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2016 ; 21
(9
): 1138-48
Nephropedia Template TP
gab.com Text
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English Wikipedia
Breast Camps for Awareness and Early Diagnosis of Breast Cancer in Countries With
Limited Resources: A Multidisciplinary Model From Kenya
#MMPMID27401898
Sayed S
; Moloo Z
; Ngugi A
; Allidina A
; Ndumia R
; Mutuiri A
; Wasike R
; Wahome C
; Abdihakin M
; Kasmani R
; Spears CD
; Oigara R
; Mwachiro EB
; Busarla SV
; Kibor K
; Ahmed A
; Wawire J
; Sherman O
; Saleh M
; Zujewski JA
; Dawsey SM
Oncologist
2016[Sep]; 21
(9
): 1138-48
PMID27401898
show ga
BACKGROUND: Breast cancer is the most common cancer of women in Kenya. There are
no national breast cancer early diagnosis programs in Kenya. OBJECTIVE: The
objective was to conduct a pilot breast cancer awareness and diagnosis program at
three different types of facilities in Kenya. METHODS: This program was conducted
at a not-for-profit private hospital, a faith-based public hospital, and a
government public referral hospital. Women aged 15 years and older were invited.
Demographic, risk factor, knowledge, attitudes, and screening practice data were
collected. Breast health information was delivered, and clinical breast
examinations (CBEs) were performed. When appropriate, ultrasound imaging,
fine-needle aspirate (FNA) diagnoses, core biopsies, and onward referrals were
provided. RESULTS: A total of 1,094 women were enrolled in the three breast
camps. Of those, 56% knew the symptoms and signs of breast cancer, 44% knew how
breast cancer was diagnosed, 37% performed regular breast self-exams, and 7% had
a mammogram or breast ultrasound in the past year. Of the 1,094 women enrolled,
246 (23%) had previously noticed a lump in their breast. A total of 157
participants (14%) had abnormal CBEs, of whom 111 had ultrasound exams, 65 had
FNAs, and 18 had core biopsies. A total of 14 invasive breast cancers and 1
malignant phyllodes tumor were diagnosed CONCLUSION: Conducting a
multidisciplinary breast camp awareness and early diagnosis program is feasible
in different types of health facilities within a low- and middle-income country
setting. This can be a model for breast cancer awareness and point-of-care
diagnosis in countries with limited resources like Kenya. IMPLICATIONS FOR
PRACTICE: This work describes a novel breast cancer awareness and early diagnosis
demonstration program in a low- and middle-income country within a limited
resource setting. The program includes breast self-awareness and breast cancer
education, clinical exams, and point-of-care diagnostics for women in three
different types of health facilities in Kenya. This pilot program has the
potential of being replicated on a national scale to create awareness about
breast cancer and downstage its presentation.