RT Journal Article
SR Electronic
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
FD BMJ Publishing Group Ltd and Association of Clinical Pathologists
SP 307
OP 311
DO 10.1136/jclinpath-2012-201404
VO 66
IS 4
A1 Shahin Sayed
A1 Zahir Moloo
A1 Peter Bird
A1 Ronald Wasike
A1 Wambui Njoroge
A1 Joseph Karanu
A1 Ancent Nzioka
A1 Omar Sherman
A1 Satya Prasad
A1 Costa Mariwa
A1 James Obondi Otieno
A1 David Chumba
A1 David Koech
A1 Daniel Mbinga
A1 Musa Mohammed
A1 Richard Njoroge
A1 Rajendra Chauhan
A1 Sudhir Vinayak
A1 Catherine Kyobutungi
A1 Mansoor Saleh
YR 2013
UL http://jcp.bmj.com/content/66/4/307.abstract
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.