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Cancer screening and management in the transgender population:Review of literature and special considerations for gender affirmation surgery

引用

World Journal of Clinical Oncology 2023年第7期14卷 265-284页

作者： Juliet C Panichella Sthefano Araya Siddhartha Nannapaneni Samuel G Robinson Susan You Sarah M Gubara Maria T Gebreyesus Theresa Webster Sameer A Patel Alireza Hamidian Jahromi Lewis Katz School of Medicine Temple UniversityPhiladelphiaPA 19140United States Division of Plastic and Reconstructive surgery Fox Chase Cancer CenterPhiladelphiaPA 19111United States Department of Plastic surgery Temple UniversityPhiladelphiaPA 18045United States Division of Plastic and Reconstructive surgery Temple University HospitalsPhiladelphiaPA 19140United States

BACKGROUND Literature focused on cancer screening and management is lacking in the transgender *** To action to increase contributions to the scientific literature that drives the creation of cancer screening and management protocols for transgender and gender nonconforming(TGNC)*** We performed a systematic search of PubMed on January 5th,2022,with the following terms:“TGNC”,OR“transgender”,OR“gender non-conforming”,OR“gender nonbinary”AND“cancer screening”,AND“breast cancer”,AND“cervical cancer”,AND“uterine cancer”,AND“ovarian cancer”,AND“prostate cancer”,AND“testicular cancer”,AND“surveillance”,AND“follow-up”,AND“management”.70 unique publications were *** findings are discussed under“Screening”and“Management”*** Screening:Current cancer screening recommendations default to cis-gender ***,long-term genderaffirming hormone therapy and loss to follow-up from the gender-specific specialties contribute to a higher risk for cancer development and possible delayed *** only known screening guidelines made specifically for this population are from the American College of Radiology for breast ***:Prior to undergoing gender affirmation surgery(GAS),discussion should address cancer screening and management in the organs remaining in *** treatment in this population requires consideration for chemotherapy,radiation,surgery and/or *** of hormone therapy is decided on a case-by-case *** use of prophylactic vs aesthetic techniques in surgery is still *** When assessing transgender individuals for GAS,a discussion on the future oncologic risk of the sex-specific organs remaining in situ is *** management in this population requires a multidisciplinary approach while the care should be highly individualized with considerations to social,medical,surgical and gender affirming surgery related *** considerations have to

关键词： gender affirmation surgery gender affirming surgery Screening Management Transgender gender diverse

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