对患有前列腺癌的性和性别少数群体的临床考虑
Daniel R Dickstein1, Channa Amarasekera2, Ronald C Chen3
1Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York City, NY.
Urologic oncology
|July 10, 2024
概括
在性和性别少数群体中治疗前列腺癌需要采取量身定制的方法. 了解像接受性交和性别确认护理这样的独特因素对于准确的诊断和有效的治疗至关重要.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 健康 公平 卫生 公平
背景情况:
- 前列腺癌的管理需要对性和性别少数群体进行专门考虑.
- 性少数群体男性由于接受性交可能会出现前列腺特异性抗原 (PSA) 的升高,这可能导致过度诊断.
- 性别少数群体,包括跨性别女性,面临着独特的挑战,因为性别肯定激素和手术影响诊断和治疗.
研究的目的:
- 突出性和性别少数群体中个人化前列腺癌管理的关键考虑因素.
- 改善受前列腺癌影响的研究不足的群体的护理和健康公平.
主要方法:
- 本研讨会文章综合了当前的知识和临床考虑.
- 它回顾了前列腺癌性和性别少数群体面临的具体诊断和治疗挑战.
主要成果:
- 接受性交可以影响PSA水平,需要仔细解释.
- 性别肯定疗法和手术可以改变疾病表现和治疗反应.
- 承认性别少数群体 (荷尔蒙使用,外科病史) 的多样性至关重要.
结论:
- 多学科和个性化的方法对于治疗性少数群体和性别少数群体的前列腺癌至关重要.
- 解决这些人群的特定需求可以提高前列腺癌护理的健康公平性.
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