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Letters to the Editor| Volume 30, ISSUE 4, P779, April 2023

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Breast Cancer Screening: Transgender Discrimination and Marginalization From Pakistan Perspective

      The pervasive stigma about the transgender community is deeply rooted around the globe in all spheres of public life. Health, as a fundamental human right, was enshrined in the Universal Declaration of Human Rights in 1948, Article 25 (

      Universal Declaration of Human Rights. 2021; Available at: https://www.un.org/en/about-us/universal-declaration-of-human-rights. Access date: April 15th, 2022.

      ). However, even after more than 70 years, communities such as transgenders, face the worst form of discrimination while seeking healthcare. Less than 1% of the population of the United States identifies themselves as transgender. This is likely under-reported to avoid social stigma and exclusion (
      • Deutsch MB
      • Radix A
      • Wesp L.
      Breast cancer screening, management, and a review of case study literature in transgender populations.
      ). A member of the transgender community says, "There isn't a trans moment… It's just a presence where there was an absence. We deserve so much more." — Hari Nef, The New Yorker, 2016 (

      Team, K. Inspirational transgender quotes: powerful words of support, acceptance, and love. 2021; Available at: https://kidadl.com/articles/inspirational-transgender-quotes-powerful-words-of-support-acceptance-and-love.

      ).
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      References

      1. Universal Declaration of Human Rights. 2021; Available at: https://www.un.org/en/about-us/universal-declaration-of-human-rights. Access date: April 15th, 2022.

        • Deutsch MB
        • Radix A
        • Wesp L.
        Breast cancer screening, management, and a review of case study literature in transgender populations.
        Semin Reprod Med. 2017; 35: 434-441https://doi.org/10.1055/s-0037-1606103
      2. Team, K. Inspirational transgender quotes: powerful words of support, acceptance, and love. 2021; Available at: https://kidadl.com/articles/inspirational-transgender-quotes-powerful-words-of-support-acceptance-and-love.

        • de Blok CJM
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      3. Growing recognition of transgender health.
        Bull World Health Organ. 2016; 94: 790-791https://doi.org/10.2471/BLT.16.021116.8
        • Perchik JD
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        • et al.
        Promoting progress and learning from mistakes: results of a radiology department LGBTQ inclusion audit.
        Acad Radiol. 2022; (S1076-6332(22)00197-0)https://doi.org/10.1016/j.acra.2022.03.020