Reproductive endocrinology

Transgender Males on Gender-Affirming Hormone Therapy and Hepatobiliary Neoplasms: A Systematic Review

Endocr PractPublished Systematic review with case reports

Authors' conclusion

Results of this review are not sufficient to conclude that there is an association between GAHT and hepatobiliary neoplasms. This supports current evaluation and screening guidelines for initiation and continuation of GAHT in transgender men. The heterogeneity of testosterone formulations limits the translation of risks of hepatobiliary neoplasms in other indications to GAHT.

Study context

Population
Cases of hepatobiliary neoplasm in patients with exogenous testosterone administration or endogenous overproduction, across indications; non-English articles excluded49 papers
Participants
62 cases
Outcome
Hepatocellular adenoma, hepatocellular carcinoma, cholangiocarcinoma or other biliary neoplasm with testosterone administration or endogenous overproduction
Methodological details1273 unique citations screened from Ovid Medline, Embase.com, Scopus, Cochrane Database of Systematic Reviews and clinicaltrials.gov
  • 1273 unique citations screened from Ovid Medline, Embase.com, Scopus, Cochrane Database of Systematic Reviews and clinicaltrials.gov

Pooled result

As reported in the abstract

Papers with cases

49

Unique cases

62

Original publication

Transgender Males on Gender-Affirming Hormone Therapy and Hepatobiliary Neoplasms: A Systematic Review. Endocr Pract. Published 5 June 2023. doi:10.1016/j.eprac.2023.05.011

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