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Guideline Breast cancer guidelines for Uganda (2nd Edition 2008). free! 2008
Gakwaya A, Galukande M, Luwaga A, Jombwe J, Fualal J, Kiguli-Malwadde E, Baguma P, Kanyike A, Kigula-Mugamba JB, Anonymous00039. · Department of Surgery, Mulago Hospital, Kampala, Uganda. · Afr Health Sci. · Pubmed #19357763 links to free full text
This publication has no abstract.
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Article Cancer of the breast: 5-year survival in a tertiary hospital in Uganda. free! 2008
Gakwaya A, Kigula-Mugambe JB, Kavuma A, Luwaga A, Fualal J, Jombwe J, Galukande M, Kanyike D. · Surgery Department, Mulago Hospital, PO Box 7051, Kampala, Uganda. · Br J Cancer. · Pubmed #18577991 links to free full text
Abstract: The objective was to investigate survival of breast cancer patients at Mulago Hospital. A retrospective study of the medical records of 297 breast cancer patients referred to the combined breast clinic housed in the radiotherapy department between 1996 and 2000 was done. The female/male ratio was 24 : 1. The age range was 22-85 years, with a median of 45 years and peak age group of 30-39 years. Twenty-three percent had early disease (stages 0-IIb) and 26% had metastatic disease. Poorly differentiated was the most common pathological grade (58%) followed by moderately differentiated (33%) and well-differentiated (9%) tumours. The commonest pathological type encountered was 'not otherwise specified' (76%). Of all patients, 75% had surgery, 76% had radiotherapy, 60% had hormonotherapy and 29% had chemotherapy. Thirty-six (12%) patients received all the four treatment modalities. The 5-year survival probabilities (Kaplan-Meier) for early disease were 74 and 39% for advanced disease (P=0.001). The overall 5-year survival was 56%, which is lower than the rates in the South African blacks (64%) and North American whites (82-88%).
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