1. Update of breast cancer
KCH Cancer Registry

2. New cases of breast cancer annually
2010
2011
2012
2013
2014
2015
2016
FEMALE 55 54 69
109 74
121 85
MALE 3 2 4 1
HIV + 6 11
HIV - 5 26 7 25 13 27
HIV unknown 50 22 61 82 62 87 83
Pathological 32 44 42 86
113 73
Clinical 23 10 30 12

3. Key issues
The number of breast cancer cases have been on the rise yearly.
Increasing number of cases with unknown HIV status. This is an area for research i.e. one would want to compare treatment outcomes in HIV positive patients and HIV negative patients diagnosed with breast cancer. And treatment tolerance would it be the same ?

4. Key issues
At KCH the majority of breast cancer cases are locally advanced disease/or inflammatory breast cancer.
Multimodal therapy is the only way of improving treatment outcomes for these patients (Chemotherapy, Surgery and Radiotherapy).

5. Key issues
The therapeutic challenges of inflammatory breast cancer means that key players, MoH and development partners should put more emphasis ,
1. Prevention
2.Early detection (awareness and screening)
3.Diagnosis and treatment(inadquate diagnostic and treatment facility in our country) only Blantyre and Lilongwe.

6. Key issues
4 . Research, (areas of interest and goals) improving care for patients living with HIV and Cancer. Local experts should play key role for the continuation of the research projects. Of course with understanding that this is a process.
5. Capacity building(institutional/or societal), very essential component of successful cancer control program