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Bosompem K, Yorke J, Buckman TA, Brenu SG, Nyantakyi M, Aitpillah FSK, Kyei I, Adinku MO, Yorke DA, Obirikorang C, Acheampong E. Comparative analysis of breast cancer characteristics in young premenopausal and postmenopausal women in Ghana. Sci Rep 2024; 14:2704. [PMID: 38302488 PMCID: PMC10834954 DOI: 10.1038/s41598-024-52129-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 01/14/2024] [Indexed: 02/03/2024] Open
Abstract
Breast cancer is increasingly common among young women in Ghana. BCa is heterogeneous with unique traits that impact causes, prognostic, and predictive outcomes of patients before and after menopause. However, limited evidence exists on differences between young premenopausal (YPM) and postmenopausal cases in Ghana. This study compared breast tumour characteristics between YPM women (under 35 years) and postmenopausal women. We conducted a prospective cross-sectional study involving 140 BCa-diagnosed women at the Breast Care Clinic of Komfo Anokye Teaching Hospital (KATH), Kumasi from November 2019 to June 2021. Thirty-one (22.1%) of participants were YPM and 109 (77.9%) were postmenopausal. The median ages for YPM and postmenopausal were 32.0 (range: 25.0-35.0) and 57.0 (48.0-86.0) respectively. Invasive carcinoma was the most common histological type (97.1%). Left tumour location was the most frequent in both groups (51.6% for YPM and 51.8% for postmenopausal). Lumps detected were frequently in the outer upper quadrant in both groups (61.3% and 56.0%). The majority of the YPM women (80.7%) and postmenopausal women (87.0%) had stage III and IV diseases. Most YPM (64.5%) and postmenopausal women (64.4%) exhibited triple-negative breast cancer (TNBC). Both YPM 13 (56.6%) and postmenopausal participants 40 (56.3%) exhibited a predominantly partial response to neo-adjuvant chemotherapy but YPM women (21.7%) experienced disease progression than the postmenopausal women (12.7%). The study highlights consistent tumour characteristics and advanced clinical stages at diagnosis in both groups with a higher prevalence of TNBC. TNBC and HER2+ subtypes respond better to Anthracycline-based neoadjuvant chemotherapy. Establishing Breast Care Clinics in district and regional hospitals for early detection is crucial and further studies are warranted to understand the higher TNBC prevalence in black Africans and re-evaluate breast education programs to address the persistently late presentations.
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Affiliation(s)
- Kingsley Bosompem
- Directorate of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Joseph Yorke
- Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | | | - Michael Nyantakyi
- Department of Medical Diagnostics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Francis Somiah-Kwaw Aitpillah
- Directorate of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana
- Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Ishmael Kyei
- Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | | | - Christian Obirikorang
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Emmanuel Acheampong
- Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
- Leicester Cancer Research Centre, Department of Genetic and Genome Biology, University of Leicester, Leicester, LE1 7RH, UK.
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Lussiez A, Dally CK, Boateng EA, Bosompem K, Peprah E, Hayward L, Janes L, Byrnes M, Vitous A, Duby A, Varlamos C, Ma L, Darkwa D, Aitpillah F, Gyasi-Sarpong KC, Opoku BK, Raghavendran K, Kwakye G. Barriers to colorectal cancer screening in Ghana: a qualitative study of patients and physicians. Cancer Causes Control 2022; 33:951-958. [PMID: 35415797 PMCID: PMC9005024 DOI: 10.1007/s10552-022-01578-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Accepted: 03/25/2022] [Indexed: 11/28/2022]
Abstract
PURPOSE The incidence of colorectal cancer (CRC) in Ghana has increased eightfold since the 1960s. In 2011, national guidelines were set forth recommending all patients aged 50-70 years old undergo annual CRC screening with fecal occult blood testing (FOBT), but adherence to these guidelines is poor and screening rates remain low for unclear reasons. METHODS We performed semi-structured interviews with 28 Ghanaians including physicians (n = 14) and patients (n = 14) from the Komfo Anokye Teaching Hospital in Kumasi, Ghana, to better understand the factors driving screening adherence and perceived barriers identified in an earlier quantitative study. RESULTS Participants reported sociocultural factors such as reliance on alternative medicine or religion, lack of education, and financial burden as community-level barriers to CRC screening. At the system level, screening was limited by insufficient access to FOBT as well as a perceived lack of national prioritization. This was described as inadequate efforts from the Ministry of Health regarding national education as well as lack of incorporation of CRC screening into the National Health Insurance Scheme. CONCLUSION Several community- and system-level barriers exist to widespread screening of CRC in Ghana. A multi-level approach will be required to improve rates of CRC screening and ultimately reduce the burden of CRC in Ghana.
