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PATHOLOGIC FINDINGS IN GENDER-AFFIRMING MASTECTOMY: A SYSTEMATIC REVIEW.

H Jahromi1, S Horen2, K Ho3

  • 1Division of Plastic and Reconstructive Surgery, Temple University Hospitals, Philadelphia, PA, USA.

Georgian Medical News
|February 13, 2023
PubMed
Summary
This summary is machine-generated.

Pathologic evaluation of breast tissue after gender-affirmation mastectomy (GAM) is common, but premalignant or malignant findings are rare (2.42% incidence). Standardized pathology methods are needed to guide future practice recommendations.

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Area of Science:

  • Oncology
  • Pathology
  • Gender-affirming care

Background:

  • Gender-affirmation mastectomy (GAM) is increasingly sought by transgender individuals.
  • Pathologic evaluation of post-GAM breast tissue is standard, but its utility is debated.
  • Limited research exists on the incidence and types of breast lesions found in GAM specimens.

Approach:

  • A systematic literature review following PRISMA guidelines was conducted.
  • Medical publications on pathology reports following GAM were analyzed.
  • The incidence of benign and malignant breast lesions was assessed.

Key Points:

  • Eight studies comprising 1278 patients met inclusion criteria.
  • The overall incidence of pre-malignant lesions was 2.42%.
  • Specific pre-malignant findings included flat epithelial atypia, atypical hyperplasia, atypical ductal hyperplasia, atypical lobular hyperplasia, and lobular carcinoma in situ.

Conclusions:

  • While premalignant or malignant findings are uncommon in GAM specimens, pathologic evaluation is prevalent.
  • Inconsistent reporting of patient characteristics (age, hormonal therapy, family history) limits statistical analysis.
  • Further research with standardized pathology methods is required to establish practice guidelines.