TY - JOUR T1 - <em>Breast cancer</em> diagnosis in a <em>resource poor</em> environment through a collaborative <em>multidisciplinary</em> approach: the Kenyan experience JF - Journal of Clinical Pathology JO - J Clin Pathol SP - 307 LP - 311 DO - 10.1136/jclinpath-2012-201404 VL - 66 IS - 4 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 Y1 - 2013/04/01 UR - http://jcp.bmj.com/content/66/4/307.abstract 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 settings. ER -