Breast cancer in a transgender man

IF 503.1 1区 医学 Q1 ONCOLOGY
Alison May Berner, Tristan Michael MacKenzie, Shirish Kulkarni, Chin Chong, Loren Schechter, Caroline Michie, Ole-Petter Riksfjord Hamnvik
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引用次数: 0

Abstract

CASE PRESENTATION

A 52-year-old transgender man presented for evaluation of a new diagnosis of breast cancer. The patient was designated female at birth. Three months after initiation of gender-affirming hormone therapy (GAHT) with testosterone gel, he underwent bilateral mastectomy for gender affirmation. Final pathology revealed a left-sided, pathologic T1 tumor (pT1) that was identified as grade 2 invasive ductal carcinoma and as estrogen receptor (ER)-positive, progesterone receptor-negative, and human epidermal growth factor receptor 2 (HER2)-negative by immunohistochemistry (score, 1+). The patient reported no preoperative symptoms of breast lumps or any changes to the skin of the breast or the nipples. He had a past medical history of Barrett esophagus, depression, and orthopedic surgeries. He had no history of chest irradiation. Family history was negative for breast or ovarian cancer. Of note, he had a negative screening mammogram performed 5 years earlier; repeat screening had not been obtained.

一名变性男子患乳腺癌
病例介绍一名52岁的跨性别男性因新诊断的乳腺癌而接受评估。这个病人出生时被指定为女性。在开始用睾酮凝胶进行性别确认激素治疗(GAHT)三个月后,他接受了双侧乳房切除术以进行性别确认。最终病理显示为左侧病理性T1肿瘤(pT1), 2级浸润性导管癌,免疫组化结果为雌激素受体(ER)阳性,孕激素受体阴性,人表皮生长因子受体2 (HER2)阴性(评分1+)。患者报告术前无乳房肿块症状或乳房或乳头皮肤的任何变化。既往有Barrett食管、抑郁症和整形手术史。他没有胸部照射史。家族病史没有乳腺癌或卵巢癌。值得注意的是,他在5年前做过乳房x光检查,结果呈阴性;未进行重复筛查。
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来源期刊
CiteScore
873.20
自引率
0.10%
发文量
51
审稿时长
1 months
期刊介绍: CA: A Cancer Journal for Clinicians" has been published by the American Cancer Society since 1950, making it one of the oldest peer-reviewed journals in oncology. It maintains the highest impact factor among all ISI-ranked journals. The journal effectively reaches a broad and diverse audience of health professionals, offering a unique platform to disseminate information on cancer prevention, early detection, various treatment modalities, palliative care, advocacy matters, quality-of-life topics, and more. As the premier journal of the American Cancer Society, it publishes mission-driven content that significantly influences patient care.
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