"Trans woman" with a "vagina" somehow gets fatal metastatic penile cancer.
Vaccinations save lives. This guy died from a preventable HPV infection.
This individual underwent vaginoplasty and was then diagnosed and treated for HIV. The cancer’s first symptom was vaginal discharge and a foul smell. Fistula was also in the history. As we know, a lot of these guys would predictably use discharge as proof of femaleness and therefore are likely to misinterpret cancer symptoms as normal. Perhaps that is why this individual’s penis cancer was so advanced by the time it was diagnosed - while taking up a spot at the gynecologist, because the dermatologist didn't want to borrow a $30 speculum to find out if it was dick skin cancer or colon cancer. So they just took a women's health appointment from a woman.
This guy’s cancer was likely exacerbated by trans hormone therapy, as oral contraceptives are associated with increased risk of this kind of cancer (squamous cell carcinoma). Men in general are 4x as likely to develop SCC. White people are also more likely to get it… because it's skin cancer.
He had a hard life. He was castrated in Thailand at age 21. He didn't know what kind of surgery he even had. Whether it was a skin tube. Colon tube. Peritoneal. Wildcard. Who knows. He then spent 23 years trying to deal with the complications of vaginoplasty, including “cohabitational injury” which sounds like a sexual injury, which required a revision.
The first scan did not see the metastases and did not fully confirm the tumor, but the next one, a CT instead of an MRI, saw it. He had genital and bone tumors in an area that likely hurt from the vaginoplasty alone. He had tumors on his ribs and back that likely made it hurt to breathe and lie down or stand. He went through chemotherapy and radiation, but the cancer just kept spreading. They found tumors in his lungs and his liver. Then they found a mass on his brain.
By now there was little hope of a cure. The goal of the treatment was palliative. This 43 year old man, castrated at age 21, may have said goodbye to his parents, his siblings, maybe his partner. He beat HIV but HPV was ravaging his male body. Why? They used to not vaccinate boys against HPV in my generation. So this male person did not receive a vaccination before he encountered HPV, a virus he was 90% likely to encounter in his life regardless of sexual behavior.
They attempted to irradiate the two inch tumor lodged in his inverted penis. He spent 6 cycles of chemotherapy throwing up and shivering in bed. He still continued to ask for more treatment. He wanted to live as long as possible. Suicide prevented. To address the symptoms of his brain tumor, they opened his skull and attempted to remove it. He survived the surgery, and, clinging to life, was sent back to his palliative care, where he died a short time later, before they finished writing the case study. Dysphoria cured.
Another human guinea pig.
This is a sad case but I find it not really germane that the man was transed.
Gardacil vaccine has been available in the US only since 2006, and as of around 2010 it was not marketed except for women, and it was intentionally not marketed to men yet.
It was specifically not marketed to gay men who, had epidemic levels of anal cancer due to HPV - there was fear that the marketing would confuse women (I went to conferences on the subject; several of my gay male friends died of anal cancer in the late 2010’s). I did not see general advertisement of HPV vaccination until after 2020 in San Francisco, gaytown central.
To date men, most gay men are still not aware of several basic health measures including Hep-B and HPV vaccination. HPV virus infection which can progress to cancer is not the HPV which causes visible warts - there are dozens of HPV variants.
Anal swabs (Tush Smear similar to a Pap smear) for neoplasms are still not part of regular check-ups unless asked for. I ask all my gay friends to get regular tush smears, and to get vaccinated. Many were not aware of the existence of cheap, simple testing.
These cancers are extremely slow-growing. Unless you are swabbing, by the time you have detection it is not unusual to be at stage III - metastasized.
A man with a radical surgery such as this has the same chance as any man to develop HPV related cancer; to allow it to progress slowly, unnoticed. The main elevated risks would be damage to nerve tissue leaving less sensation in the area of a tumor; the pouch as an open wound would not be surprising to have a discharge; and lack of a cervix would make whichever doctor less likely to perform any swabbing and testing for neoplasms.