Evidence map›Paper›PMID 38148450›Full record

SynthesisArchives of sexual behavior2024

Systematic Review on Gender-Affirming Testosterone Therapy and the Risk of Breast Cancer: A Challenge for Physicians Treating Patients from Transgender and Gender-Diverse Populations.

Saagar Pamulapati, Meghan Conroy, Chandler Cortina, Eric Harding, Sailaja Kamaraju

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of sexual behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Oncological needs in transgender patients.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  4. Review
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Saagar PamulapatiMercyhealth Javon Bea Hospital, 2400 N Rockton Ave., Rockford, IL, 61103, USA. spamul2@uic.edu.ORCID 0000-0002-2245-6645
Meghan ConroyMedical Education, Medical College of Wisconsin, Milwaukee, WI, USA.
Chandler CortinaMedical Education, Medical College of Wisconsin, Milwaukee, WI, USA.
Eric HardingClinical Services Librarian, Froedtert Hospital, Milwaukee, WI, USA.
Sailaja KamarajuMedical Education, Medical College of Wisconsin, Milwaukee, WI, USA.
Medical College of Wisconsin · USFroedtert Hospital · USSisters of Mercy Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conflicting evidence exists about the risk of breast cancer in transgender and gender-diverse (TGD) patients treated with testosterone. This review aimed to summarize current knowledge regarding the risk of breast cancer associated with gender-affirming testosterone treatment (GATT). A systematic literature search using the Preferred Reporting Items for Systematic Review and Meta-Analysis checklist was conducted in January 2023 through Ovid, Scopus, and Web of Science databases. English-language, peer-reviewed articles evaluating breast cancer in TGD patients after GATT that met the inclusion criteria were included. This review included 22 articles, with 14 case reports, 4 case series, and 4 retrospective cohort studies. The review identified 26 TGD patients who developed breast cancer post-GATT therapy, with inconclusive evidence on the relationship between testosterone and the risk of breast cancer in TGD patients. This uncertainty in part arises from the mechanisms governing testosterone's effects within breast tissue, with contrasting theories proposing both proliferative and antiproliferative impacts. Considering this ambiguity, it is imperative for healthcare providers to engage in informed discussions with patients prior to initiating hormone therapy to discuss potential adverse effects, including the possibility of breast cancer development in TGD individuals. Patient education and shared decision-making are essential components of responsible care in this context.

Indexed as

Breast NeoplasmsTestosteroneTransgender PersonsFemaleGender-Affirming ProceduresHumansMaleTestosteroneBreast cancerGender-affirming hormone therapyGender-diverseHormone replacement therapyTestosteroneTransgender

Identifiers

PMID38148450
OpenAlexW4390237589

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.