Breast Cancer Research and Treatment

, Volume 128, Issue 3, pp 873–881

A nationwide analysis of incidence and outcome of breast cancer in the country of Surinam, during 1994–2003

  • Rachel S. van Leeuwaarde
  • Martinus A. Vrede
  • Floyd Henar
  • Rob Does
  • Philip Issa
  • Emmett Burke
  • Otto Visser
  • Frank Rijmen
  • Anneke M. Westermann
Epidemiology

DOI: 10.1007/s10549-011-1404-7

Cite this article as:
van Leeuwaarde, R.S., Vrede, M.A., Henar, F. et al. Breast Cancer Res Treat (2011) 128: 873. doi:10.1007/s10549-011-1404-7
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Abstract

In this study, we describe the incidence, treatment, and outcome of breast cancer (BC) during the period 1994–2003 in the South-American country of Surinam and compare these with those of BC in the Netherlands. Pathology reports and hospital charts from all BC cases diagnosed between 1994 and 2004 were retrieved from Surinam’s single pathology laboratory and its five hospitals. Data on demographics, tumor characteristics, treatment, and follow-up were gathered. We compared our data to BC statistics of first generation immigrants from Surinam to the Netherlands. 421 patients were diagnosed with BC during the study period. The age-adjusted incidence rate was 26 per 100,000 compared to 65/100,000 in first generation Surinamese women in the Netherlands. The majority had a fairly advanced stage at presentation, with 60% of tumors larger than 2 cm, and 41.6% with lymph node involvement. Because of the absence of radiotherapy facilities, local treatment in most patients was radical mastectomy. Adjuvant hormonal therapy (51.6%) was administered more frequently than adjuvant chemotherapy (20.3%). A significant number of patients were lost to follow-up, resulting in a median follow-up duration of only 23 months. The 5-year overall survival was 79%. BC incidence in Surinam is low compared to that in the western world, but the advanced stage at diagnosis, the low utilization of systemic adjuvant therapy, and the inadequate follow-up may lead to poor outcomes. A number of steps are underway to improve the level of cancer care in Surinam.

Keywords

Breast cancer Surinam Epidemiology 

Copyright information

© Springer Science+Business Media, LLC. 2011

Authors and Affiliations

  • Rachel S. van Leeuwaarde
    • 1
    • 2
  • Martinus A. Vrede
    • 3
  • Floyd Henar
    • 3
  • Rob Does
    • 4
  • Philip Issa
    • 5
  • Emmett Burke
    • 6
  • Otto Visser
    • 7
  • Frank Rijmen
    • 8
  • Anneke M. Westermann
    • 9
  1. 1.Department of MedicineVU University Medical CenterAmsterdamThe Netherlands
  2. 2.Department of Internal medicineUtrechtThe Netherlands
  3. 3.Department of PathologyAcademic Hospital of ParamariboParamariboSurinam
  4. 4.Department of SurgeryDiakonessen HospitalParamariboSurinam
  5. 5.Department of Internal Medicine‘s Lands HospitalParamariboSurinam
  6. 6.Department of SurgerySt Vincentius HospitalParamariboSurinam
  7. 7.Comprehensive Cancer CenterAmsterdamThe Netherlands
  8. 8.Department of Clinical Epidemiology and BiostatisticsVU University Medical CenterAmsterdamThe Netherlands
  9. 9.Department of Medical OncologyAcademic Medical CenterAmsterdamThe Netherlands

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