Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death in females worldwide. Ghana attained lowmiddleincome status in 2012 following consistent growth in the gross domestic product gdp and human development index. To describes the characteristics of breast cancer patients attending the komfo anokye teaching. The recently published findings from globocan provide evidence that. Challenges, coping strategies, and social support among. While on other hand high cost of the treatment, adverse effects associated with the therapy and long approval time for the drugs are responsible for restraining the growth of the market. Its incidence is on the ascendancy in africa including ghana. Aug, 2019 improving breast cancer survival in subsaharan africa ssa is urgently needed, requiring early diagnosis and improved access to treatment. Previous studies find ghanaian women are diagnosed at a younger age and at more advanced stages iii and iv, and have tumors with characteristics similar to african american women. In 2018, it is estimated that 627,000 women died from breast cancer that is approximately 15% of all cancer deaths among women.
Breast cancer in accra, ghana article pdf available in ghana medical journal 33. A cancer journal for clinicians breast cancer is the most common cancer diagnosed among us women and is the second leading cause of death among women after lung cancer. Introduction cancer of the breast is the most common cancer in both developing and developed countries and is responsible for. Nearly 80 percent of breast cancers are found in women over the age of 50.
It depends on the kind of breast cancer and how far it has spread. Oct, 2017 breast cancer is the most common cancer that affects women and the most common cause of cancer deaths in ghana. The ghana breast health study, a multidisciplinary casecontrol study of breast cancer, was launched in ghana, west africa, in 20. Breast cancer deaths among ghanaian women high who ghana. The kumasi cancer registry was established as the first populationbased cancer registry in ghana in 2012 to provide information on cancer cases seen in the city of kumasi. Little healthcare infrastructure exists, and few personnel are available for the care of patients. Identify factors that predispose to the development of breast cancer among ghanaian women. Reestablishing a surgical pathology service in kumasi, ghana. We analyzed data from 1,126 cases aged 1874 years with invasive breast cancer and 2,106 controls recruited from a population. People with breast cancer often get more than one kind of treatment. Therefore, all studies of breast cancer in ghana use hospitalbased data. According to ghanas 2014 demographics and health survey, 40% of men and 25% of women are overweight with previous data showing a 10% prevalence rate in women in 1993.
A descriptive crosssectional study was conducted from february to august 2017. Adult risk factors no data available no data available no data available no data available no data available no data available cervix uteri 28. The hospital is located in kumasi 250 kilometres north of the national capital accra. Breast cancer is the most common malignancy in women and the leading cause of cancer deaths worldwide.
To evaluate breast cancer in ghanaian women and to compare these findings with those of previous studies by using. Breast cancer remained the leading cause of cancer in kumasi. Pdf pattern of breast cancer distribution in ghana. A woman who has had breast cancer in one breast is at an increased risk of developing cancer in her other breast. Cancer is rapidly becoming a public health crisis in lowincome and middleincome countries. Despite the high incidence and mortality rate of breast cancer bc in ghana, little attention has been given to the issue of how adult women cope with having bc. The aim of this study was to explore the challenges, coping strategies, and support systems among women diagnosed with bc in ghana. The study was conducted at the komfoanokye teaching hospital. Individuals with a breast cancer diagnosis who sought care at komfo. Health statistics ghana homepage, resource for news.
Treatment of cancer in subsaharan africa the lancet. Purpose breast cancer, the most common cancer worldwide, is the leading cause of cancer mortality in ghanaian women. Research article pattern of breast cancer distribution in. May 23, 2014 in ghana, data and research on cancer have focussed on specific cancers and have been hospitalbased with no reference population. Breast cancer is the leading cause of cancer deaths in ghanaian women. Using special medicines to shrink or kill the cancer cells. Breast cancer is the most common cancer diagnosed among us women and is the second leading cause of death among women after lung cancer. To describes the characteristics of breast cancer patients attending the komfo anokye teaching hospital in kumasi, ghana. Between july 1st 2004 and june 30th 2009 patients presenting with breast lumps were assessed by clinical. Over time, and when undetected, these cells can invade healthy breast tissue nearby as well as the lymph system in the armpit. Ghana is facing a relatively high mortality to incidence ratio, and it is expected that the incidence will increase in ghana in the years to come iarc 2008, parkin et al.
