The Case of the Transgender Considerations for Cancer Screening

Sally, a nurse practitioner in a cancer survivorship clinic, is preparing to discuss screening and surveillance guidelines with Jonah, a 32-year-old survivor of Hodgkin lymphoma. Sally reviews Jonah’s patient history form and notes a preference for he and him pronouns. His sexual identity is male, and gender assigned at birth was female. Jonah’s surgical history includes gender-affirming surgery on chest tissue (also known as top surgery), and his current medications include supplemental testosterone. Jonah also specifies he is transmasculine—one of the many terms that fall under the umbrella of sexual and gender minorities.