The Value of Clinical Breast Examination, Imaging, and Fine Needle Aspiration and the Challenge of Diagnosing Breast Cancer in a Low Resource Setting: A Hospital-Based Analytical Study in Yaounde

Background: Breast cancer is the most common in world, as well Cameroon, where it represents about 20.1% of all cancers recorded 2020. The number pathologists country few seven for a population 26 million. diagnostic performances modalities other than histology—clinical breast examination (CBE), imaging and fine needle aspiration cytology (FNA)—in our context are not known. Study Objectives: Our objectives were to estimate proportions cases managed with mammography, ultrasound FNA sensitivity, specificity, positive negative predictive values, accuracy CBE, FNA; using histology reference. Methodology: study was cross-sectional analytical, carried out at Yaoundé General Hospital. It lasted twelve months, April 2015 through March 2016 covered period January 2010 February 2016. Using reference, we calculated measures four statistical methods Galen Gambino. Results: We recruited 107 cases, 105 females (98.1%) 02 males. had 112 lumps, 106 malignant (94.6%) 6 benign. mean lump size 61.1 mm. frequently used tool after CBE (49.1%), while accuracies 76.8%, 79.1%, 82.9%, 82.0% US, mammography FNA. Conclusion: baseline sub-optimally appears be commonly setting CBE. recommend that should considered diagnosis appropriate but result stop quest histological elimination presence malignancy.