Table 1.

Recommended Screening Guidelines—Transfeminine Patients

Average cancer riska AND no or <5 years of GAHTIncreased cancer riska AND no or <5 years of GAHTIncreased cancer riska AND past or ≥5 years of GAHTAverage cancer riska AND past or ≥5 years of GAHT
Any age25–30 y old25–30 y old≥30 y old≥40 y old
Mammogram/DBTUsually not appropriateMay be appropriateUsually appropriateUsually appropriateMay be appropriate
Breast MRIUsually not appropriateUsually not appropriateUsually not appropriateMay be appropriateUsually not appropriate
Breast USUsually not appropriateUsually not appropriateUsually not appropriateMay be appropriateUsually not appropriate
Average cancer riska AND no or <5 years of GAHTIncreased cancer riska AND no or <5 years of GAHTIncreased cancer riska AND past or ≥5 years of GAHTAverage cancer riska AND past or ≥5 years of GAHT
Any age25–30 y old25–30 y old≥30 y old≥40 y old
Mammogram/DBTUsually not appropriateMay be appropriateUsually appropriateUsually appropriateMay be appropriate
Breast MRIUsually not appropriateUsually not appropriateUsually not appropriateMay be appropriateUsually not appropriate
Breast USUsually not appropriateUsually not appropriateUsually not appropriateMay be appropriateUsually not appropriate

aAverage risk is <15% lifetime risk of breast cancer. Abbreviations: DBT, digital breast tomosynthesis; GAHT, gender-affirming hormonal therapy.

Table 1.

Recommended Screening Guidelines—Transfeminine Patients

Average cancer riska AND no or <5 years of GAHTIncreased cancer riska AND no or <5 years of GAHTIncreased cancer riska AND past or ≥5 years of GAHTAverage cancer riska AND past or ≥5 years of GAHT
Any age25–30 y old25–30 y old≥30 y old≥40 y old
Mammogram/DBTUsually not appropriateMay be appropriateUsually appropriateUsually appropriateMay be appropriate
Breast MRIUsually not appropriateUsually not appropriateUsually not appropriateMay be appropriateUsually not appropriate
Breast USUsually not appropriateUsually not appropriateUsually not appropriateMay be appropriateUsually not appropriate
Average cancer riska AND no or <5 years of GAHTIncreased cancer riska AND no or <5 years of GAHTIncreased cancer riska AND past or ≥5 years of GAHTAverage cancer riska AND past or ≥5 years of GAHT
Any age25–30 y old25–30 y old≥30 y old≥40 y old
Mammogram/DBTUsually not appropriateMay be appropriateUsually appropriateUsually appropriateMay be appropriate
Breast MRIUsually not appropriateUsually not appropriateUsually not appropriateMay be appropriateUsually not appropriate
Breast USUsually not appropriateUsually not appropriateUsually not appropriateMay be appropriateUsually not appropriate

aAverage risk is <15% lifetime risk of breast cancer. Abbreviations: DBT, digital breast tomosynthesis; GAHT, gender-affirming hormonal therapy.

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