1. Breast Cancer in Ghana How are we going to ‘beat’ it? Prof J-N Clegg-Lamptey SAMF Launch

2. World: 1.4 million diagnosed annually 460,000 deaths Africa: 70,000 diagnosed annually 40,000 deaths Ghana 2,000 diagnosed annually 1,000 deaths WHO data: Globocan 2008

3. In Ghana 60 – 70 % of cases are advanced 2.4% of Breast cancers occur in men

4. Clegg-Lamptey & Hodasi 2006 Young age of Patients in Accra

5. Clegg-Lamptey & Hodasi 2006 More 30-year olds are diagnosed than 65-year olds

6. Clegg-Lamptey & Hodasi 2006 More 25-year olds are diagnosed than 75-year olds

7. Advanced tumours

8. Prevention – Primary prevention not very successful – Secondary prevention (Early diagnosis/ screening) is key Screening – Mammography? For women over 40, but most of our patients are younger – Breast Self Examination? Not recommended in advanced countries but we highly recommend it – Clinical Breast Examination? We recommend annual examinations for women – Ultrasound? Useful in all age groups Early presentation to hospital Areas For Intervention

9. Early Diagnosis Mammography: Very few are available Pathology services Few pathologists in the country; mainly Accra and Kumasi Counseling Treatment Cost Prohibitive for most patients Palliative Care

10. Early Diagnosis Counseling Mammography Pathology services Treatment Cost Palliative Care 1. Surgery 2. Radiotherapy 3. Chemotherapy 4. Hormone Therapy 5. Biologic therapy

11. A Breast Centre for Korle Bu Daily breast clinics Walk-in clinics Mammography, Breast Ultrasound One-stop diagnosis for breast complaints Centre for multidisciplinary team meetings Chemotherapy suite Counseling centre Site is available. Funding is needed

12. Advocacy Education Funding Research Four pillars for the fight against Breast Cancer in Ghana

13. Early Detection Saves Lives