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Guinea-Bissau's national referral hospital in Bissau. Visiting breast surgery teams have diagnosed and operated on women with breast cancer there, most of whom arrived with advanced disease.
A report in JCO Global Oncology (2023), with a first author from the hospital's surgery department, describes three short surgical missions by a breast cancer team in one year at the Hospital Nacional Simão Mendes, a level A referral structure: 97 women were seen, with 21 excisional biopsies, 28 needle biopsies and five radical operations; 19 had invasive breast cancer at stage IV, few returned for treatment, and poor sample handling for lack of trained pathology technicians made 18 samples unusable. The authors call for a national cancer strategy built on local team training.
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