PT  - JOURNAL ARTICLE
AU  - Shahin Sayed
AU  - Zahir Moloo
AU  - Peter Bird
AU  - Ronald Wasike
AU  - Wambui Njoroge
AU  - Joseph Karanu
AU  - Ancent Nzioka
AU  - Omar Sherman
AU  - Satya Prasad
AU  - Costa Mariwa
AU  - James Obondi Otieno
AU  - David Chumba
AU  - David Koech
AU  - Daniel Mbinga
AU  - Musa Mohammed
AU  - Richard Njoroge
AU  - Rajendra Chauhan
AU  - Sudhir Vinayak
AU  - Catherine Kyobutungi
AU  - Mansoor Saleh
TI  - &lt;em&gt;Breast cancer&lt;/em&gt; diagnosis in a &lt;em&gt;resource poor&lt;/em&gt; environment through a collaborative &lt;em&gt;multidisciplinary&lt;/em&gt; approach: the Kenyan experience
AID  - 10.1136/jclinpath-2012-201404
DP  - 2013 Apr 01
TA  - Journal of Clinical Pathology
PG  - 307--311
VI  - 66
IP  - 4
4099  - http://jcp.bmj.com/content/66/4/307.short
4100  - http://jcp.bmj.com/content/66/4/307.full
SO  - J Clin Pathol2013 Apr 01; 66
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 settings.