“…Advanced stages are described as stage 3 and stage 4 of the disease, when cancerous cells have spread to the lymph nodes and infiltrated other distant sites in the body (Willis, Lewis, Ng, & Wilson, 2015). Some of the factors responsible for the late stage of disease at presentation are lack of breast cancer awareness programs, lack of breast health education programs, social barriers, misconceptions, and taboos about breast cancer treatment outcomes, fear of losing an employment, inadequate government support, lack of adequate infrastructure and resources for routine screening, lack of standardized treatment protocols and guidelines, poor follow-up, and lack of accurate data (Tfayli, Temraz, Abou Mrad, & Shamseddine, 2010). Other factors that may be responsible for the increase in incidence rates are the adoption of Western lifestyles that tend to encourage and promote delaying childbearing, decreasing the number of children, reducing physical exercise, and changes in dietary habits (Porter 2008).…”