A study of breast cancer in Korle Bu Teaching Hospital
| dc.contributor.author | Clegg-Lamptey, J. N. A. | |
| dc.contributor.author | Hodasi, W. M. | |
| dc.date.accessioned | 2012-05-02T14:03:29Z | |
| dc.date.accessioned | 2017-10-19T13:04:50Z | |
| dc.date.available | 2012-05-02T14:03:29Z | |
| dc.date.available | 2017-10-19T13:04:50Z | |
| dc.date.issued | 2007 | |
| dc.description.abstract | Introduction: Many patients with breast cancer report late with advanced disease. It is not known if recent breast awareness education programmes have led to a change in this trend at the Korle Bu Teaching hospital (KBTH). Method: A prospective study of the characteristics of breast cancer patients seen by a surgical unit at KBTH over a three year period. Results: There were 158 patients, 156 females and 2 males. The age group most commonly affected was 40-49. The upper outer quadrant of the breast was affected in 67/158 (42.4%) and all quadrants affected in 29/158 (18.4%). Ninety one (57.6%) had Stage III – IV disease and the average duration of symptoms was 10 months. Average tumour size was 6cm x 7cm. Diagnosis was by triple assessment with Fine needle aspiration cytology the most frequently used pathological investigation. Invasive ductal carcinoma was the commonest pathological type (115/134). Eighty three (52.5%) had mastectomy and 12 (7.6%) had wide local excision. Neoadjuvant chemotherapy was given to 77/123 (62.6%), 5 of whom had complete pathological response. Fifty five (34.8%) were lost to follow up: 20 before treatment commenced, 15 during or after neoadjuvant chemotherapy and 14 after treatment. Eleven developed lymphoedema. There were 42 metastatic events affecting 35 patients during follow-up, including pleura (11), brain (10) and lungs (9). Conclusions: Breast cancer continues to affect a young population and patients still present late with advanced disease. Education needs to be intensified, but research into the reasons for late presentation will help address the reasons/ misconceptions responsible for this state of affairs. | |
| dc.identifier.uri | http://197.255.68.203/handle/123456789/925 | |
| dc.language.iso | en | en_US |
| dc.publisher | Assessing the impact of health education . Ghana Medical Journal 41(2): 72-77 | en_US |
| dc.subject | Breast cancer | |
| dc.subject | Korle Bu | |
| dc.subject | pathology | |
| dc.subject | diagnosis | |
| dc.subject | treatment | |
| dc.title | A study of breast cancer in Korle Bu Teaching Hospital | en_US |
| dc.type | Article | en_US |