在跨性别女性退伍军人中甲状腺癌的患病率,风险暴露和临床特征
John David Christensen1,2, Hiba T Basheer1,2, Jose Joaquin Lado Abeal1,2
1Department of Internal Medicine, Division of Endocrinology, Diabetes & Metabolism, UC Davis Health, Sacramento, CA 95817, USA.
Journal of the Endocrine Society
|April 18, 2024
概括
在变性女性退伍军人中测量了甲状腺癌的患病率,显示出0.341%的比例. 这项研究强调,需要进一步研究这种人群中甲状腺癌的风险因素.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 跨性别女性面临的各种医疗状况的比例更高.
- 在出生时被分配为女性的个体中,与出生时被分配为男性的个体相比,甲状腺癌的发生率更高.
研究的目的:
- 描述甲状腺癌的患病率和诊断,特别是在美国跨性别女性退伍军人人口中.
- 为了在这个人口群体中建立对甲状腺癌的基线理解.
主要方法:
- 从2017年7月到2022年12月的退伍军人的回顾性图表审查.
- 纳入标准:甲状腺癌和性别障碍症的诊断代码或跨性别女性的雌激素处方;与 cisgender 退伍军人进行比较.
- 收集的数据包括诊断,诊断时的年龄和疾病程度.
主要成果:
- 在跨性别女性退伍军人中,甲状腺癌的发病率为0.341% (9988人中有34人).
- 诊断时的平均年龄为53.8岁.
- 在32.3%的病例中,在诊断时存在甲状腺外疾病.
结论:
- 这项研究是第一个报告美国跨性别女性甲状腺癌患病率的研究.
- 未来的研究应该调查潜在的风险因素,如肥胖,吸烟和跨性别退伍军人的性别肯定激素治疗.
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