130 likes | 247 Views
Learn about the challenges and strategies to combat breast cancer in Ghana, where a significant portion of cases are diagnosed late. Explore the importance of early detection methods like mammography, counseling, surgery, and therapy. Discover the need for a dedicated Breast Centre for comprehensive care and support for patients. Join the fight against breast cancer through advocacy, education, funding, and research efforts. Together, we can beat breast cancer in Ghana!
E N D
Breast Cancer in GhanaHow are we going to ‘beat’ it? Prof J-N Clegg-Lamptey SAMF Launch
WHO data: Globocan 2008 • 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
In Ghana 60 – 70 % of cases are advanced 2.4% of Breast cancers occur in men
Young age of Patients in Accra Clegg-Lamptey & Hodasi 2006
More 30-year olds are diagnosed than 65-year olds Clegg-Lamptey & Hodasi 2006
More 25-year olds are diagnosed than 75-year olds Clegg-Lamptey & Hodasi 2006
Areas For Intervention • 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
Early Diagnosis Mammography: Very few are available Pathology services Few pathologists in the country; mainly Accra and Kumasi Counseling • Treatment Cost Prohibitive for most patients • Palliative Care
Early Diagnosis Counseling Mammography Pathology services • Treatment Cost • Palliative Care Surgery Radiotherapy Chemotherapy Hormone Therapy 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
Four pillars for the fight against Breast Cancer in Ghana • Advocacy • Education • Funding • Research