followed in 36% (n = 52) of cases; of these, 9 (17%) patients declined testing, did not follow-up, or were still deciding, 28 (54%) patients were negative, and 15 (29%) patients were positive for a germline mutation (ATM, n = 1; BRCA1, n = 2; BRCA2, n = 6; CHEK2, n = 2; Lynch syndrome, n = 2; homozygous MUTYH, n = 2). Here, BRCA1 is linked to Lynch syndrome.