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Breast Cancer Incidence Among Patients Undergoing Chest Masculinization Surgery: A Scoping Review
Crystal Chu1, Jennifer Goldman2, Hyesong Joung3
1University of Virginia School of Nursing, Charlottesville, VA, USA. cdm9b@virginia.edu.
Breast cancer incidence in transgender males undergoing gender-affirming mastectomy (GAM) is not well-established. This review found various breast cancer types, including invasive ductal carcinoma, in GAM surgical specimens and during pre-operative screening.
Area of Science:
- Oncology
- Gender-affirming care
- Surgical pathology
Background:
- Breast cancer (BC) incidence and future risk in transgender males undergoing gender-affirming mastectomy (GAM) require further investigation.
- This scoping review focuses on BC incidence rates before and after GAM within the United States.
Conclusions:
- Standardized screening protocols, including pre-GAM breast imaging and intra-operative pathology, are essential.
- Shared decision-making and coordinated care between breast and plastic surgery are crucial for patients diagnosed with breast cancer during GAM.
- These approaches aim to optimize oncologic outcomes and cosmetic results for transgender males undergoing GAM.
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