Evidence map›Paper›PMID 39791954›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025

Elevated Risk of Thyroid Malignancy in Biological Males Taking Estrogen Hormone Therapy.

Andrew Meci, F Jeffrey Lorenz, Neerav Goyal, David Goldenberg

Abstract read
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Andrew MeciPenn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania, USA.ORCID http://orcid.org/0000-0001-9863-5810
F Jeffrey LorenzPenn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania, USA.ORCID http://orcid.org/0000-0001-5902-7054
Neerav GoyalPenn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania, USA.ORCID http://orcid.org/0000-0001-7783-1097
David GoldenbergPenn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-2822-4116

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

objectiveThe role of estrogen in developing thyroid malignancy is poorly understood. Epidemiological studies have shown exogenous estrogen is associated with increased risk in females. Still, no studies to date have investigated this association among biological males undergoing estrogen hormone therapy. STUDY

designRetrospective cohort study.

settingTriNetX Research Network.

methodsBiologically male patients prescribed estrogen with at least 5 years of follow-up were queried from the database. Rates of diagnosis of malignant neoplasm of the thyroid gland within 5 years of estrogen hormone therapy prescription were determined, and statistics were conducted within the TriNetX platform.

resultsWe identified 6394 biologically male patients from 65 health care organizations prescribed estrogen hormone treatment. The average age was 44.4 years. When balanced for demographic factors as well as known risk factors for thyroid malignancy, the estrogen treatment cohort had a 0.64% risk for diagnosis of thyroid malignancy within 5 years, compared to a 0.27% risk among patients not taking estrogen (relative risk: 2.35, 95% confidence interval: 1.34-4.15, P = .002).

conclusionWe found a higher risk of developing thyroid cancer in biologically male patients prescribed estrogen hormone therapy. This is the first association found between estrogen and thyroid malignancy in this group.

Indexed as

Estrogen Replacement TherapyEstrogensThyroid NeoplasmsTransgender PersonsAdultHumansMaleMiddle AgedRetrospective StudiesRisk FactorsEstrogensendocrine malignancyestrogenmale estrogenotolaryngologythyroid malignancy

Identifiers

PMID39791954
PMCPMC11947853

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Registered trials

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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.