Dr Kamal Hamed FFRRCSI,DMRT,DSN Assoc. Prof of Oncology Faculty of Medicine Univ. of Khartoum
Jul 16, 2015
Dr Kamal Hamed
FFRRCSI,DMRT,DSN
Assoc. Prof of Oncology
Faculty of Medicine
Univ. of Khartoum
Epidemiology :
Breast Ca is the leading Female Cancer since 1967.
It ranged between 29 and 34.5% of all Female Cancers.
The majority of Patients are from Central and North Sudan.
Ca Cervix, 13 – 16 %.
Male Breast Ca forms 4 % of all Breast Ca.
0
10
20
30
40
50
60
70
80
90
<20 Years6 2
21 – 30 33 11
31-- 4084 28
41 – 50 60 20
51 – 60 51 17
61 – 70 36 12
>7030 10
Age Distribution,300 Patients
Number
RICK Breast Ca Stage Distribution 1967 -- 2010:
Stage 1 = 5 – 13%
Stage 2 = 7 – 17 %
Stage 3 = 34 – 45%
Stage 4 = 15 – 25 %
Our Main Aim is :
To increase awareness about Cancer.
Train Medical Doctors , Medical Students para medicals , and Community Health Workers.
Include Early detection of Cancer in the Primary Health System.
Capacity Building Activities :
Training of Doctors = 212
Community Health Doctors = 25
Training of Medical Assistances = 49
Training of Nurses and Midwives = 406
Training of Community Health Workers = 38 +
Training of Trainers:
There are 34 Medical Schools in Sudan.
6 Has Oncology Consultants staff.
Training of trainers course, for instructors from 12 Medical Schools , for one week May 13. Syllabus, network, continuous a assessment.
Health Education about Cancer :
Public Lectures, 2 mobile Units ,WIG
TV, Radio, Campaigns, Posters ,News papers , booklets.
Early Detection Clinics:
In 5 Cities and Towns.
4 Clinics in Khartoum.
2 Mobile Units
One Mammography Unit
Early Detection Surveys :
5 Main Surveys.
North and East Sudan Surveys :
Total of 2284 Women
19 Cases of Early Breast Ca were detected, and 49 Fibro adenomas.
Only 1 woman was doing regular BSE, non had a pap Smear.
5– 15% didn’t know Cancer.
Early Detection Surveys :
Suba ESO Multicentre Study:
Controlled Study in Sudan, Egypt, Yemen and Kurdistan Iraq.
Traget 4000 Study Group ,and a similar Control Group.
750 Examined, 844 Controls
Suba ESO Study :
4 Early Cases Diagnosed and 16
Fibro adenomas
Merowi Karima , Study
May 2011,19 – 22
Training of 20 Doctors, 79 Medical assistances, Nurses and Midwives
39 Nursing Academy School
19 Community Health Workers
5 Public lectures were given
Questionnaires before and after the course
2 early Detection Clinics + a network
8 New Early Breast ca were referred after the course.
Dongula :Training of : 24 Primary Health Care
Doctors.
23 Medical Assistances.
48 Nurses
18 Community Health Workers
Medical Students Faculty of Medicine , lecture.
4 public lectures.
13 Early Breast cancers were detcted after this.
...شكرا