Breast cancer in transsexuals

This is due to the rarity of the disease and patient population. While the number of reported cases of suspicious breast lesions in this population remains scarce, it presents both a diagnostic and therapeutic challenge due to the nature of the treatment course and the lack of research in this recently growing subgroup of patients. Breast cancer screening program should be offered to all transgender individuals according to national guidelines. This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. A year-old MtF transgender patient presented to our hospital with a right-sided breast mass in August Case Presentation A year-old MtF transgender patient presented to our hospital with a right-sided breast mass in August Lobular hyperplasia in the setting of gynecomastia in a male patient is especially rare.


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Case Reports in Oncological Medicine

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On physical exam, the mass was fixed and firm and the patient reported an increase in size. Up to date, only 13 cases of the breast cancer transsexuals female to male have been reported in six published papers worldwide. Table of Contents Alerts. She was receiving HRT with estrogen and progesterone since June It is also one of the few cases reported of lobular hyperplasia in the setting of gynecomastia and PASH in a transgender patient. The use of a clinical decision tool could translate into improved preventive care for this growing and often underserved patient population. While hormone therapy is known to be a risk factor for breast cancer in women, the risk in MtF transgender individuals has not been established [ 4 , 5 ].


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No additional masses were appreciated in either breast or axillae. This stresses the need for clinicians to educate transgender patients about hormone therapy. It is also one of the few cases reported of lobular hyperplasia in the setting of gynecomastia and PASH in a transgender patient. Of concern is the fact that the doses of estrogen that are consumed by this population are higher than those prescribed to hypogonadal women as substitutive therapy and the higher doses are continued beyond the average female menopausal age [ 1 ]. She had no surgeries in the past. Some MtF transgender individuals reportedly hold the belief that breast cancer occurs exclusively in females [ 8 ].


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