Reeler A V, Sikora K, Solomon B
Axios International, 7 Boulevard de la Madeleine, 75001 Paris, France.
Clin Oncol (R Coll Radiol). 2008 Mar;20(2):191-8. doi: 10.1016/j.clon.2007.11.012. Epub 2008 Jan 14.
The incidence of breast cancer is rising in many developing countries. Here we describe a programme to improve the support infrastructure for the management of patients with breast cancer in Addis Ababa, Ethiopia. Tamoxifen, a cheap, oral, yet effective, anti-cancer agent was made available freely to encourage staff and patients to follow well-defined, but achievable, protocols of care. Mammography, improved histopathological review, tissue hormone receptor assays, agreed treatment algorithms with a cycle of continuous audit of over 250 patients and cross-departmental patient management groups led to a considerable improvement in the management of breast cancer patients in a single institution. Aspects of this programme are now being extended to other regional hospitals in Ethiopia. Fairly limited investments in programmes for cancer can stimulate considerable improvements in the overall approach to malignant disease by encouraging a positive approach, even in very low resource environments.
在许多发展中国家，乳腺癌的发病率正在上升。在此，我们描述了一项旨在改善埃塞俄比亚亚的斯亚贝巴乳腺癌患者管理支持基础设施的计划。他莫昔芬是一种廉价、口服且有效的抗癌药物，可免费提供，以鼓励医护人员和患者遵循明确但可实现的护理方案。乳房X光检查、改进的组织病理学检查、组织激素受体检测、商定的治疗算法以及对250多名患者的持续审计周期和跨部门患者管理小组，使得一家机构内乳腺癌患者的管理有了显著改善。该计划的各个方面目前正在扩展到埃塞俄比亚的其他地区医院。对癌症项目进行相当有限的投资，通过鼓励采取积极的方法，即使在资源非常匮乏的环境中，也能刺激恶性疾病整体治疗方法取得相当大的改进。
