TY - JOUR
T1 - Gender-Affirming Surgery and Cancer
T2 - Considerations for Radiation Oncologists for Pelvic Radiation in Transfeminine Patients
AU - Smart, Alicia C.
AU - Liu, Kevin X.
AU - Domogauer, Jason D.
AU - Rodriguez-Russo, Carlos
AU - Jones, Brianna
AU - Dickstein, Daniel R.
AU - Mancias, Joseph D.
AU - Shiloh, Ron Y.
AU - Wintner, Anton
AU - Zietman, Anthony L.
AU - Marshall, Deborah C.
AU - Dyer, M. Aiven
AU - Russo, Andrea L.
N1 - Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2023/10/1
Y1 - 2023/10/1
N2 - Access to gender-affirming surgery is increasing for many transgender and nonbinary people in the United States, and radiation oncologists must be equipped to care for patients who have undergone such surgery in the region of their planned radiation treatment field. There are no guidelines for radiation treatment planning after gender-affirming surgery, and most oncologists do not receive training in the unique needs of transgender people with cancer. We review common gender-affirming genitopelvic surgeries for transfeminine people, including vaginoplasty, labiaplasty, and orchiectomy, and summarize the existing literature on the treatment of cancers of the neovagina, anus, rectum, prostate, and bladder in these patients. We also describe our systematic treatment approach and rationale for pelvic radiation treatment planning.
AB - Access to gender-affirming surgery is increasing for many transgender and nonbinary people in the United States, and radiation oncologists must be equipped to care for patients who have undergone such surgery in the region of their planned radiation treatment field. There are no guidelines for radiation treatment planning after gender-affirming surgery, and most oncologists do not receive training in the unique needs of transgender people with cancer. We review common gender-affirming genitopelvic surgeries for transfeminine people, including vaginoplasty, labiaplasty, and orchiectomy, and summarize the existing literature on the treatment of cancers of the neovagina, anus, rectum, prostate, and bladder in these patients. We also describe our systematic treatment approach and rationale for pelvic radiation treatment planning.
UR - http://www.scopus.com/inward/record.url?scp=85162910665&partnerID=8YFLogxK
U2 - 10.1016/j.ijrobp.2023.05.028
DO - 10.1016/j.ijrobp.2023.05.028
M3 - Review article
C2 - 37230432
AN - SCOPUS:85162910665
SN - 0360-3016
VL - 117
SP - 301
EP - 311
JO - International Journal of Radiation Oncology Biology Physics
JF - International Journal of Radiation Oncology Biology Physics
IS - 2
ER -