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"Tranny" comes from "transvestite," and the "vest" part of that word refers to "vestments" or in more modern terminology, "clothing." A transverstite wears the clothes of the other sex.
A she-male has a mix of the physical attributes of both sexes, most commonly breasts AND a penis (though the breasts are frequently not real and the penis not able to get very stiff).
Does that help?
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