Hormone-related tumors in transsexuals receiving treatment with cross-sex hormones

被引:85
作者
Mueller, Andreas [2 ]
Gooren, Louis [1 ]
机构
[1] Vrije Univ Amsterdam, Med Ctr, Dept Endocrinol, NL-1081 HV Amsterdam, Netherlands
[2] Erlangen Univ Hosp, Dept Obstet & Gynecol, D-91054 Erlangen, Germany
关键词
D O I
10.1530/EJE-08-0289
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: to assess the risk of development of hormone-related tumors in transsexuals receiving treatment with cross-sex hormones. Design: Description of cases of transsexuals who have developed a hormone-related malignancy observed in their own clinic or reported in the literature. Recommendations for early diagnosis and prevention are presented. Methods: Review of the literature in PubMed. Results: In male-to-female transsexuals receiving estrogen administration, lactotroph adenomas, breast cancer, and prostate cancer have been reported. In female-to-male transsexuals receiving treatment with testosterone, a single case of breast carcinoma and several cases of ovarian cancer have been reported. So far endometrial cancer has not been encountered though it remains a potential malignant development. Conclusions: There are so far only a few cases of hormone-related cancer in transsexuals. There may be an underreporting. The probability of a hormone-related turner increases with the duration of exposure to cross-sex hormones and the aging of the population of transsexuals.
引用
收藏
页码:197 / 202
页数:6
相关论文
共 48 条
[1]   Effects of conjugated, equine estrogen in postmenopausal women with hysterectomy - The women's health initiative randomized controlled trial [J].
Anderson, GL ;
Limacher, M ;
Assaf, AR ;
Bassford, T ;
Beresford, SAA ;
Black, H ;
Bonds, D ;
Brunner, R ;
Brzyski, R ;
Caan, B ;
Chlebowski, R ;
Curb, D ;
Gass, M ;
Hays, J ;
Heiss, G ;
Hendrix, S ;
Howard, BV ;
Hsia, J ;
Hubbell, A ;
Jackson, R ;
Johnson, KC ;
Judd, H ;
Kotchen, JM ;
Kuller, L ;
LaCroix, AZ ;
Lane, D ;
Langer, RD ;
Lasser, N ;
Lewis, CE ;
Manson, J ;
Margolis, K ;
Ockene, J ;
O'Sullivan, MJ ;
Phillips, L ;
Prentice, RL ;
Ritenbaugh, C ;
Robbins, J ;
Rossouw, JE ;
Sarto, G ;
Stefanick, ML ;
Van Horn, L ;
Wactawski-Wende, J ;
Wallace, R ;
Wassertheil-Smoller, S .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (14) :1701-1712
[2]   Management of female sexual dysfunction in postmenopausal women by testosterone administration: Safety issues and controversies [J].
Braunstein, Glenn D. .
JOURNAL OF SEXUAL MEDICINE, 2007, 4 (04) :859-866
[3]   Breast cancer after bilateral subcutaneous mastectomy in a female-to-male trans-sexual [J].
Burcombe, RJ ;
Makris, A ;
Pittam, M ;
Finer, N .
BREAST, 2003, 12 (04) :290-293
[4]   ANDROGEN RECEPTOR EXPRESSION IN HUMAN OVARIAN AND UTERINE TISSUE OF LONG-TERM ANDROGEN-TREATED TRANSSEXUAL WOMEN [J].
CHADHA, S ;
PACHE, TD ;
HUIKESHOVEN, FJM ;
BRINKMANN, AO ;
VANDERKWAST, TH .
HUMAN PATHOLOGY, 1994, 25 (11) :1198-1204
[5]   Effects of subdermal implants of estradiol and testosterone on the endometrium of postmenopausal women [J].
De Barros Filho, Adelmo M. B. ;
Barbosa, Ione C. ;
Maia, Hugo, Jr. ;
Genes, Consuelo C. ;
Coutinho, Elsimar M. .
GYNECOLOGICAL ENDOCRINOLOGY, 2007, 23 (09) :511-517
[6]   Androgens and androgen receptors in breast cancer [J].
Diaz-Chico, B. Nicolas ;
German Rodriguez, F. ;
Gonzalez, Ana ;
Ramirez, Raquel ;
Bilbao, Cristina ;
Cabrera de Leon, A. ;
Aguirre Jaime, A. ;
Chirino, Ricardo ;
Navarro, Domingo ;
Diaz-Chico, Juan C. .
JOURNAL OF STEROID BIOCHEMISTRY AND MOLECULAR BIOLOGY, 2007, 105 (1-5) :1-15
[7]   Ovarian cancer associated with testosterone supplementation in a female-to-male transsexual patient [J].
Dizon, Don S. ;
Tejada-Berges, Trevor ;
Koelliker, Susan ;
Steinhoff, Margaret ;
Granai, Cornelius O. .
GYNECOLOGIC AND OBSTETRIC INVESTIGATION, 2006, 62 (04) :226-228
[8]   Long-term use of postmenopausal estrogen and progestin hormone therapies and the risk of endometrial cancer [J].
Doherty, Jennifer A. ;
Cushing-Haugen, Kara L. ;
Saltzman, Babette S. ;
Voigt, Lynda F. ;
Hill, Deirdre A. ;
Beresford, Shirley A. ;
Chen, Chu ;
Weiss, Noel S. .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2007, 197 (02) :139.e1-139.e7
[9]   Successful treatment of metastatic androgen-independent prostate carcinoma in a transsexual patient [J].
Dorff, Tanya B. ;
Shazer, Ronald L. ;
Nepomuceno, Edward M. ;
Tucker, Steven J. .
CLINICAL GENITOURINARY CANCER, 2007, 5 (05) :344-346
[10]   Gender difference in the activity but not expression of estrogen receptors a and in human lung adenocarcinoma cells [J].
Dougherty, SM ;
Mazhawidza, W ;
Bohn, AR ;
Robinson, KA ;
Mattingly, KA ;
Blankenship, KA ;
Huff, M ;
McGregor, WG ;
Klinge, CM .
ENDOCRINE-RELATED CANCER, 2006, 13 (01) :113-134