TY - JOUR
T1 - Breast cancer diagnosis in a resource poor environment through a collaborative multidisciplinary approach
T2 - The Kenyan experience
AU - Sayed, Shahin
AU - Moloo, Zahir
AU - Bird, Peter
AU - Wasike, Ronald
AU - Njoroge, Wambui
AU - Karanu, Joseph
AU - Nzioka, Ancent
AU - Sherman, Omar
AU - Prasad, Satya
AU - Mariwa, Costa
AU - Otieno, James Obondi
AU - Chumba, David
AU - Koech, David
AU - Mbinga, Daniel
AU - Mohammed, Musa
AU - Njoroge, Richard
AU - Chauhan, Rajendra
AU - Vinayak, Sudhir
AU - Kyobutungi, Catherine
AU - Saleh, Mansoor
PY - 2013/4
Y1 - 2013/4
N2 - INTRODUCTION The majority of women with breast cancer in Kenya present with node-positive (stage II) or locally advanced Q7 disease (stage IIIB). Diagnosis is made on fine needle aspirate cytology and treatment is with surgery if resectable. Diagnostic core biopsy is available only at subspecialty hospitals. Processing and reporting of biopsy tissue are not standardised. Hormone receptor and HER2 analyses are rarely done preoperatively. METHODS As part of a larger study investigating the prevalence of triple negative breast cancer in Kenya, a multidisciplinary workshop of collaborators from 10 healthcare facilities was held. Process gaps were identified, preanalytic variables impacting on ER/PR/ HER2 discussed and training in core biopsy provided. Local remedial strategies were deliberated. CONCLUSION We describe our experience and outcome from the workshop, which can be modelled for other resource poor setting.
AB - INTRODUCTION The majority of women with breast cancer in Kenya present with node-positive (stage II) or locally advanced Q7 disease (stage IIIB). Diagnosis is made on fine needle aspirate cytology and treatment is with surgery if resectable. Diagnostic core biopsy is available only at subspecialty hospitals. Processing and reporting of biopsy tissue are not standardised. Hormone receptor and HER2 analyses are rarely done preoperatively. METHODS As part of a larger study investigating the prevalence of triple negative breast cancer in Kenya, a multidisciplinary workshop of collaborators from 10 healthcare facilities was held. Process gaps were identified, preanalytic variables impacting on ER/PR/ HER2 discussed and training in core biopsy provided. Local remedial strategies were deliberated. CONCLUSION We describe our experience and outcome from the workshop, which can be modelled for other resource poor setting.
UR - http://www.scopus.com/inward/record.url?scp=84875209130&partnerID=8YFLogxK
U2 - 10.1136/jclinpath-2012-201404
DO - 10.1136/jclinpath-2012-201404
M3 - Article
C2 - 23378268
AN - SCOPUS:84875209130
SN - 0021-9746
VL - 66
SP - 307
EP - 311
JO - Journal of Clinical Pathology
JF - Journal of Clinical Pathology
IS - 4
ER -
