ES. Otieno, JN. Micheni , SK. Kimende and KK. Mutai. Delayed presentation of breast cancer patients. East African Medical Journal Vol. 87 No. 4 April 2010

Citation:
SAMSON DROTIENOEDWIN. "ES. Otieno, JN. Micheni , SK. Kimende and KK. Mutai. Delayed presentation of breast cancer patients. East African Medical Journal Vol. 87 No. 4 April 2010.". In: Comp Biochem Physiol B. 1991;99(4):811-4. Kisipan, M.L.; 2010.

Abstract:

Objective: To determine the extent and nature of delayed presentation of patients treated for breast cancer at  Kenyatta National Hospital (KNH).
Design : Prospective cross sectional study.
Setting: Kenyatta National Hospital (KNH) which is a Tertiary, Teaching and Referral hospital in Nairobi, Kenya
Patients and methods: All patients attending the KNH breast clinic or admitted to the 3 surgical wards for the first time with a cytologically or histologically proven diagnosis of late stage breast cancer (Manchester Classification  1940 stage III and IV) were entered into the study. The study covered a two and a half year period starting the 1st of October 2003.
Results:  A total of 166 patients were recruited into the study.  The mean age was 47 years with a range between 17 and 88 years. Females constituted 98.8%. The female study population had an average of 4.5 children per subject with a median of 4 and a range of 0-11. A lump as the first noticed symptom was seen in 87.3% and 52.1% were pre-menopausal.  Only 11 (6.62%) patients presented within 30 days of discovering their breast symptom, 34 (20.4%) presented between thirty and ninety days and the remaining 115 (73.1%) presented three months after noticing their symptom. Three reasons accounted for 67.5% of the delay. 33 (19.9%) kept away fearing that they would be told they had cancer while 39 (23.5%) presented late because their breast symptom was painless.  Another 40 (24.1%) said they had earlier visited medical personnel who had reassured them that their symptoms were benign.
Conclusion:  Majority of patients treated for advanced breast disease presented to the health care providers at KNH more than three months after noticing their breast symptom and a sizeable number of patients are being reassured falsely that they have benign disease without the benefit of biopsy.
 
East African  Medical Journal Vol. 87 No. 4 April 2010

Notes:

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