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 Breast cancer in men real, get screened …Male survivor shares his story

Mr Arthur

 Breast cancer, a disease commonly associated with women, affects men too. Despite being relatively rare among men, male breast cancer accounts for approx­imately one per cent of all breast cancer cases.

Mr Abaeku Arthur, a retired Social Security and Nation­al Insurance Trust (SSNIT) employee, shares his story of resilience and survival after being diagnosed with breast cancer in 2007.

Mr  Arthur  showing  his breast  cancer  scars
Mr Arthur showing his breast cancer scars

Journey

Mr Arthur’s breast cancer journey began with a com­plaint to a surgeon friend about the size of his breast and how uncomfortable he feels whenever he wears a T-shirt.

He said, “I feel uncomfort­able any time I wear a T-shirt mainly because, female friends would usually play with my breast.”

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Also, Mr Arthur said he would usually see blood stains on his bed sheet but attribut­ed them to mosquito bites.

His friend and surgeon at The Trust Hospital suggested a surgical procedure to reduce the size of his breast. The surgery was successful, but the real surprise came when the tissues were sent to the lab for analysis.

The results revealed a shocking diagnosis: breast cancer in his left breast.

“I was unaware men could get breast cancer,” Mr Arthur admitted. “I thought it was exclusively a women’s dis­ease.”

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Mr  Arthur showing  his  scar after  surgery
Mr Arthur showing his scar after surgery

Treatment/Recovery

Abaeku underwent a second surgery at the same hospital, this time specifically targeting the cancer. The procedure involved cutting from his chest to his armpit. He then proceeded to the Korle-Bu Teaching Hospital for chemo­therapy and radiation.

He said due to the effects of the chemotherapy, he lost all the hairs on his body and unlike some women whose menstrual cycles cease as a result, Mr Abaeku Arthur said “ it did not affect me in any way, I am still strong.”

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Family Support

His family was devastated by the news, but he reassured them, “It’s God’s will.” They stood by him throughout his treatment, providing all the support and encouragement needed during the period.

Mr  Arthur
Mr Arthur

Awareness/ Advocacy

Mr Arthur who turned 70 years this week said before undergoing the surgery for breast cancer, he vowed to create awareness about male breast cancer.

His aim was to demystify the notion that men with big breasts had breast cancer. However, he stressed on the need for screening anytime they experienced anything unusual with the breast.

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He emphasised on the need for screening in order to detect it early; saying “early detection is key. I have sur­vived for 17 years, and I am still strong.”

Statistics

Male breast cancer ac­counts approximately for one per cent of all breast cancer cases.

However, stigma and lack of awareness surrounding the disease seems to have prevented men from seeking medical attention.

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In Ghana, according to the National Centre for Radio­therapy, Korle-Bu Teaching Hospital (KBTH), male breast cancers accounts for 2.9 per cent of all breast cancers seen, consistent with the slightly higher rates reported in other parts of Sub-Saharan Africa.

Data from Surveillance, Epidemiology, and End Results (SEER) cancer registry shows that 93.7 per cent of male breast cancers are ductal carcinomas, 2.6 per cent pap­illary, 1.8 per cent mucinous and 1.5 per cent are lobular carcinoma.

Also the centre said 80 to 90 per cent of male breast cancers are estrogen receptor positive, and 65- 90 per cent are progesterone receptor positive.

According to the centre, most common presenting symptoms in male breast can­cer are painless sub-areolar lump, nipple retraction and bleeding from the nipple.

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Mr Abaeku  Arthur after  surgery
Mr Abaeku Arthur after surgery

The centre also noted that, generally, management strat­egies of male breast cancer are the same as females as no prospective randomised trials have been conducted to establish treatment protocols in men.

It mentioned that breast conservation in males may be a challenge due to difficulties in obtaining neg­ative margins resulting in a high rate of upfront radical mastectomies performed.

Conclusion

The story of Mr Abaeku Arthur is about how both men and women were at risk of hav­ing breast cancer and how important it is to check it and not ignore the little signs on the breast.

It is equally important for men to know they are not immune to breast cancer and the need to break down the barriers and encourage open discussions.

Also education of patients, families and health providers will increase awareness of male breast cancer, ensuring early presentation, prompt referral or early diagnosis, treatment and improved survival.

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Mr Abaeku Arthur’s 17-year journey as a male breast cancer survivor serves as a testament to resilience and determination.

His story inspires others to prioritise their health and seek medical at­tention when the need be.

 By Jemima Esinam Kuatsinu  

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Gender

BSoG calls for end to Breast Cancer stigma

Dr. Josephine Nsaful, executive member, BSoG

Dr. Josephine Nsaful, executive member, BSoG

The Breast Society of Ghana (BSoG) is advocating an end to the stigmatisation of breast can­cer patients and survivors, emphasis­ing the need for increased awareness and education.

This call was made at the launch of the society’s breast cancer awareness month, dubbed ‘Pinktober,’ held in Accra last Friday.

Dr. Josephine Nsaful, executive member, BSoG
Dr. Josephine Nsaful, executive member, BSoG

An executive member of BSoG, Dr Josephine Nsaful, stressed that the initiative was crucial in ensuring that individuals battling breast cancer were not left alone during their difficult journey.

