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Gender-Affirming Surgery and Cancer: Considerations for Radiation Oncologists for Pelvic Radiation in Transfeminine Patients. | LitMetric

AI Article Synopsis

  • - Access to gender-affirming surgery is on the rise in the US, highlighting the need for radiation oncologists to understand how to care for patients who have undergone these procedures.
  • - There is a lack of established guidelines for radiation treatment planning for individuals post-gender-affirming surgery, and many oncologists lack training on the specific needs of transgender cancer patients.
  • - The text reviews common surgeries for transfeminine individuals and discusses cancer treatment in areas affected by these surgeries, while also presenting a systematic approach for pelvic radiation treatment planning.

Article Abstract

Access to gender-affirming surgery is increasing for many transgender and nonbinary people in the United States, and radiation oncologists must be equipped to care for patients who have undergone such surgery in the region of their planned radiation treatment field. There are no guidelines for radiation treatment planning after gender-affirming surgery, and most oncologists do not receive training in the unique needs of transgender people with cancer. We review common gender-affirming genitopelvic surgeries for transfeminine people, including vaginoplasty, labiaplasty, and orchiectomy, and summarize the existing literature on the treatment of cancers of the neovagina, anus, rectum, prostate, and bladder in these patients. We also describe our systematic treatment approach and rationale for pelvic radiation treatment planning.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10527783PMC
http://dx.doi.org/10.1016/j.ijrobp.2023.05.028DOI Listing

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