To conquer cervical and breast cancer in little charted waters: Synergistic and integrated approaches to identify early breast and cervical cancer in Cameroon.

 

Authors

Mbah Patrick Okwen, Maryanne Zithem Mbangsi, Kinlabel Tetamiyaka Tezok Okwen

Deposit Date June 2022
Source https://www.researchgate.net/publication/367696941_To_conquer_cervical_and_breast_cancer_in_little_charted_waters_Synergistic_and_integrated_approaches_to_identify_early_breast_and_cervical_cancer_in_Cameroon 

The study aimed to address the persistent gaps between policies and practice in cervical and breast cancer screening in Cameroon by piloting synergistic, culturally adapted early detection strategies in underserved communities. Leveraging World Health Organization and ASCO guidelines alongside national policies, researchers conducted screening for cervical cancer using visual inspection with acetic acid (VIA) and Lugol’s iodine (VILI), breast cancer via clinical exam and BIRADS ultrasound scoring, and sexually transmitted infections (STIs) testing, among 64 asymptomatic women in the rural areas of Ntasen and Ntanka. They then utilized these results to design community education and sensitization campaigns employing culturally resonant storytelling methods. The screening revealed a 17.2% prevalence of positive cervical tests (VIA/VILI), with eight VIA positives and ten VILI positives (seven overlapping), averaging age 35.5 (range 21–60), and three of these women were HIV-positive; breast abnormalities were detected in four women (two BIRADS 2, one BIRADS 3, one BIRADS 4), and 12 STIs were diagnosed (including six HPV, four gonorrhea, two syphilis) 

 Although immediate treatment for HIV and STIs was initiated on-site, lack of diagnostic and treatment infrastructure necessitated referrals for breast and cervical cases. The authors conclude that low-cost, community-integrated VIA/VILI screening combined with breast and STI assessments can uncover significant disease burden and serve as a foundation for comprehensive cancer control; however, sustainable impact hinges on the parallel development of accessible treatment technologies, strengthened health systems, clinician training, patient inclusion, and culturally tailored community outreach