Breast cancer in South Asia: A Bangladeshi perspective |
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| Institution: | 1. BRAC University, Department of Mathematical and Natural Sciences, Dhaka, Bangladesh;2. University of Dhaka, Bangladesh;3. Department of Public Health, Erasmus MC University Medical Centre, Rotterdam, The Netherlands;4. Biotechnology Division, Incepta Pharmaceutical Ltd, Dhaka, Bangladesh;1. School of Nursing and Midwifery, University of Western Sydney, Sydney, New South Wales, Australia;2. Department of Biostatistics, Singapore Clinical Research Institute, 31 Biopolis Way, Nanos #02-01, 138669, Singapore;1. Women''s Health Research Program, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia;2. Department of Population Sciences, University of Dhaka, Dhaka 1000, Bangladesh;1. Department of Pharmacy, The First Affiliated Hospital of Medical College, Xi’an Jiaotong University, Xi’an 710061, China;2. Department of Pharmacy, Kunming General Hospital of Chengdu Military Region, Kunming 650032, China;1. Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI;2. University of Michigan Comprehensive Cancer Center, Ann Arbor, MI;3. Department of Epidemiology, University of Michigan School of Public Health , Ann Arbor, MI;1. Directorate General of Health Services, Dhaka, Bangladesh;2. ARK Foundation, Dhaka, Bangladesh;3. Department of Public Health and Health Systems, Graduate School of Medicine, Nagoya University, Nagoya, Japan;4. Health Systems and Population Studies Division, icddr,b, Dhaka, Bangladesh;5. Directorate General of Medical Education, Dhaka, Bangladesh;1. Department of Cancer Epidemiology and Prevention Research, CancerControl Alberta, Alberta Health Services, Calgary, AB, Canada;2. Surveillance and Health Services Research Program, American Cancer Society, Atlanta, GA, USA;3. Section of Environment and Radiation, International Agency for Research on Cancer, Lyon, France;4. Departments of Community Health Sciences and Oncology, University of Calgary, Calgary, AB, Canada |
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| Abstract: | South Asian countries are facing a hidden breast cancer epidemic. A significant proportion of the breast cancer cases occur in premenopausal women. Knowledge of the various aspects of breast cancer in different geographical regions is limited in South Asia. In this article, we review the Bangladeshi perspective of the epidemiology, risk factors, pathology, diagnosis and treatment of breast cancer. As in other developing countries, because of the lack of breast cancer awareness in Bangladeshi population and inadequate access to health care, most patients are diagnosed at an advanced stage of the disease. Early detection has a crucial impact on overall treatment outcomes. To battle against breast cancer in resource-limited countries like Bangladesh, it is not feasible to set up a parallel health service system solely dedicated to cancer. Therefore, a cost-effective public health strategy is needed which could reach a large number of women in the country. Considering all these issues, we propose an innovative female-based primary healthcare approach focused on awareness, screening and early detection of breast cancer in Bangladesh. This preventive strategy could be a model for other resource-limited developing countries. |
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| Keywords: | Breast Bangladesh Cancer Awareness Primary healthcare South Asia Epidemiology |
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