+ Site Statistics
References:
52,572,879
Abstracts:
28,705,754
PMIDs:
27,750,366
DOIs:
25,464,004
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Temporal trends in breast cancer presentation in the third world



Temporal trends in breast cancer presentation in the third world



Journal of Experimental and Clinical Cancer Research 27: 17



Third world breast cancer is characterized by late presentation, occurrence at relatively young ages and dismal mortality. This poor outcome has encouraged patients to patronize quacks and alternative healers. Public control measures have targeted mainly public education and provision of screening facilities. Recent reports from the developed world indicate a high association with obesity, tobacco and alcohol, habits which though not currently very popular in the third world are nevertheless increasingly accepted. A prospective study initiated in 1985 for all breast cancer patients attending 4 hospitals located in the Eastern Nigeria heartland where the author practiced. On attendance to hospital detailed epidemiological data including social habits were collected from patients. Reports from our first series [1987-97] showed some improvement in terms of earlier presentation compared to a historical control of earlier reports from the sub-region. Reports from the present study showed that this improvement has not been maintained probably as a result of diversion of public health campaign finances to HIV/AIDS. However there is an increasing mean age of presentation due to a higher representation of above 70 years age group and a significant reduction in parity. Alcohol intake and smoking have remained at low levels among the patients. There is need to take another look at cancer public health campaign mechanisms in the face of competing demands from HIV. Public control measures should include among others teaching of Breast Self Examination [BSE] to patients, Clinical Breast Examination [CBE] to health workers and opportunistic CBE to all patients. Strenuous efforts should be made to break the vicious cycle of late presentation, poor treatment outcome and reluctance of patients to present to health facilities because of poor outcome.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056142823

Download citation: RISBibTeXText

PMID: 18620559

DOI: 10.1186/1756-9966-27-17


Related references

Presentation trends of breast cancer patients at a single cancer institute in India. Journal of Clinical Oncology 26(15_suppl): 11571-11571, 2016

Temporal trends in breast cancer. American Journal of Epidemiology 115(5): 759-777, 1982

Trends in breast cancer presentation and care according to age in a single institution. American Journal of Surgery 188(4): 437-439, 2004

Clinicopathological characteristics of breast cancer and trends in the management of breast cancer patients in Japan: Based on the Breast Cancer Registry of the Japanese Breast Cancer Society between 2004 and 2011. Breast Cancer 22(3): 235-244, 2016

Temporal trends in the surgical outcomes of patients with breast cancer. World Journal of Surgical Oncology 10: 108, 2013

Temporal trends in breast cancer mortality by state and race. Cancer Causes and Control 19(5): 537-545, 2008

Predictors and temporal trends of adjuvant aromatase inhibitor use in breast cancer. Journal of the National Comprehensive Cancer Network 7(2): 115-121, 2009

Temporal Trends in and Factors Associated With Contralateral Prophylactic Mastectomy Among US Men With Breast Cancer. JAMA Surgery 150(12): 1192-1194, 2016

Temporal trends in the socioeconomic gradient for breast cancer mortality among US women. American Journal of Public Health 84(6): 1003-1006, 1994

Temporal trends in age-specific incidence and mortality of breast cancer in 38 countries. 2007

Breast cancer in women 30 years of age or younger trends in stage at presentation therapy and outcome. Surgical Forum (Chicago) 42: 501-502, 1991

Temporal trends in breast cancer survival in Sweden: significant improvement in 20 years. Journal of the National Cancer Institute 76(4): 653-659, 1986

Temporal and gender-related trends in brain metastases from lung and breast cancer. Minnesota Medicine 86(12): 32-37, 2004

Temporal trends in breast cancer surgery in Ontario: can one randomized trial make a difference?. Cmaj 150(7): 1109-1115, 1994