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This review outlines the literature and gives practical recommendations for breast and gynecologic cancer care of SMW and TGD people. SMW and transgender men and nonbinary people with a cervix share multiple barriers to cervical cancer screening with lower uptake. TGD individuals face additional barriers, including gender dysphoria during examinations. Current evidence supports offering human papilloma virus self-sampling to improve screening uptake. Evidence supports lower breast cancer risk in TGD people compared with cisgender women but advice must be tailored to surgical history and hormone use. For TGD individuals with cancer, gender-affirming hormone therapy should be managed through shared decision making, balancing oncologic risk with quality-of-life considerations. Cancer care must account for the unique needs of SGM populations, emphasizing cultural humility, structural competency, and trauma-informed care. While broader health care reforms are needed to address the systemic inequities that underlie these disparities, clinicians have an obligation to provide affirming, patient-centered care that recognizes the impact of societal discrimination on health and fosters trust with SGM patients.<\/jats:p>","DOI":"10.1200\/edbk-25-473608","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T19:59:12Z","timestamp":1749067152000},"source":"Crossref","is-referenced-by-count":6,"title":["Breast and Gynecologic Cancer Care for Sexual Minority Women and Transgender People"],"prefix":"10.1200","volume":"45","author":[{"given":"Gabrielle","family":"Mayer","sequence":"first","affiliation":[{"name":"NYU Grossman School of Medicine, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto Giovanni","family":"Leone","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy"},{"name":"Department of Oncology and National Centre for HIV Malignancy, Chelsea and Westminster Hospital, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Korostoff-Larsson","sequence":"additional","affiliation":[{"name":"NYU Grossman School of Medicine, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Xin","sequence":"additional","affiliation":[{"name":"NYU Grossman School of Medicine, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flora","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Oncology and National Centre for HIV Malignancy, Chelsea and Westminster Hospital, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shail","family":"Maingi","sequence":"additional","affiliation":[{"name":"Dana-Farber Cancer Institute, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1132-0275","authenticated-orcid":false,"given":"Alison May","family":"Berner","sequence":"additional","affiliation":[{"name":"Queen Mary University of London, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"233","reference":[{"key":"e_1_3_3_2_2","article-title":"U.S. LGBT Identification Steady at 7.2","author":"Jones JM","year":"2023","unstructured":"Jones JM: U.S. LGBT Identification Steady at 7.2. 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