Breast cancer has become a real public health problem in Cameroon, particularly in rural areas due to late diagnosis, resulting partly from the absence of national screening programs. This work is aimed at assessing breast cancer awareness in the North Region of Cameroon. Participants were selected in six health centers surrounding the rural area of Garoua, North Region, Cameroon, and administered a questionnaire aimed at assessing their awareness about breast cancer risk factors and screening. Out of the 475 women (including 37 medical personnel) interviewed, 45.5% attended at least secondary school; 91.3% were aware of the disease with the main sources of information from those around them (64.8%), media (46.5%), and health professionals in health facilities (42.7%). 23.3% had misconceptions and myth-based ideas on the origin of the disease. Ignorance was the main reason preventing the performance of breast self-examination, and the high cost prevents individuals from going for mammography. The highest awareness rate was observed in employed women with higher level of education. Our study highlights the need to raise awareness among the populations in North Region, Cameroon, about the risk factors and clinical signs of breast cancer and the importance of screening practice for early diagnosis of breast cancer.

Due to the late diagnosis, resulting partly from the absence of national screening programs, breast cancer has become a real public health problem in Cameroon, particularly in rural areas. This work aimed to assess breast cancer awareness in the North Region of Cameroon. Participants were selected randomly in six health centers surrounding rural areas of Garoua, North Region of Cameroon, and administered a questionnaire aimed at assessing their awareness about breast cancer warning signs and screening methods. Out of 475 women (including 37 medical personnel) interviewed, 23.3% had misconceptions and myth-based ideas on the origin of the disease. Employed women were more aware of breast cancer, its risk factors and symptoms as compared to other groups (p < 0.0001) for most of the risk factors and symptoms. Participants with higher education and employed women were also more aware of breast cancer screening, including breast self-examination mammography, and breast ultrasound (p < 0.0001 vs. other groups). Breast cancer screening and breast self-examination were mostly performed by women with higher education and employed women (p < 0.0001 compared to other groups). Ignorance was the main reason preventing women from performing breast self-examination and the high cost prevented going for mammography. Our study highlights the need to raise awareness among the populations in Cameroon North Region about the risk factors and clinical signs of breast cancer and the importance of screening practice for the early diagnosis of breast cancer.

Due to the lack of hospitals with adequate technical platform on one hand, and high diagnostic costs that cannot be afforded most of the population, the incidence of prostate cancer in Cameroon has increased and has great impact on people’s health. Aim: This work was undertaken with the objective to determine the impact of prostate cancer on erectile dysfunction and how to manage it. Methodology: Sampling of the population was done in a comprehensive and non-probabilistic manner at the Urology Department of Ngaoundere Islamic Hospital, Ngaoundere, Cameroon, between June 2018 and November 2019. Of the 75 patients received, 50 of them participated in this study. Biopsies were taken from these patients to determine and confirm the form and stage of cancer followed by PSA assays. After the diagnosis was revealed, the testosterone assay was carried out in order to evaluate erectile functioning in the patients who equally completed a survey form made available to them in order to get an idea of their health history, the type of treatment followed and their lifestyle. Results: The mean age of the patients was 67 years, with a predominance in the 60-70 age range. 85% of the patients had a Gleason score greater than or equal to 8. Of these patients, 42% had low testosterone levels (< 2.3 ng/mL), resulting to lack of morning erection (66.6%), loss of sexual desire (43.9%), difficulty having a spontaneous erection (88%). On the other hand, erectile dysfunction was revealed in the prostate cancer patients with low testosterone levels, with a history of hypertention (16.6%), diabetes (28.5%) alcohol consumption (44%), tobacco smoking (41%) and having undergone as prostate cancer treatment involving transurethral resection of the prostate (80%) and orchiectomy (20%). Conclusion: The major cause of erectile dysfunction observed in patients suffering from prostate cancer in Northen Cameroon can be attributed to the evolution of the disease, as well as the health history of the patients (diabetes, hypertension).

Background: The incidence of prostate cancer in Cameroon has been increasing in an alarming rate. The aim of this study is to characterize the form of prostate cancer and associated factors in patients from Cameroon Northern Regions. Methods: All patients with positive prostate biopsy (cancer+) from June 2018 to November 2019 were studied (n = 177). The followings were retrieved: digital rectal examination, standard clinical examinations, laboratory data such as serum prostate-specific antigen (PSA) level, and the Gleason score. Patients self-administered a questionnaire assessing prostate cancer's risk factors. Results: Patients were mainly from the Far North region (36.72%), and were either farmers or breeders (48.01%). Only prostate adenocarcinoma was present, with predominance of aggressive forms (Gleason score ≥ 7). Significant relationships were observed between Gleason score and 1) patients' age (P = 0.006), 2) history of urinary tract infections (P = 0.015) and of exposure to agricultural products (P = 0.049), 3) clinical signs (nycturia, pollakiuria, poor acute urine retention, and dysuria) (P = 0.019), 4) prostate weight, and 5) serum PSA levels (P < 0.0001). Conclusion: Aggressive forms of adenocarcinoma are the main prostate cancer in these regions, underlining the need for strategies aimed at raising prostate cancer awareness and early detection.

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