Breast Cancer in Ghana How are we going to ‘beat’ it?
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Transcript of Breast Cancer in Ghana How are we going to ‘beat’ it?
Breast Cancer in GhanaHow are we going to ‘beat’ it?
Prof J-N Clegg-Lamptey
SAMF Launch
• World: 1.4 million diagnosed annually 460,000 deaths
• Africa: 70,000 diagnosed annually 40,000 deaths
• Ghana 2,000 diagnosed annually 1,000 deaths
WHO data: Globocan 2008
In Ghana
60 – 70 % of cases are advanced 2.4% of Breast cancers occur in
men
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Clegg-Lamptey & Hodasi 2006
Young age of Patients in Accra
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More 30-year olds are diagnosed than 65-year olds
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More 25-year olds are diagnosed than 75-year olds
Advanced tumours
• Prevention– Primary prevention not very successful– Secondary prevention (Early diagnosis/ screening) is key
• Screening– Mammography?
• For women over 40, but most of our patients are younger
– Breast Self Examination?• Not recommended in advanced countries but we highly recommend it
– Clinical Breast Examination?• We recommend annual examinations for women
– Ultrasound?• Useful in all age groups
• Early presentation to hospital
Areas For Intervention
• Early DiagnosisMammography:
Very few are available
Pathology servicesFew pathologists in the country; mainly Accra and
Kumasi
Counseling
• TreatmentCost
Prohibitive for most patients
• Palliative Care
• Early DiagnosisCounselingMammographyPathology services
• TreatmentCost
• Palliative Care
1. Surgery2. Radiotherapy3. Chemotherapy4. Hormone Therapy5. Biologic therapy
A Breast Centre for Korle Bu• Daily breast clinics• Walk-in clinics• Mammography, Breast Ultrasound• One-stop diagnosis for breast complaints• Centre for multidisciplinary team meetings• Chemotherapy suite• Counseling centre
Site is available. Funding is needed
• Advocacy
• Education
• Funding
• Research
Four pillars for the fight against Breast Cancer in Ghana
Early Detection Saves Lives