Breast care considerations for transgender and gender-diverse patients.

Transgender and gender-diverse persons represent a small but growing population in the United States facing challenges in accessing inclusive, equitable, and evidence-based healthcare.

• TGD persons seek gender-affirming care including gender-affirming hormonal therapy (GAHT) and gender-affirming surgery (GAS)
• The literature specifically addressing breast care needs in TGD patients is described as 'scarce but growing'
• Accessing inclusive, equitable, and evidence-based healthcare 'remains a challenge for this patient population'

Both GAHT and GAS induce clinically important histopathologic and anatomic changes in breast tissue of TGD persons.

• These changes are described as 'clinically important histopathologic and anatomic changes in breast tissue'
• The influence of GAHT and GAS on breast tissue is identified as a key topic requiring clinical review
• These changes have made breast care 'an increasingly recognized topic of importance in gender-affirming care'

Establishing trusting patient-provider relationships is identified as a foundational component of breast care for TGD patients.

• The paper reviews how to establish trusting patient-provider relationships as a distinct clinical consideration
• Gender inclusivity in breast clinics and imaging centers is identified as a separate but related concern
• These relational and structural factors are listed alongside clinical considerations such as screening and risk assessment

Breast cancer screening recommendations and barriers represent a distinct area of concern specific to TGD persons.

• The paper reviews 'breast cancer screening recommendations and barriers' as a dedicated topic for TGD patients
• Breast cancer risk and treatment considerations in TGD persons are reviewed separately from screening
• The unique healthcare needs of TGD patients necessitate tailored approaches to screening that differ from cisgender patient protocols

Gender inclusivity in breast clinics and imaging centers is identified as a necessary structural consideration for TGD patient care.

• Gender inclusivity in breast clinics and imaging centers is explicitly listed as a topic of review
• This is framed as part of providing equitable care to TGD persons
• The clinical environment is treated as a distinct factor alongside medical and surgical considerations