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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

Importance of revealing a rare case of breast cancer in a female to male transsexual after bilateral mastectomy

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2012
Autoren:
Dejan V Nikolic, Miroslav L Djordjevic, Miroslav Granic, Aleksandra T Nikolic, Violeta V Stanimirovic, Darko Zdravkovic, Svetlana Jelic
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

ND: Participated in preoperative and postoperative surgical and chemotherapy following of the patient, carried out the molecular genetic studies, writing the manuscript, participated in the sequence alignment, corrected the manuscript in final draft. DM: Did the transgender surgery, writing the manuscript, participated in the sequence alignment, corrected the manuscript in final draft. GM: Did the removal of the cancer of the breast, carried out the molecular genetic studies, participated in the sequence alignment. NA: Did the checkups of the patient, carried out the molecular genetic studies, writing the manuscript, participated in the sequence alignment, corrected the manuscript in final draft. SV: Made major instructions according to the chemotherapy, carried out the molecular genetic studies, writing the manuscript, participated in the sequence alignment, corrected the manuscript in final draft. ZD: Followed the patient in preoperative and postoperative period, writing the manuscript, participated in the sequence alignment, corrected the manuscript in final draft. JS: carried out the molecular genetic studies, writing the manuscript, participated in the sequence alignment, corrected the manuscript in final draft. All authors read and approved the final manuscript.

Abstract

The incidence of breast carcinoma following prophylactic mastectomy is probably less than 2%. We present a 43-year-old female to male transsexual who developed breast cancer 1 year after bilateral nipple- sparing subcutaneous mastectomy as part of female to male gender reassignment surgery. In addition to gender reassignment surgery, total abdominal hysterectomy with bilateral salpingo-oophorectomy (to avoid the patient from entering menopause and to eliminate any subsequent risk of iatrogenic endometrial carcinoma), colpocleisys, metoidioplasty, phalloplasty, urethroplasty together with scrotoplasty/placement of testicular prosthesis and perineoplasty were also performed. Before the sex change surgery, the following diagnostic procedures were performed: breast ultrasound and mammography (which were normal), lung radiography (also normal) together with abdominal ultrasound examination, biochemical analysis of the blood and hormonal status.
According to medical literature, in the last 50 years only three papers have been published with four cases of breast cancer in transsexual female to male patients. All hormonal pathways included in this complex hormonal and surgical procedure of transgender surgery have important implications for women undergoing prophylactic mastectomy because of a high risk of possible breast cancer.
Literatur
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