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Breast cancer is a genetic disease but the known genes explain a minority of cases. [9][10][11] In this study, we performed exome sequencing of germline DNA from six BRCA1 and BRCA2 mutation-negative Tunisian patients with familial breast cancer to uncover additional susceptibility genes. Subsequent genotyping detected the 19-bp deletion in additional 5 out of 153 (3%) breast cancer patients but in none of 400 female controls (p 5 0.0015).