Mobile diagnostic units that biopsy, scan and treat on the same visit
Vans equipped with ultrasound, biopsy kits, cervical screening and a link to a distant pathologist could bring a cancer diagnosis, and for cervical pre-cancer immediate treatment, to villages far from any hospital.
Rural patients in LMICs often make three or four long trips before diagnosis, and many drop out. A mobile unit staffed by a nurse and a clinical officer, carrying portable ultrasound, core-biopsy equipment, HPV testing and thermal ablation, and connected to a telepathology hub, compresses the pathway into one or two visits. Mobile breast and cervical screening exists in several countries; combining diagnosis and treatment in one visit is the new step.
- Most of the world has almost no cancer care · Seven in ten cancer deaths happen in low- and middle-income countries, where radiotherapy, pathology, surgery and drugs are scarce.
- Most lethal cancers are found late · Screening exists for only a few cancers. Pancreatic, ovarian, liver, oesophageal and most lung cancers are found when cure is unlikely.
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