AlWaheidi Shaymaa
Cancer Epidemiology, Population and Global Health, School of Cancer and Pharmaceutical Sciences, King's College London, London WC2R 2LS, UK.
Ecancermedicalscience. 2019 Oct 1;13:964. doi: 10.3332/ecancer.2019.964. eCollection 2019.
Gaza has experienced 12 years of isolation which has crippled the health system infrastructure, reduced the quality of living conditions, damaged the health of the population and reduced health service capacity and capability. This paper presents a context-setting review of what is already known about breast cancer in Gaza to identify which interventions are applicable to help prevent women there from dying unnecessarily from breast cancer. A search of the published and unpublished literature was conducted to identify potentially relevant studies on breast cancer which were either done in Gaza or elsewhere in the occupied Palestinian territory. This paper highlights the pervasive lack of basic modalities of cancer care (surgery, radiotherapy, systemic therapies and pathology/imaging) in Gaza. Poor access to breast cancer services in Gaza leaves women with only one alternative-to seek treatment outside of Gaza. However, women are sometimes forced to wait months before receiving permits to leave Gaza for treatment. Furthermore, a lack of complete and reliable data remains a major challenge for improving breast cancer services in Gaza. There is a need to develop and evaluate interventions to promote infrastructure for pathology and drug delivery, medical training and cancer registration and monitoring.
加沙地带经历了长达12年的封锁，这使得卫生系统基础设施陷入瘫痪，生活条件质量下降，民众健康受损，卫生服务能力和水平降低。本文对加沙地带已知的乳腺癌情况进行了背景综述，以确定哪些干预措施适用于帮助当地妇女避免不必要的乳腺癌死亡。通过检索已发表和未发表的文献，以确定在加沙地带或巴勒斯坦被占领土其他地方开展的有关乳腺癌的潜在相关研究。本文强调了加沙地带普遍缺乏癌症治疗的基本方式（手术、放疗、全身治疗以及病理学/影像学）。加沙地带妇女难以获得乳腺癌服务，这使得她们只有一个选择——到加沙地带以外寻求治疗。然而，妇女有时被迫等待数月才能获得离开加沙地带接受治疗的许可。此外，缺乏完整可靠的数据仍然是改善加沙地带乳腺癌服务的一大挑战。有必要制定和评估干预措施，以促进病理学和药物供应基础设施、医学培训以及癌症登记和监测的发展。
