乳腺癌在性和性别少数群体中的表现和治疗模式
Gabi Barmettler1,2, Saskia Leonard1, Andreas Giannakou1,3
1Division of Breast Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Annals of surgical oncology
|December 11, 2025
概括
性和性别少数群体 (SGM) 患者和患有乳腺癌的 cisgender异性恋女性 (CHW) 的结果相似. 然而,SGM患者在乳房切除术后不太可能选择乳房保护或重建.
科学领域:
- 在瘤学瘤学.
- 健康差异 在健康上的差异
- 手术瘤学手术瘤学
背景情况:
- 调查与 cisgender异性恋女性 (CHW) 相比,性和性别少数群体 (SGM) 患者的乳腺癌护理方面的差异.
- 了解呈现,管理和结果的差异对于公平的癌症护理至关重要.
研究的目的:
- 为了比较乳腺癌的呈现,管理和SGM患者和CHW之间的结果.
- 确定手术治疗和重建选择中的潜在差异.
主要方法:
- 针对0-III期乳腺癌患者 (2016-2023) 的机构数据库的前性审查.
- 基于自我记录的性取向和性别认同来识别SGM患者.
- 用于对SGM和CHW组进行比较分析的描述性统计数据.
主要成果:
- 在SGM和CHW之间表现出症状,阶段,等级或亚型方面没有显著差异.
- 在诊断时,SGM患者的年龄较小 (p=0.03),更有可能接受乳腺切除术 (p=0.04).
- 乳腺切除术后的SGM患者的重建可能性较小 (p<0.01),辅助治疗和复发率相似.
结论:
- 乳腺癌的呈现,治疗和结果在SGM和CHW患者之间是可比的.
- 在SGM患者中,乳房保护和乳房切除术后重建的利用率较低.
- 受SGM身份影响的患者偏好可能会影响局部治疗选择.
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