在跨性别患者中进行乳房成像
Divya N Chowdhry1, Avice M O'Connell1
1University of Rochester Medical Center, Department of Imaging Sciences, Rochester, NY.
Journal of breast imaging
|March 1, 2024
概括
跨性别者面临着乳房护理差异. 建议对跨性别女性和男性进行乳腺癌查的指导方针,但对个性化护理需要进一步研究.
科学领域:
- 医疗成像医学成像
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 美国有140万成年人认定自己是跨性别者,但在乳房护理的获得和结果方面面临着显著的差异.
- 对跨性别人口缺乏基于证据的查指南,使得母乳护理的提供变得复杂.
- 肯定性别的干预措施会影响乳房成像和癌症风险,需要放射科医生熟悉.
研究的目的:
- 审查目前对跨性别人口乳腺癌风险和查的理解.
- 为乳房成像放射科医生提供有关性别确认干预措施的指导.
- 突出需要进一步研究的跨性别乳腺健康领域.
主要方法:
- 对跨性别者乳腺癌发病率现有文献的综述.
- 激素和手术确认性别治疗对乳腺健康的影响分析.
- 根据当前的证据,综合提出的查建议.
主要成果:
- 跨性别女性的乳腺癌发病率高于 cisgender男性,但低于 cisgender女性,这表明雌激素治疗的风险增加.
- 手术前的跨性别男性患乳腺癌的风险与 cisgender 女性相似;乳房切除术后风险显著降低.
- 建议的查:患有风险因素/荷尔蒙疗法的跨性别女性>5年遵循半性别女性的指导方针;具有保存组织的跨性别男性遵循半性别女性的指导方针或经历乳房切除术后的年度胸部/关检查.
结论:
- 基于证据的查指南对于解决跨性别人口乳腺健康差异至关重要.
- 目前关于跨性别乳腺癌查的建议需要进一步的研究,特别是对于那些荷尔蒙治疗有限或没有传统风险因素的人来说.
- 放射科医生必须意识到与性别确认护理相关的成像变化和风险,以确保适当的患者管理.
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