Abdel-Razeq Hikmat, Mansour Asem
Department of Internal Medicine, King Hussein Cancer Center, Amman 11941, Jordan.
School of Medicine, The University of Jordan, Amman 11942, Jordan.
Cancers (Basel). 2024 Apr 30;16(9):1751. doi: 10.3390/cancers16091751.
Jordan is a relatively small country with a rapidly growing population and a challenged economy. Breast cancer is the most diagnosed cancer among women worldwide and also in Jordan. Though the age-standardized rate (ASR) of breast cancer incidence is still lower than that in Western societies, the number of newly diagnosed cases continues to increase, involving younger women, and new cases are usually detected at more advanced stages. Improvements in breast cancer care across the health care continuum, including early detection, prevention, treatment, and survivorship and palliative care, have become very visible, but may not match the magnitude of the problem. More organized, goal-oriented work is urgently needed to downstage the disease and improve awareness of, access to, and participation in early detection programs. The cost of recently introduced anti-cancer therapies poses a great challenge, but the impact of these therapies on treatment outcomes, including overall survival, is becoming very noticeable. Though the concept of a multidisciplinary approach to breast cancer treatment is often used at most health care facilities, its implementation in real practice varies significantly. The availability of breast reconstruction procedures, survivorship programs, germline genetic testing, counselling, and palliative care is improving, but these are not widely practiced. In this manuscript, we review the status of breast cancer in Jordan and highlight some of the existing challenges and opportunities.
约旦是一个相对较小的国家，人口增长迅速，经济面临挑战。乳腺癌是全球女性以及约旦女性中诊断出最多的癌症。尽管乳腺癌发病率的年龄标准化率仍低于西方社会，但新诊断病例的数量持续增加，涉及更年轻的女性，而且新病例通常在更晚期被发现。在整个医疗保健连续过程中，包括早期检测、预防、治疗、生存护理和姑息治疗等方面，乳腺癌护理有了显著改善，但可能仍无法与问题的严重程度相匹配。迫切需要开展更有组织、目标明确的工作，以降低疾病分期，并提高对早期检测项目的认识、可及性和参与度。最近引入的抗癌疗法的成本构成了巨大挑战，但这些疗法对治疗结果（包括总生存期）的影响正变得非常显著。尽管多学科乳腺癌治疗方法的概念在大多数医疗保健机构中经常被提及，但其在实际应用中的差异很大。乳房重建手术、生存护理项目、种系基因检测、咨询和姑息治疗的可及性正在提高，但尚未广泛应用。在本手稿中，我们回顾了约旦乳腺癌的现状，并强调了一些现有的挑战和机遇。
