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Oncological needs in transgender patients.

Francisco Ayala de la Peña1,2, David Martínez-Ramos3, Oscar Juan-Vidal4

  • 1Department of Medical Oncology, Hospital Universitario Morales Meseguer, Murcia, Spain. frayala@um.es.

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Summary

Transgender individuals face significant oncology health disparities due to healthcare barriers and discrimination. Addressing these requires improved research, education, and policy for inclusive cancer care.

Keywords:
Breast cancerCancer riskGender-affirming careProstate cancerScreeningSpainTransgender

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Area of Science:

  • Oncology
  • Health Disparities
  • Transgender Health

Background:

  • Transgender populations experience unique health disparities in cancer care.
  • Barriers include healthcare access issues, professional bias, systemic discrimination, and socioeconomic marginalization.

Purpose of the Study:

  • To review the current landscape of cancer risk, screening, and management in transgender individuals within a Spanish context.
  • To identify unmet needs and areas for improvement in oncological care for transgender patients.

Main Methods:

  • This study is a review of existing literature and data.
  • Utilizes estimates from Madrid to suggest prevalence of transgender individuals (22 per 100,000).

Main Results:

  • Gender-affirming surgeries and hormone therapies can modify oncological risk profiles and screening adherence.
  • Balancing gender-affirming care needs with cancer treatment requirements (e.g., endocrine therapy) is crucial.

Conclusions:

  • Significant unmet needs persist in the oncological care of transgender patients.
  • Concerted efforts in clinical research, healthcare education, and policy reform are essential.
  • Developing inclusive clinical practices is necessary to enhance patient care and outcomes.