Author(s): Otieno ES, Micheni JN, Kimende SK, Mutai KK
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Abstract OBJECTIVE: To determine the extent and nature of delayed presentation of patients treated for breast cancer at Kenyatta National Hospital (KNH). DESIGN: Prospective cross sectional study. SETTING: Kenyatta National Hospital (KNH) which is a tertiary, teaching and referral hospital in Nairobi, Kenya. RESULTS: A total of 166 patients were recruited into the study. The mean age was 47 years with a range between 17 and 88 years. Females constituted 98.8\%, had an average of 4.5 children per subject with a median of 4 and a range of 0-11. A lump as the first noticed symptom present in 87.3\% and 52.1\% were pre-menopausal. Only 11 (6.62\%) patients presented within 30 days of discovering their breast symptom, 34 (20.4\%) presented between thirty and ninety days and the remaining 115 (73.1\%) presented three months after noticing their symptom. Three reasons accounted for 67.5\% of the delay. Thirty three (19.9\%) kept away fearing that they would be told they had cancer while 39 (23.5\%) presented late because their breast symptom was painless. Another 40 (24.1\%) said they had earlier visited medical personnel who had reassured them that their symptoms were benign. CONCLUSION: Majority of patients treated for advanced breast disease presented to the healthcare providers at KNH more than three months after noticing their breast symptom and a sizeable number of patients were being reassured falsely that they have benign disease without the benefit of biopsy.
This article was published in East Afr Med J
and referenced in Journal of Womens Health Care