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Experience of a Newly Set up Breast Clinic in a Resource Limited Hospital
Abstract
Introduction: Breast cancer is one of the commonest cancers in Kenya
with very devastating outcomes due to poor screening and low awareness
amongst women. In Kenya outside Nairobi there are no organized
breast care clinics in public hospitals which can help to easen the breast
disease burden. It was in view of this that department of surgery decided
to set up a breast clinic at Kisii Level 5 Hospital to cater for the population
in the south western Kenya region. An audit was done to assess the
progress of the clinic.
Results: 103 patients were seen over a three month period with an
average of 10.3 patients per clinic visit. Benign breast conditions were
commonest condition w ith 2 7% of this b eing fib roadenomas. T wenty two percent of patients had m alignant d isease w ith 7 9% pr esenting in sta ge 3 and 4. Challenges encountered included lack of radiotherapy and
chemotherapy.
Conclusion: Breast disease in resource limited facilities is sizeable
and centralized breast management centers is necessary and possible.
Mentorship and support of newly developing breast clinics is essential for
their success.
with very devastating outcomes due to poor screening and low awareness
amongst women. In Kenya outside Nairobi there are no organized
breast care clinics in public hospitals which can help to easen the breast
disease burden. It was in view of this that department of surgery decided
to set up a breast clinic at Kisii Level 5 Hospital to cater for the population
in the south western Kenya region. An audit was done to assess the
progress of the clinic.
Results: 103 patients were seen over a three month period with an
average of 10.3 patients per clinic visit. Benign breast conditions were
commonest condition w ith 2 7% of this b eing fib roadenomas. T wenty two percent of patients had m alignant d isease w ith 7 9% pr esenting in sta ge 3 and 4. Challenges encountered included lack of radiotherapy and
chemotherapy.
Conclusion: Breast disease in resource limited facilities is sizeable
and centralized breast management centers is necessary and possible.
Mentorship and support of newly developing breast clinics is essential for
their success.