She stated that breast cancer af­fects over 2.3 million women globally, making it essential to raise awareness and intensify educational efforts to save more lives.

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“Stop the stigmatisation and edu­cate more people to seek early care,” Dr Nsaful said, urging churches and community groups to play a role in ed­ucating the public about the disease.

She said breast cancer was not a spiritual ailment and can be effective­ly treated if detected early.

“Early detection saves lives,” she noted.

Dr Nsaful expressed concern about women losing their lives to a disease that is treatable, leaving behind families and children, and stressed the importance of early medical interven­tion.

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She added that it was unacceptable and tragic that women were dying when there were available treatments that could save them.

Some breast cancer survivors at the event
Some breast cancer survivors at the event

The President of BSoG, Dr Hannah Ayettey Anie, also called for intensi­fied efforts to dispel myths and mis­conceptions about breast cancer.

She lamented that many women refused medical treatment due to false beliefs about the disease, often resorting to ineffective methods, only to seek medical help when it is too late for a cure.

Dr Anie urged everyone to support initiatives aimed at ending the stigma surrounding breast cancer, as it pre­vents many from seeking timely care.

She reiterated that overcoming these misconceptions and educating the public would go a long way in improving breast cancer outcomes in the country.

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Additionally, the Executive Secretary of BSoG, Mrs Georgina Kumah-Dzagah, encouraged breast cancer survivors to come forward and share their stories, highlighting their survival as evidence that breast cancer was not a death sentence.

According to her, these personal ac­counts would serve as encouragement for others battling the disease and foster hope among patients.

The launch of ‘Pinktober’ aims to continue raising awareness and promoting education on breast cancer to save more lives and eliminate the stigma surrounding the disease.

 By Raissa Sambou

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Overcoming breast cancer …Theresa Fakaah’s journey to survival

• Theresa Fakaah.

Theresa Fakaah.

At just 33 years, Theresa Fakaah’s world was turned upside down when she was diagnosed with breast cancer at Korle-Bu Teaching Hospital in Accra. Overwhelmed by fear and negativity, she broke down in tears upon hearing the biopsy results.

The doctor’s words echoed in her mind: “The cancer is aggressive; we must remove the affected breast to prevent it from spreading to the oth­er.” The thought of losing a breast, es­pecially at her age and without having children or a partner, was unbearable.

Ms Fakaah’s breast cancer journey started in 2021 when she visited Ga South Municipal with a pain in her breast and was later referred to the Korle-Bu Teaching Hospital.

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It was at the hospital that she re­ceive the devastating news of breast cancer that turned her life around.

Desperate for an alternative, The­resa abandoned conventional treat­ment and sought herbal remedies for three months. However, her condition worsened.

While on herbal treatment, she experienced excruciating pain and dis­charge from her right breast coupled with sleepless nights.

Returning to Korle-Bu the following year 2022, Theresa began her treat­ment anew, she went through eight cycles of chemotherapy, surgery to re­move the affected breast and received 14 shots of Herceptin in her thigh.

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Herceptin is a medication adminis­tered through infusion. This targeted therapy helps prevent cancer cells from growing and is commonly used as an adjuvant treatment to prevent recurrence.

Initially, she was scheduled to re­ceive 18 Herceptin injections, how­ever, Ms Fakaah experienced adverse reactions after 14 injections, and her medical team decided to discontinue the treatment with it and suggested another drug.

She said she was neglected by her family when they heard of her con­dition, advising her to return to the village for cure; a suggestion she refused, hence the rejection.

She was later supported by Toptown Church of Christ, Amanfrom and other individuals which enabled her to go through the treatment.

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She encouraged breast cancer patients not to habour fear in them but rather follow the instructions of health professionals in order to ‘fight and conquer’ the disease.

Ms Fakaah’s breast cancer journey, is an indication of the rising num­ber of young women in Ghana being diagnosed with breast cancer, under­scoring the urgency for broader public education and awareness.

In Ghana alone, over 2,000 women lose their lives to breast cancer each year, however, health experts believe the number is significantly higher, as many cases remain undiagnosed.

A major barrier to diagnosis and treatment is the cost, with many unable to afford the necessary medi­cal procedures. As a result, countless individuals return home, untreated, only to succumb to the disease.

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October is globally recognised as Breast Cancer Awareness Month, ded­icated to raising awareness about the disease and promoting early detec­tion.

This year’s global theme for the awareness month is “no one should face breast cancer alone,” with the aim of bringing to attention the silent struggles faced by survivors and patients who may feel isolated and un­supported due to the disease.

The goal of this year’s campaign is to ensure that survivors receive the warmth and support they need while battling with the disease and stigma.

It is therefore important not to pay lip service to the treatment of breast cancer, as many women are continu­ously suffering from the disease.

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It is also important for stakeholders to find ways of lessening the financial and emotional burden of patients and survivors, increase awareness espe­cially among young people, promote healthy lifestyles, improve access to screening and diagnostic facilities as well as enhancing healthcare infra­structure and treatment options.

Theresa’s journey was marked by fear, denial, and determination. Today, she stands as a testament to resilience and courage in the face of adversity

 By Jemima Esinam Kuatsinu

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