Incidence of Testicular Cancer in Transfeminine Patients following Vaginoplasty with Orchidectomy

Background:. Little is known about the prevalence of testicular cancer in the transfeminine population. Only six cases have been reported in the literature. This case series reports six additional cases of various testicular cancers found in transfeminine patients who underwent vaginoplasty with orc...

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Main Authors: Michelle Bonapace-Potvin, MD, Sabrina Bijou-Coulon, Maria Cassandre Medor, MD, Pierre Brassard, MD, FRCSC, Maud Bélanger, MD, FRCSC
Format: Article
Language:English
Published: Wolters Kluwer 2022-04-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004051
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author Michelle Bonapace-Potvin, MD
Sabrina Bijou-Coulon
Maria Cassandre Medor, MD
Pierre Brassard, MD, FRCSC
Maud Bélanger, MD, FRCSC
author_facet Michelle Bonapace-Potvin, MD
Sabrina Bijou-Coulon
Maria Cassandre Medor, MD
Pierre Brassard, MD, FRCSC
Maud Bélanger, MD, FRCSC
author_sort Michelle Bonapace-Potvin, MD
collection DOAJ
description Background:. Little is known about the prevalence of testicular cancer in the transfeminine population. Only six cases have been reported in the literature. This case series reports six additional cases of various testicular cancers found in transfeminine patients who underwent vaginoplasty with orchidectomy in our institution. Methods:. In our institution, all specimens are routinely sent to pathology following vaginoplasty with orchidectomy. This permitted the identification of all positive cases of testicular cancer. A chart review was conducted to retrieve patient demographics, duration of hormonotherapy, type of neoplasm, the context of its discovery, and cancer follow-up. Results:. A total of 2555 patients underwent vaginoplasty with orchidectomy between January 2016 and January 2021. All specimens were sent to pathology for analysis. A total of six (0.23% of patients) specimens revealed malignant lesions. Conclusions:. Increased societal awareness toward the transgender population encourages recourse to gender-affirming procedures. Little is known about the incidence of testicular cancer in the transfeminine population. In total, 0.23% of patients in our cohort presented with positive pathology findings indicative of testicular cancer. All cancers were found to be only locally invasive, and all patients were successfully treated. We therefore encourage routine pathology examination for all specimens following vaginoplasty with orchidectomy.
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spelling doaj.art-7a5c7959e1794454b23af53f4e31f1522022-12-22T02:21:16ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-04-01104e405110.1097/GOX.0000000000004051202204000-00033Incidence of Testicular Cancer in Transfeminine Patients following Vaginoplasty with OrchidectomyMichelle Bonapace-Potvin, MD0Sabrina Bijou-Coulon1Maria Cassandre Medor, MD2Pierre Brassard, MD, FRCSC3Maud Bélanger, MD, FRCSC4From the Plastic Surgery Department, Centre Métropolitain de Chirurgie and Université de Montréal, Montréal, Québec, Canada.From the Plastic Surgery Department, Centre Métropolitain de Chirurgie and Université de Montréal, Montréal, Québec, Canada.From the Plastic Surgery Department, Centre Métropolitain de Chirurgie and Université de Montréal, Montréal, Québec, Canada.From the Plastic Surgery Department, Centre Métropolitain de Chirurgie and Université de Montréal, Montréal, Québec, Canada.From the Plastic Surgery Department, Centre Métropolitain de Chirurgie and Université de Montréal, Montréal, Québec, Canada.Background:. Little is known about the prevalence of testicular cancer in the transfeminine population. Only six cases have been reported in the literature. This case series reports six additional cases of various testicular cancers found in transfeminine patients who underwent vaginoplasty with orchidectomy in our institution. Methods:. In our institution, all specimens are routinely sent to pathology following vaginoplasty with orchidectomy. This permitted the identification of all positive cases of testicular cancer. A chart review was conducted to retrieve patient demographics, duration of hormonotherapy, type of neoplasm, the context of its discovery, and cancer follow-up. Results:. A total of 2555 patients underwent vaginoplasty with orchidectomy between January 2016 and January 2021. All specimens were sent to pathology for analysis. A total of six (0.23% of patients) specimens revealed malignant lesions. Conclusions:. Increased societal awareness toward the transgender population encourages recourse to gender-affirming procedures. Little is known about the incidence of testicular cancer in the transfeminine population. In total, 0.23% of patients in our cohort presented with positive pathology findings indicative of testicular cancer. All cancers were found to be only locally invasive, and all patients were successfully treated. We therefore encourage routine pathology examination for all specimens following vaginoplasty with orchidectomy.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004051
spellingShingle Michelle Bonapace-Potvin, MD
Sabrina Bijou-Coulon
Maria Cassandre Medor, MD
Pierre Brassard, MD, FRCSC
Maud Bélanger, MD, FRCSC
Incidence of Testicular Cancer in Transfeminine Patients following Vaginoplasty with Orchidectomy
Plastic and Reconstructive Surgery, Global Open
title Incidence of Testicular Cancer in Transfeminine Patients following Vaginoplasty with Orchidectomy
title_full Incidence of Testicular Cancer in Transfeminine Patients following Vaginoplasty with Orchidectomy
title_fullStr Incidence of Testicular Cancer in Transfeminine Patients following Vaginoplasty with Orchidectomy
title_full_unstemmed Incidence of Testicular Cancer in Transfeminine Patients following Vaginoplasty with Orchidectomy
title_short Incidence of Testicular Cancer in Transfeminine Patients following Vaginoplasty with Orchidectomy
title_sort incidence of testicular cancer in transfeminine patients following vaginoplasty with orchidectomy
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004051
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