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Testosterone therapy and breast histopathological features in transgender individuals.


ABSTRACT: Testosterone therapy (TT) is administered to enhance masculinization in transgender individuals. The long-term effect of exogenous testosterone on breast tissues remains unclear. Our study evaluated the modulation of breast morphology by TT in transgender individuals with special attention to duration of TT. We reviewed 447 breast surgical specimens from gender affirming chest-contouring surgery, and compared histopathological findings including degree of lobular atrophy, and atypical and non-atypical proliferations between subjects who did (n?=?367) and did not (n?=?79) receive TT. TT for one patient was unknown. TT for >12 months was associated with seven histopathological features. Longer duration of TT was significantly associated with higher degrees of lobular atrophy (p?

SUBMITTER: Baker GM 

PROVIDER: S-EPMC7854981 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Testosterone therapy and breast histopathological features in transgender individuals.

Baker Gabrielle M GM   Guzman-Arocho Yaileen D YD   Bret-Mounet Vanessa C VC   Torous Vanda F VF   Schnitt Stuart J SJ   Tobias Adam M AM   Bartlett Richard A RA   Fein-Zachary Valerie J VJ   Collins Laura C LC   Wulf Gerburg M GM   Heng Yujing J YJ  

Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc 20200916 1


Testosterone therapy (TT) is administered to enhance masculinization in transgender individuals. The long-term effect of exogenous testosterone on breast tissues remains unclear. Our study evaluated the modulation of breast morphology by TT in transgender individuals with special attention to duration of TT. We reviewed 447 breast surgical specimens from gender affirming chest-contouring surgery, and compared histopathological findings including degree of lobular atrophy, and atypical and non-at  ...[more]

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