Mount Auburn Hospital, Cambridge, MA.
Florida International University Herbert Wertheim College of Medicine, Miami.
Mayo Clin Proc. 2024 Apr;99(4):630-639. doi: 10.1016/j.mayocp.2023.12.006.
Shifting societal attitudes trending toward increased acceptance of transgender people has contributed to a growth in the population of individuals who openly identify as transgender as well as an increase in utilization of gender-affirming surgeries. Therefore, health care providers should work toward increasing their knowledge with respect to the health care needs of the transgender population, particularly given that these individuals often face discrimination in the health care system. Moreover, transgender breast cancer screening rates lag behind breast cancer screening rates for cisgender individuals. We attempt to clarify important terminology about the transgender population and introduce the concept of equity-centered language. We review current transgender breast cancer screening guidelines by using PubMed, Google Scholar, and Google with search terms that included transgender breast cancer guidelines, transgender breast cancer screening guidelines, and transgender cancer screening guidelines. Searches were not filtered based on year of publication, language of publication, or geographic location. We compare the various guidelines as they pertain to both transgender men and transgender women and offer special considerations for upholding inclusivity in the health care field. An easy-to-reference summary of the current transgender breast cancer screening guidelines and the major points of this article were compiled into an original infographic that health care providers can reference to ensure that appropriate care is being offered.
社会态度的转变，对跨性别者的接受程度逐渐提高，这导致了公开认同自己为跨性别的人群数量增加，以及性别肯定手术的利用率增加。因此，医疗保健提供者应该努力增加他们对跨性别人群的医疗需求的了解，特别是因为这些人在医疗系统中经常面临歧视。此外，跨性别者的乳腺癌筛查率落后于顺性别者的乳腺癌筛查率。我们试图澄清有关跨性别者的重要术语，并介绍以公平为中心的语言的概念。我们使用 PubMed、Google Scholar 和 Google 搜索术语，包括跨性别乳腺癌指南、跨性别乳腺癌筛查指南和跨性别癌症筛查指南，来回顾当前的跨性别乳腺癌筛查指南。搜索未根据出版年份、出版语言或地理位置进行筛选。我们比较了适用于跨性别男性和跨性别女性的各种指南，并提出了在医疗保健领域坚持包容性的特殊考虑。我们将当前跨性别乳腺癌筛查指南的要点和本文的主要内容汇编成一个原始信息图，供医疗保健提供者参考，以确保提供适当的护理。
