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Breast Cancer in Ghana How are we going to ‘beat’ it?

Breast Cancer in Ghana How 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.

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Breast Cancer in Ghana How are we going to ‘beat’ it?

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  1. Breast Cancer in GhanaHow are we going to ‘beat’ it? Prof J-N Clegg-Lamptey SAMF Launch

  2. 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

  3. In Ghana 60 – 70 % of cases are advanced 2.4% of Breast cancers occur in men

  4. Young age of Patients in Accra Clegg-Lamptey & Hodasi 2006

  5. More 30-year olds are diagnosed than 65-year olds Clegg-Lamptey & Hodasi 2006

  6. More 25-year olds are diagnosed than 75-year olds Clegg-Lamptey & Hodasi 2006

  7. Advanced tumours

  8. 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

  9. 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

  10. Early Diagnosis Counseling Mammography Pathology services • Treatment Cost • Palliative Care Surgery Radiotherapy Chemotherapy Hormone Therapy Biologic therapy

  11. 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

  12. Four pillars for the fight against Breast Cancer in Ghana • Advocacy • Education • Funding • Research

  13. Early Detection Saves Lives

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