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Affiliation(s)
- A Lussiez
- Department of Surgery, University of Michigan, 1500 East Medical Center Dr, Ann Arbor, MI, 48109, USA. .,University of Michigan, Taubman Center, Floor 2 Reception C, 1500 E Medical Center Dr SPC 5331, Ann Arbor, MI, 48109-5331, USA.
| | - C K Dally
- Department of Surgery, Komfo Anokye Teaching Hospital (KATH), Okomfo Anokye Road, Kumasi, Ghana.,Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana
| | - E A Boateng
- Department of Surgery, Komfo Anokye Teaching Hospital (KATH), Okomfo Anokye Road, Kumasi, Ghana
| | - K Bosompem
- Department of Surgery, Komfo Anokye Teaching Hospital (KATH), Okomfo Anokye Road, Kumasi, Ghana
| | - E Peprah
- Department of Surgery, Komfo Anokye Teaching Hospital (KATH), Okomfo Anokye Road, Kumasi, Ghana
| | - L Hayward
- University of Michigan Medical School, Ann Arbor, MI, USA
| | - L Janes
- University of Michigan Medical School, Ann Arbor, MI, USA
| | - M Byrnes
- Department of Surgery, University of Michigan, 1500 East Medical Center Dr, Ann Arbor, MI, 48109, USA
| | - A Vitous
- Department of Surgery, University of Michigan, 1500 East Medical Center Dr, Ann Arbor, MI, 48109, USA
| | - A Duby
- Department of Surgery, University of Michigan, 1500 East Medical Center Dr, Ann Arbor, MI, 48109, USA
| | - C Varlamos
- Department of Surgery, University of Michigan, 1500 East Medical Center Dr, Ann Arbor, MI, 48109, USA
| | - L Ma
- Department of Surgery, University of Michigan, 1500 East Medical Center Dr, Ann Arbor, MI, 48109, USA
| | - D Darkwa
- Department of Surgery, Komfo Anokye Teaching Hospital (KATH), Okomfo Anokye Road, Kumasi, Ghana
| | - F Aitpillah
- Department of Surgery, Komfo Anokye Teaching Hospital (KATH), Okomfo Anokye Road, Kumasi, Ghana
| | - K C Gyasi-Sarpong
- Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana
| | - B K Opoku
- Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana.,Department of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana
| | - K Raghavendran
- Department of Surgery, University of Michigan, 1500 East Medical Center Dr, Ann Arbor, MI, 48109, USA.,Michigan Center for Global Surgery, University of Michigan, Ann Arbor, MI, USA
| | - G Kwakye
- Department of Surgery, University of Michigan, 1500 East Medical Center Dr, Ann Arbor, MI, 48109, USA.,Michigan Center for Global Surgery, University of Michigan, Ann Arbor, MI, USA
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Anto F, Bosompem K, Kpikpi J, Adjuik M, Edoh D. Experimental control of Biomphalaria pfeifferi, the intermediate host of Schistosoma mansoni, by the ampullariid snail Lanistes varicus. Ann Trop Med Parasitol 2005; 99:203-9. [PMID: 15814039 DOI: 10.1179/136485905x17425] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The biological control of the snail hosts of the trematodes that cause human schistosomiasis appears to be a promising method for achieving sustainable reductions in the transmission of the parasites. The possibility of using the Ghanaian strain of an ampullariid snail, Lanistes varicus, for the biological control of the main snail host of Schistosoma mansoni , Biomphalaria pfeifferi, has now been investigated in laboratory-based experiments. Adult and 2-week-old L. varicus were found to feed voraciously on the egg masses and juveniles of B. pfeifferi (from the Tono irrigation canals in northern Ghana). When single L. varicus were exposed to 20-200 egg masses, they consumed all of the masses over 24 h (if adult) or about 50% of them over 4 days (if 2-week-old juveniles). The effect of the secretions of the ampullariid on the reproduction, growth and mortality of B. pfeifferi was also investigated, by maintaining the two snail species in the same aquarium but separated by nylon netting. The presence of L. varicus in the same aquarium reduced the number of egg masses produced by each B. pfeifferi, although, curiously, the presence of a single L. varicus in the aquarium appeared to have more of an impact, on the egg-mass deposition by 20 B. pfeifferi, than the presence of five or more of the ampullariids. It appears that, under laboratory conditions at least, the Ghanaian stain of L. varicus has the potential to limit populations of B. pfeifferi.
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Affiliation(s)
- F Anto
- Navrongo Health Research Centre, P.O. Box 114, Navrongo, Ghana.
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