title: A Transgender Woman with Testicular Cancer: A New Twist on an Old Problem.
abstract: We present the case of a transgender woman who developed rising testosterone and estradiol levels while on feminizing hormones. After months of uncertainty about the cause of her elevated hormone levels, her physician found a large testicular mass on examination. The patient was diagnosed with a rare virilizing form of testicular cancer. We review the biopsychosocial factors that led to a delay in diagnosis, appropriate screening for patients whose anatomical parts are incongruent with their gender identity, and the difficulty of learning to become a competent provider for transgender patients at a time when resources and educational opportunities are lacking.
authors.affiliation: A.O. Fox Memorial Hospital , Bassett Health Care Network, Oneonta, New York.
authors.forename: Carolyn S
authors.initials: CS
authors.lastname: Wolf-Gould
authors.affiliation: A.O. Fox Memorial Hospital , Bassett Health Care Network, Oneonta, New York.
authors.forename: Christopher H
authors.initials: CH
authors.lastname: Wolf-Gould
keywords: gender dysphoria; gender identity; gender transition; transgender