{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:33:37Z","timestamp":1777448017488,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,4,7]],"date-time":"2022-04-07T00:00:00Z","timestamp":1649289600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:p>Recognition of gender diverse individuals and their unique health care needs is increasing. Population-based studies demonstrate numbers of individuals identifying as transgender and gender non-binary is growing, particularly in younger generations. Since the end of Medicare coverage exclusion for gender-affirming surgeries (GASs) and expansion in third-party coverage, patients seeking GAS have increased dramatically.<\/jats:p>\n                  <jats:p>Gender-affirming chest surgery (GACS) is performed at nearly twice the rate of genital surgery. The average age of patients seeking GAS is 29.8 years. With expansion in GAS availability, more individuals at or near screening age present for chest surgery. Without pre-operative imaging, breast tissue abnormalities may not be discovered until surgical pathology. We present a patient with Paget\u2019s disease of the breast (PDB) discovered after female-to-male gender-affirming chest surgery (FTM GACS) without pre-operative imaging. This case highlights the importance of routine breast surveillance prior to FTM GACS.<\/jats:p>","DOI":"10.1177\/00031348221086978","type":"journal-article","created":{"date-parts":[[2022,4,7]],"date-time":"2022-04-07T22:57:00Z","timestamp":1649372220000},"page":"1931-1932","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Need for Routine Screening Prior to Female-to-Male Gender-Affirming Chest Surgery"],"prefix":"10.1177","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1585-1065","authenticated-orcid":false,"given":"Jasmine C.","family":"Walker","sequence":"first","affiliation":[{"name":"Department of SurgeryVanderbilt University School of Medicine, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raeshell S.","family":"Sweeting","sequence":"additional","affiliation":[{"name":"Department of SurgeryVanderbilt University School of Medicine, Nashville, TN, USA"},{"name":"Vanderbilt Breast Center, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,7]]},"reference":[{"key":"bibr1-00031348221086978","volume-title":"The Report of the 2015 U.S. Transgender Survey (USTS)","author":"James SE","year":"2016"},{"key":"bibr2-00031348221086978","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001738"},{"key":"bibr3-00031348221086978","unstructured":"The American Society of Breast Surgeons. Position statement on screening mammography. https:\/\/www.breastsurgeons.org\/docs\/statements\/Position-Statement-on-Screening-Mammography.pdf. Accessed February 4, 2022"},{"key":"bibr4-00031348221086978","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.10638"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221086978","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221086978","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221086978","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:39Z","timestamp":1777379799000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221086978"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,7]]},"references-count":4,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1177\/00031348221086978"],"URL":"https:\/\/doi.org\/10.1177\/00031348221086978","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,7]]}}}