To the Editor: The article titled “Future Directions for Breast Reconstruction on the 20th Anniversary of the Women’s Health and Cancer Rights Act” by Offodile and Lee1 raises valid points about the variations in breast reconstruction preferences patients may have. However, one factor that may affect preferences has been rarely addressed in the literature: not all patients who receive cancer-based mastectomy or reconstruction are cisgender women. Any patient with breast tissue can develop breast cancer, regardless of their gender identity.
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Nolan IT, Hazen A, Morrison SD. On the Gender Identity of Breast Patients. JAMA Surg. 2018;153(12):1164. doi:10.1001/jamasurg.2018.3227
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