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Breast Cancer Phenotypes in Africa: A Scoping Review and Meta-Analysis
Abimbola F Onyia1,2, Toluwani A Nana1, Elijah A Adewale1
1Department of Biochemistry, College of Science and Technology, Covenant University, Ota, Nigeria.
JCO Global Oncology
|December 12, 2023
Summary
Breast cancer (BC) subtypes vary across Africa. Luminal BC is most common overall, but West Africa shows higher rates of human epidermal growth factor receptor 2 (HER2)+ and triple-negative breast cancer (TNBC).
Area of Science:
- Oncology
- Epidemiology
- Genetics
Background:
- Breast cancer (BC) is a significant health concern in Africa, with anecdotal evidence suggesting more aggressive forms.
- Limited data exists on the distribution of distinct BC molecular subtypes across the African continent.
- Understanding these patterns is crucial for targeted treatment and improved patient outcomes.
Approach:
- A comprehensive scoping review and meta-analysis was conducted, analyzing studies published between 2000 and 2022.
- Data from four major online databases (PubMed, Scopus, ProQuest, EBSCOhost) were systematically screened.
- A random-effects model was employed for meta-analysis, calculating pooled frequencies and heterogeneity.
Key Points:
- The pooled frequency of BC subtypes in Africa was estimated as Luminal (56.30%), Triple-Negative Breast Cancer (TNBC) (28.10%), and HER2-positive (HER2+) (12.61%).
- Regional variations were observed: Northern Africa showed a higher prevalence of Luminal BC.
- West Africa exhibited increased frequencies of HER2+ and TNBC subtypes.
Conclusions:
- Significant disparities exist in the molecular subtype distribution of breast cancer across different African regions.
- Routine molecular subtyping of breast cancer should be integrated into clinical management for African patients.
- Further research encompassing more African countries is warranted to fully elucidate BC subtype epidemiology.
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