The Breast Clinic at Ga-Rankuwa Hospital/MEDUNSA.

The Breast Clinic at Ga-Rankuwa Hospital/MEDUNSA serves a large population of black South Africans. The patients present at a young age and commonly with very advanced disease. Problems in follow-up are more complex in this group because of difficulties with finance, transport and communication. The very large number of cases lost to follow-up and regular supervision after completion of treatment militates against collecting data for accurate reporting of results. An account is given of our experience in dealing with 532 cases of breast carcinoma seen over a period of 6 years.