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Ovarian Cancer in the Sudan - Identifying the Social and Clinical Factors that Prevent an Early Diagnosis

Mohamed, E; Bature, F; Ali, IHM; Abdelaziz, F; Alsayed, S; Mukhtar, MM; Osman, BI; Guinn, B

Authors

E Mohamed

F Bature

IHM Ali

F Abdelaziz

S Alsayed

MM Mukhtar

BI Osman



Abstract

Ovarian cancer, because it often presents with vague symptoms, is a difficult disease to diagnose at the early stages, especially in developing countries. In Sudan, diagnosis is further complicated by additional factors and challenges. First, as in any developing country, access to treatment, facilities and medical staff is generally lacking. Secondly, Sudan is the second largest country in Africa: its very size presents difficulties for the implementation of a centralized health system. The two tertiary hospitals in or near the capital have long patient waiting lists.
The lack of female education in sub-Saharan Africa, together with social and economic issues affecting women, is a further obstacle to disease diagnosis and management. Misdiagnosis, leading to inappropriate treatment, may result from the presence of comorbid diseases such as Tuberculosis (TB), which can mimic ovarian cancer and obstruct early detection. Most patients are identified at the later stages when the complications associated with invasive procedures and conventional chemotherapy make treatment much less effective. The early detection of biomarkers may prove to be a vital tool to indicate targets for immunotherapy treatment.
Financial aid may help improve the outcomes for patients with ovarian cancer in the Sudan, assisting with diagnosing and management procedures including training medical staff. Research and development, documentation and updating the statistical register for the whole country are also important requirements for future improvements.
Finally, there is a need to promote interdisciplinary work between surgeons and clinical oncologists to optimize international guidelines and protocols in accordance with the facilities available.

Citation

Mohamed, E., Bature, F., Ali, I., Abdelaziz, F., Alsayed, S., Mukhtar, M., Osman, B., & Guinn, B. (2021). Ovarian Cancer in the Sudan - Identifying the Social and Clinical Factors that Prevent an Early Diagnosis. Austin Journal of Obstetrics and Gynecology, 8(5), Article 1181. https://doi.org/10.26420/austiniobstetgynecol.2021.1181

Journal Article Type Article
Acceptance Date Apr 30, 2021
Online Publication Date May 6, 2021
Publication Date May 6, 2021
Deposit Date Feb 2, 2022
Publicly Available Date Feb 4, 2022
Journal Austin Journal of Obstetrics and Gynecology
Peer Reviewed Peer Reviewed
Volume 8
Issue 5
Article Number 1181
DOI https://doi.org/10.26420/austiniobstetgynecol.2021.1181
Keywords Biomarker; Ovarian cancer; Early detection; Diagnosis; Sub-Saharan Africa; Tuberculosis
Public URL https://hull-repository.worktribe.com/output/3763472
Publisher URL https://austinpublishinggroup.com/obstetrics-gynecology/

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