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Question 5#

A 55-year-old East African woman presents with a palpable mass in her right breast that has been present for several years. You are concerned for cancer and know her case fatality rate is significantly higher than a similar patient in North America. Why? 

A. Later presentation to care
B. Limited access to screening
C. Lack of access to surgical care
D. All of the above

Correct Answer is D


Patients in LMICs bear a substantial proportion of the global burden of cancer morbidity and mortality. In the year 2030, the proportion of new cancer cases from LMICs is expected to be at least 70% with nearly two-thirds of global cancer deaths in LMICs. Cancer mortality is inversely associated with the strength of a country's health system, which is reflected in patient access to screening and treatment as well as the ease with which patient can access medical care.