ArticleBMC health services research2015
Stage at presentation of breast cancer in Luanda, Angola - a retrospective study.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Stage at Diagnosis and Molecular Subtype Distribution of Breast Cancer in Sub-Saharan Africa: A Systematic Review.Cancer reports (Hoboken, N.J.) · 2026Pooled it
- Estimating the incidence of breast cancer in Africa: a systematic review and meta-analysis.Journal of global health · 2018Pooled it
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- Article
- Breast cancer screening adherence rates and barriers of implementation in ethnic, cultural and religious minorities: A systematic review.Molecular and clinical oncology · 2021Article
- Survival Impact and Cost-Effectiveness of a Multidisciplinary Tumor Board for Breast Cancer in Mozambique, Sub-Saharan Africa.The oncologist · 2021Article
- Breast cancer in sub-Saharan Africa: The current state and uncertain future.Experimental biology and medicine (Maywood, N.J.) · 2021Review
- Clinical and histopathological features of breast tumors in women: a cross-sectional study at three hospitals in the Kingdom of Saudi Arabia.The Pan African medical journal · 2021Article
- Breast cancer stigma among Indonesian women: a case study of breast cancer patients.BMC women's health · 2020Article
- Highlights from the 4th PALOP-AORTIC Conference on Cancer, 29-31 July 2020, Luanda, Angola.Ecancermedicalscience · 2020Article
- Improving early detection of breast cancer in sub-Saharan Africa: why mammography may not be the way forward.Globalization and health · 2019Review
- Association Between HIV Infection and Cancer Stage at Presentation at the Uganda Cancer Institute.Journal of global oncology · 2018Article
- Quality of Breast Cancer Treatment at a Rural Cancer Center in Rwanda.Journal of global oncology · 2018Article
- The UK ME/CFS Biobank: A Disease-Specific Biobank for Advancing Clinical Research Into Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.Frontiers in neurology · 2018Article
- Breast cancer in Angola, molecular subtypes: a first glance.Ecancermedicalscience · 2017Article
- Breast Cancer in Sub-Saharan Africa: Challenges and Opportunities to Reduce Mortality.The oncologist · 2016Review
- Decreased Level of IgE is Associated with Breast Cancer and Allergic Diseases.Medical science monitor : international medical journal of experimental and clinical research · 2016Article
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Authors and funding
10 authors at 7 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is expected that, by 2020, 15 million new cases of cancer will occur every year in the world, one million of them in Africa. Knowledge of cancer trends in African countries is far from adequate, and improvements in cancer prevention efforts are urgently needed. The aim of this study was to characterize breast cancer clinically and pathologically at presentation in Luanda, Angola; we additionally provide quality information that will be useful for breast cancer care planning in the country.
methodsData on breast cancer cases were retrieved from the Angolan Institute of Cancer Control, from 2006 to 2014. For women diagnosed in 2009 (5-years of follow-up), demographic, clinical and pathological information, at presentation, was collected, namely age at diagnosis, parity, methods used for pathological diagnoses, tumor pathological characteristics, stage of disease and treatment. Descriptive statistics were performed.
resultsThe median age of women diagnosed with breast cancer in 2009 was 47 years old (range 25-89). The most frequent clinical presentation was breast swelling with axillary lymph nodes metastasis (44.9 %), followed by a mass larger than 5 cm (14.2 %) and lump (12.9 %). Invasive ductal carcinoma was the main histologic type (81.8 %). Only 10.1 % of cancer cases had a well differentiated histological grade. Cancers were diagnosed mostly at advanced stages (66.7 % in stage III and 11.1 % in stage IV). DISCUSSION: In this study, breast cancer was diagnosed at a very advanced stage. Although it reports data from a single cancer center in Luanda, Angola it reinforces the need for early diagnosis and increasing awareness. According to the main challenges related to breast cancer diagnosis and treatment herein presented, we propose a realistic framework that would allow for the implementation of a breast cancer care program, built under a strong network based on cooperation, teaching, audit, good practices and the organization of health services.
conclusionAngola needs urgently a program for early diagnosis of breast cancer.
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