跨性别和性别多样性个体的乳房扫描使用:来自大型单一机构中心的见解
Nithya Krishnamurthy1, Ethan Ravetch2, Subha Karim3
1Icahn School of Medicine at Mount Sinai, New York, NY, USA. nithya.krishnamurthy@icahn.mssm.edu.
Journal of general internal medicine
|September 4, 2025
概括
在跨性别和性别多样性 (TGD) 个体中, 查性乳房扫描的使用率很低, 即使是50岁以上的人. 诸如西班牙裔族裔和胸部手术等因素影响了吸收,强调需要加强对查指南的遵守.
科学领域:
- 医疗查方案
- 跨性别健康差异
- 瘤学和放射学
背景情况:
- 在跨性别和性别多样性 (TGD) 群体中对乳房检查存在有限的共识指南.
- 了解乳房影像的使用对于解决TGD患者潜在的健康不平等至关重要.
研究的目的:
- 在一大群TGD患者中评估查乳房镜的使用情况.
- 为了确定与乳房影像摄取相关的因素.
主要方法:
- 分析了800名40岁以上TGD患者的数据.
- 进行了图表审查,以评估乳房查的使用和结果.
- 分析包括人口统计数据,手术史 (胸部男性化/女性化) 和乳房图结果.
主要成果:
- 只有36%的50岁以上TGD患者和17%的40至49岁患者接受了查性乳房镜检查.
- 对于胸部男性化手术患者,查性乳房图片的吸收率为25%,对于胸部女性化手术患者,吸收率为34. 2%.
- 西班牙裔种族,胸部男性化和胸部女性化手术是乳房扫描的重要预测因素.
结论:
- 查性乳房影像的使用在TGD个体的大型单中心队列中显著低.
- 在TGD社区有很大需要改善对已建立的查乳房学指导方针的遵守.
- 调查结果强调了针对TGD个体的量身定制查策略的重要性,与cisgender女性的查策略一致.
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