Abstract
Abstract Breast cancer (BC) in young women is difficult to treat, especially in Africa. This review discusses the gaps and frustrations clinicians face in South Africa and the broader sub-Saharan region. It provides a snapshot of the literature concerning young BC patients and their unique challenges, including age, ancestry, barriers to care, fertility and ovarian preservation options, access to genetic testing and counseling, clinician knowledge and attitudes and specific molecular subtypes. In addition, the review includes insights from specialist oncology surgeons working in the South African public and private healthcare sectors and calls for advocacy. There is an urgent need for multilayered systemic change in the care of young BC patients in sub-Saharan Africa to address the tragic reality of clinicians being unable to offer them the care they deserve.
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