Abstract 1618: Breast cancer screening in low and lower - middle income country : A program in Vietnam

Abstract

Background: From 1980 to 2010, new breast cancer cases increased by more than 50% worldwide. Disease burden increased even more rapidly in low- and middle-income countries (LMICs), where over half of breast cancer cases now occur. In Vietnam, approximately 15229 new cases of breast cancer were diagnosed with 6103 resulted deaths in 2018. Breast cancer can be detected early by screening; however, it is not covered by medical insurance. Mammogram is currently one of the most reliable screening tools for breast cancer. Regular mammograms can help detect breast cancer early, thus allowing for early treatment Purposes: To raise public awareness on breast cancer prevention and early detection, while promoting a habitual routine of breast self - examination and breast cancer screening participation; to call on companies to include breast cancer screening on the periodic health examination for female employees. Methods: We collected data on risk factors of breast cancer. Breast Imaging-Reporting and Data System (BI-RADS fifth edition) scores from the radiology reports were utilized. The information collected from women who completed the questionnaires included: age, BMI, family history of breast cancer, personal history of breast or ovarian cancer, number of pregnancies, number of babies born, number of abortion, number of miscarriage, stillbirth, hormonal medication use (hormone replacement therapy and daily oral contraceptive), age of menarche, menopause, smoking habit, and breast self-examination results. Results: There were 10,000 Vietnamese women who were over 40 years old (over 35 years old if their mother or their sister had breast cancer) participated in this program. Rate for regular breast self-examination was 19.1%. In the 40 to 55 years-old age group, the rate was 70%, 2.2% for women aged 35-39 years (with a family history of breast cancer). Eight women were diagnosed with breast cancer, the incidence rate was 80 per 100,000 population, respectively. Conclusions: The total fee for a breast cancer screening in Viet Nam is approximately $25 ($20 for a mammogram and $5 for consultation fee). This remains one of the best solutions to detect breast cancer early and reduce the overall burden of cancer treatment costs on the already strained Vietnamese health system. Note: This abstract was not presented at the meeting. Citation Format: Voc Tai Dang, Tu Van Dao, Thuan Van Tran, Huong Thi Tran. Breast cancer screening in low and lower - middle income country : A program in Vietnam [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2019; 2019 Mar 29-Apr 3; Atlanta, GA. Philadelphia (PA): AACR; Cancer Res 2019;79(13 Suppl):Abstract nr 1618.