Knowledge and awareness of breast cancer among young. National strategy for cancer control in ghana july, 2011 2012 2016. Breast cancer is the most frequent cancer among women, impacting 2. However the disease is a common cause of hospital admissions and mortality among ghanaian women. Agespecific probability of developing invasive breast cancer for us women 4 figure 2. Breast cancer market research report global forecast to. We are a 501c3 nonprofit organization offering a complete resource for breast cancer, including uptodate information on the latest treatments, screening tests, stages and breast cancer types, as well as support through our active online community. Ghana breast health study national cancer institute. A woman who has had breast cancer in one breast is at an increased risk of developing. This is consistent with a study from kumasi ghana between july 2004 and june 2009, which reported 42. Feb 17, 2012 the 5year survival of breast cancer in ghana is less than 25%, compared with over 70% in western europe and north america 710. Data on breast cancer, derived from the korlebu teaching hospital cancer register from 1972 through 1975, were.
A retrospective analysis of breast cancer subtype based on. Inequities in breast cancer treatment in subsaharan. Financing cancer treatment sweden ghana medical centre. It demonstrates how local politics can trump scienti. With limited epidemiological studies on breast cancer in ghana, the aim of this study is to assess and understand the pattern of breast cancer distribution for enhancing early. Nearly 70% of women diagnosed with breast cancer in ghana are in advanced stages of the disease due especially to low awareness, resulting in limited treatment success and high death rate. Breast cancer in ghanaian women american journal of clinical.
Cancer ward we investigate why breast cancer is such a deadly disease for women in west africa. Costs, effects and costeffectiveness of breast cancer. The politics of priority setting for reproductive health. However, data on the types of and barriers to receiving breast cancer therapy in this region are limited and have not been compared between different ssa countries and treatment settings. Agespecific female breast cancer incidence rates by raceethnicity, 20102014, us 2 breast cancer occurrence 3 table 2. V vanderpuye, consultant clinical radiation oncologist korle bu teaching hospital 7 prostate cancer group. Oct 26, 2015 breast cancer has been identified as the second leading cause of cancer deaths in ghana, with about 2,900 cases being diagnosed annually and at least one of eight women with the disease dying. Inequities in breast cancer treatment in subsaharan africa. Ms m apatu, public health nurse, ridge hospital, ghana health service 6 breast cancer group dr. Breast cancer in ghanaian women american journal of.
Differences in risk factor distributions and associations by age at diagnosis and er status may explain this disparity. Breast cancer in kumasi, ghana ghana medical journal. Pdf breast cancer in accra, ghana edwin wiredu and. A key resource in ongoing research and implementation towards breast cancer awareness programmes in ghana is the breast health global initiative bhgi, which has opened the bhgi learning laboratory in kumasi, with the aim of training a new set of breast cancer health practitioners wadler et al. Ghana cancer incidence agestandardized cancer mortality trends cancer mortality profile world health organization cancer country profiles, 2014. Surgeons are often central to cancer care in the region, since they can be the only physician a patient sees for diagnosis, treatment. Adjei breast cancer in kumasi 9 patients and methods clinical and microscopic diagnosis of breast cancer the study was conducted at the komfo anokye teaching hospital the second largest in ghana. With limited epidemiological studies on breast cancer in ghana, the aim of this study is to assess and understand the pattern of breast cancer distribution for enhancing early detection and. Identify genetic and other biologic factors predictive of risk. Breast cancer knowledge, beliefs, attitudes and screening efforts by. Determinants of late presentation and histologic types of. Use the subject listing below to find the fact sheets you are interested in. Breast cancer is the most imperative health issue facing african american women black women in the u. Breast cancer in ghana, breast cancer is the leading malignancy.
