Pleasant Versha
University of Michigan Hospital, Mott Children & Women's Hospital, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Curr Breast Cancer Rep. 2024 Mar;16(1):84-97. doi: 10.1007/s12609-024-00527-4. Epub 2024 Feb 19.
Black patients suffer from breast cancer-related racial health disparities, which could have implications on their gynecologic care. This review explores considerations in the gynecologic care of Black breast cancer survivors.
Black people have a higher risk of leiomyoma and endometrial cancer, which could confound bleeding patterns such as in the setting of tamoxifen use. As Black people are more likely to have early-onset breast cancer, this may have implications on long-term bone and heart health. Black patients may be more likely to have menopausal symptoms at baseline and as a result of breast cancer treatment. Furthermore, Black patients are less likely to utilize assisted reproductive technology and genetic testing services.
It is important for healthcare providers to be well-versed in the intersections of breast cancer and gynecologic care. Black breast cancer survivors may have unique considerations for which practitioners should be knowledgeable.
黑人患者遭受与乳腺癌相关的种族健康差异，这可能会对其妇科护理产生影响。本综述探讨了黑人乳腺癌幸存者妇科护理中的注意事项。
黑人患平滑肌瘤和子宫内膜癌的风险更高，这可能会混淆出血模式，比如在使用他莫昔芬的情况下。由于黑人更易患早发性乳腺癌，这可能会对长期骨骼和心脏健康产生影响。黑人患者在基线时以及由于乳腺癌治疗，更有可能出现更年期症状。此外，黑人患者较少使用辅助生殖技术和基因检测服务。
医疗保健提供者精通乳腺癌与妇科护理的交叉领域非常重要。黑人乳腺癌幸存者可能有一些独特的注意事项，从业者应该了解这些。
