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长期性别肯定激素治疗的男、女跨性别者的乳房 X 光摄影和乳房超声分析:巴西的一项横断面研究。

Mammography and breast ultrasound analysis in male and female transgender persons using long-term gender affirming hormone therapy: a cross-sectional study in Brazil.

机构信息

Post Graduation Program in Obstetrics and Gynecology at Federal University of Paraná, IMAX Image Center, Brazil.

2IMAX Image Center, Brazil.

出版信息

Med Ultrason. 2023 Mar 30;25(1):29-34. doi: 10.11152/mu-3832. Epub 2023 Feb 7.

DOI:10.11152/mu-3832
PMID:36780601
Abstract

AIM

There is not much information about breast health in transgender (transexual) persons given the historical stigma that this population suffers. This research aimed to describe breast imaging patterns in transgender (trans) women and men that had been using gender affirmation hormone treatment for at least 3 years.

MATERIAL AND METHODS

In this observational, cross-sectional study, 67 transgender individuals (34 trans women and 33 trans men) had mammography and breast ultrasound performed. We also classified the findings by the American College of Radiology - Breast Imaging Reporting and Data System (ACR BI-RADS®).

RESULTS

We found that there was a higher frequency of dense breasts in trans women (75.8%) and in trans men (66,6%) than expected for cisgender (cis) women.

CONCLUSIONS

This study highlights the importance of a deeper understanding of the image patterns of transgender breasts because of hormonal effects that the gender transition entails so we can offer better health care and preventive services in the transgender (transexual) population.

摘要

目的

由于跨性别者(变性人)群体历史上一直受到污名化,因此关于他们的乳房健康信息并不多。本研究旨在描述至少接受了 3 年性别肯定激素治疗的跨性别(变性)女性和男性的乳房影像学模式。

材料和方法

在这项观察性、横断面研究中,对 67 名跨性别者(34 名跨女性和 33 名跨男性)进行了乳房 X 线摄影和乳房超声检查。我们还根据美国放射学院 - 乳房成像报告和数据系统(ACR BI-RADS®)对结果进行了分类。

结果

我们发现,与顺性别(cis)女性相比,跨女性(75.8%)和跨男性(66.6%)的致密乳房频率更高。

结论

本研究强调了深入了解跨性别者乳房的影像学模式的重要性,因为性别转变会带来荷尔蒙影响,以便我们能够为跨性别(变性人)群体提供更好的医疗保健和预防服务。

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