Screening for Breast Cancer in Transgender Males

  • Transgender males over the age of 40:
    • Whom have not undergone top surgery (chest masculinization surgery):
      • Should be screened similarly to cisgender females and in accordance with current screening guidelines
  • There is data to suggest that transgender men who have taken testosterone:
    • May have a decrease in breast cancer incidence:
      • However, the effects of exogenous testosterone on breast cancer risk are less clear, overall
  • In transgender males who have not undergone top surgery and are determined to have a lifetime risk of greater than 20%:
    • Current recommendations mirror those for cisgender females:
      • With recommendation to undergo annual breast MRI as an adjunct to annal screening mammography
  • References:
Rodrigo Arrangoiz, MD (Oncology Surgeon)

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