Knowing someone with advanced breast cancer enhances knowledge and attitude. V vanderpuye, consultant clinical radiation oncologist korle bu teaching hospital. Estimated new female breast cancer cases and deaths by age, us, 2017 1 figure 1. Breast cancer deaths among ghanaian women high who. March 2012 volume 46, number 1 ghana medical journal 8 breast cancer in kumasi, ghana m. In ghana and many parts of africa more than 50% of breast cancer patients present with advanced stage even though evidence suggests that health education on breast cancer. Data on breast cancer, derived from the korlebu teaching. In africa, breast cancer is responsible for 28% of all cancers and 20% all cancer deaths in women. It also disturbing that the average age at diagnosis for breast cancer in ghana is 46. Knowledge, attitudes, beliefs, behaviour and breast cancer. Currently, ghana lacks a comprehensive breast cancer control policy.
With limited epidemiological studies on breast cancer in ghana, the aim of this study is to assess and understand the pattern of breast cancer distribution for enhancing early detection and treatment. Knowledge and awareness of breast cancer among young women in. We sought to remedy gaps in knowledge about breast cancer survival in ghana and its relation to. Breast cancer is the most frequently diagnosed cancer in women worldwide. Breast cancer burden in africa in africa, breast cancer is responsible for 28% of all cancers and 20% all cancer deaths in women. The burden of breast cancer is greater in ghana because most women present. Cancer society of ghana exists to contribute significantly to cancer control in ghana. The chance of getting breast cancer increases as women age. J n clegg lamptey, chairman consultant surgeon and head of surgery, korle bu teaching hospital dr. This is consistent with our 2012 report on data from this registry and the ranking of breast cancer as the leading cause of cancer related morbidity in ghana by the global burden of disease study gbd 23, 24. Among females, breast and cervical cancers recorded the highest.
As a patient or sponsor, the costs that you will pay at sweden ghana medical centre for cancer treatments such as radiotherapy, brachytherapy and chemotherapy will vary depending on the type of cancer being treated, the drugs and where we buy them, and how often and how long you will need treatment. Breast cancer in accra is mostly of the ductal type or its variants affecting relatively younger age groups. A descriptive crosssectional study was conducted from february to. Womens cultural perceptions and attitudes towards breast. The aim of this study was to look at the pattern of breast cancer over a period of five years and to compare the findings to similar studies done in the department and elsewhere within the african subregion. In subsaharan africa, patients often present with advanced disease. The nci fact sheet collection addresses a variety of cancer topics. Knowledge and awareness of breast cancer among young women in the united arab emirates moustafa younis, dania alrubaye, hadeel haddad, ahmed hammad, manar hijazi college of medicine, university of sharjah uos, sharjah, united arab emirates abstract background. Reliable data on cancers in ghana are scarce and are limited to.
Pdf factors contributing to late breast cancer presentation. Reproductive factors and risk of breast cancer by tumor. Fact sheets are updated and revised based on the latest cancer research. By 2003 four chronic diseases, stroke, hypertension, diabetes and cancer, had become among the top ten causes of death in ghana. In this study of patients treated for breast cancer we found predominance of hormone receptor negative tumours 49. Breast cancer, hepatitis centres for accra, kumasi. Breast cancer is the most common cancer among females in the united. Breast cancer facts a national african american breast. The situation in ghana, according to the report, stands at 2,260 annual diagnoses with 1,021 deaths. Guidelines for international breast health and cancer controlimplementation supplement to cancer reestablishing a surgical pathology service in kumasi, ghana case report and discussion of barriers and key elements of a successful collaboration between low and highresource countries helge stalsberg, md, phd 1 baffour awuah, md 2 julio a. It is also disturbing that the average age at diagnosis for breast cancer in ghana is 46.