Difficulties of gender affirming treatment in trans women with BRCA1+ mutation: A case report Ana Piñar-Gutiérrez; Suset Dueñas Disotuar; Irene de Lara-Rodríguez; Sandra Amuedo-Domínguez; Carmen González-Cejudo; José Tejero-Delgado; Miguel Ángel Mangas-Cruz;