Granulomatous Mastitis in a Transgender Patient - Journal of
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A 36 year old male-to-female (MtF) transgender patient with a history of long-term hormonal treatment presented with bilateral palpable breast masses for two months. The patient had been receiving estrogen therapy for six of the past seven years in addition to an anti-androgen, spironolactone, for the past two years. There was no personal or family history of breast carcinoma, and the patient had no prior breast imaging.

A diagnostic mammogram was performed which showed a 5 mm equal density oval mass with circumscribed margins in the right breast at 11 o’clock anterior depth which correlated with a palpable mass on the pre-imaging clinical exam. There was no mammographic or sonographic correlate to the left breast palpable concern. Sonographic evaluation of the palpable abnormality in the right breast demonstrated a non-parallel irregular hypoechoic mass with posterior acoustic shadowing measuring 0.5 x 0.3 x 0.4 cm.

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