Status of Pathology Services and Molecular Pathology in Sub-Saharan Africa: Implications for Combating Breast Cancer

African breast cancer patients benefit less from classical pathology services owing to the complex molecular and clinicopathological nature of the disease, poor quality of laboratory supplies, and shortage of experts in the field. This review presents evidence and confirms the need for improving ana...

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Main Author: Wajana Lako LABISSO
Format: Article
Language:English
Published: The Korean Society for Clinical Laboratory Science 2023-09-01
Series:Korean Journal of Clinical Laboratory Science
Subjects:
Online Access:http://www.kjcls.org/journal/view.html?doi=10.15324/kjcls.2023.55.3.121
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author Wajana Lako LABISSO
author_facet Wajana Lako LABISSO
author_sort Wajana Lako LABISSO
collection DOAJ
description African breast cancer patients benefit less from classical pathology services owing to the complex molecular and clinicopathological nature of the disease, poor quality of laboratory supplies, and shortage of experts in the field. This review presents evidence and confirms the need for improving anatomic pathology services in Africa. Peer-reviewed international journal articles available in Medline, Scopus, PubMed, and Google scholars, describing the status of pathology services in Africa, were included. Besides the late presentation of patients, anatomic pathology laboratories are accountable for the escalated mortality of breast cancer patients in several parts of Africa. Conversely, molecular diversity and biological heterogeneity of breast cancers, which disprove the one-size-fits-all therapeutic approach, have been reported from different parts of the continent. Irrespective of the geographical background, the choice of therapeutic options and predicting disease outcome depends on the right identification of the molecular signature of the cancer type. In conclusion, we propose that upgrading and integrating anatomic pathology with molecular diagnostic pathology is essential in order to provide better diagnostic results that will profoundly impact curbing mortality from breast cancers.
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spelling doaj.art-fc017b08f8664dc9822b656e94131b912023-10-04T08:29:13ZengThe Korean Society for Clinical Laboratory ScienceKorean Journal of Clinical Laboratory Science1738-35442023-09-0155312113110.15324/kjcls.2023.55.3.121kjcls.2023.55.3.121Status of Pathology Services and Molecular Pathology in Sub-Saharan Africa: Implications for Combating Breast CancerWajana Lako LABISSO0Department of Pathology, School of Medicine, Addis Ababa University, Addis Ababa, EthiopiaAfrican breast cancer patients benefit less from classical pathology services owing to the complex molecular and clinicopathological nature of the disease, poor quality of laboratory supplies, and shortage of experts in the field. This review presents evidence and confirms the need for improving anatomic pathology services in Africa. Peer-reviewed international journal articles available in Medline, Scopus, PubMed, and Google scholars, describing the status of pathology services in Africa, were included. Besides the late presentation of patients, anatomic pathology laboratories are accountable for the escalated mortality of breast cancer patients in several parts of Africa. Conversely, molecular diversity and biological heterogeneity of breast cancers, which disprove the one-size-fits-all therapeutic approach, have been reported from different parts of the continent. Irrespective of the geographical background, the choice of therapeutic options and predicting disease outcome depends on the right identification of the molecular signature of the cancer type. In conclusion, we propose that upgrading and integrating anatomic pathology with molecular diagnostic pathology is essential in order to provide better diagnostic results that will profoundly impact curbing mortality from breast cancers.http://www.kjcls.org/journal/view.html?doi=10.15324/kjcls.2023.55.3.121africa south of the saharabreast neoplasmspathologymolecularpathology services
spellingShingle Wajana Lako LABISSO
Status of Pathology Services and Molecular Pathology in Sub-Saharan Africa: Implications for Combating Breast Cancer
Korean Journal of Clinical Laboratory Science
africa south of the sahara
breast neoplasms
pathology
molecular
pathology services
title Status of Pathology Services and Molecular Pathology in Sub-Saharan Africa: Implications for Combating Breast Cancer
title_full Status of Pathology Services and Molecular Pathology in Sub-Saharan Africa: Implications for Combating Breast Cancer
title_fullStr Status of Pathology Services and Molecular Pathology in Sub-Saharan Africa: Implications for Combating Breast Cancer
title_full_unstemmed Status of Pathology Services and Molecular Pathology in Sub-Saharan Africa: Implications for Combating Breast Cancer
title_short Status of Pathology Services and Molecular Pathology in Sub-Saharan Africa: Implications for Combating Breast Cancer
title_sort status of pathology services and molecular pathology in sub saharan africa implications for combating breast cancer
topic africa south of the sahara
breast neoplasms
pathology
molecular
pathology services
url http://www.kjcls.org/journal/view.html?doi=10.15324/kjcls.2023.55.3.121
work_keys_str_mv AT wajanalakolabisso statusofpathologyservicesandmolecularpathologyinsubsaharanafricaimplicationsforcombatingbreastcancer