Male breast imaging and guidelines – Past, present and future – Dr Di Dalgliesh, Breast Clinician, Bath and Bristol, Vice President, ABC

This talk will cover:
• The clinical and imaging findings of gynaecomastia vs. male breast cancer.
• A review of previous male breast imaging guidelines
• Current male breast imaging guidelines
• The future – the place of male high risk breast screening

Dr Diana Dalgliesh graduated from the University of Cape Town, South Africa in 1989. She completed her junior doctor training posts in Cape Town and Paris prior to moving to the UK in 1995.

She was a GP between 1995 and 2002 when she left general practice to train as a Breast Clinician. She currently works at the Royal United Hospital NHS Trust (Bath) and at Avon Breast Screening (Bristol). She is clinical lead for the RUH Family History Breast Service. She is vice-president of the Association of Breast Clinicians and is a member of the project board for the national training pilot ‘Credential in Breast Disease Management for Breast Clinicians’.

Breast screening for trans and non-binary people – Dr Gary Rubin, Locum Consultant Radiologist, Worthing and Brighton

This talk will cover:
• Trans and non-binary (TNB) people don’t want to be defined by the binary male or female (M/F) sex they were assigned at birth. Some but not all take hormones or have surgery that affects their breast cancer risk.
• The M/F sex assigned at birth is linked to a binary NHS identity number, and only those with a female number get a breast screening invitation.
• Breast screening should be available and convivial to TNB people. This is complicated because of the binary nature of breast screening.
• GPs can now give TNB person a new gender, either a binary M/F one, or ‘unclassified’, which is appropriate for most non-binary people and does not change their NHS number or whether they are invited for screening. However, trans people given the opposite M/F gender receive a new binary NHS number and generally will then invited (or not) according to this.
• The vast majority of TNB people do not miss out on breast screening if it is appropriate for them. There are failsafe mechanisms for those who might miss out.

Dr Gary Rubin was a consultant radiologist at the Royal Sussex County Hospital in Brighton from 1989 until 2017, and breast screening director for the local screening programme. He was Meetings Secretary for the British Society of Breast Radiology from 2008-2013, involved in preparing its annual meeting.
Since retirement he enjoys part-time work in breast imaging in Worthing and Brighton. This leaves him time for cycling, traveling and seeing his family