Jordan is a relatively small country with a rapidly growing population and a challenged economy. Breast cancer is the most diagnosed cancer among women worldwide and also in Jordan. Though the age-standardized rate (ASR) of breast cancer incidence is still lower than that in Western societies, the number of newly diagnosed cases continues to increase, involving younger women, and new cases are usually detected at more advanced stages. Improvements in breast cancer care across the health care continuum, including early detection, prevention, treatment, and survivorship and palliative care, have become very visible, but may not match the magnitude of the problem. More organized, goal-oriented work is urgently needed to downstage the disease and improve awareness of, access to, and participation in early detection programs. The cost of recently introduced anti-cancer therapies poses a great challenge, but the impact of these therapies on treatment outcomes, including overall survival, is becoming very noticeable. Though the concept of a multidisciplinary approach to breast cancer treatment is often used at most health care facilities, its implementation in real practice varies significantly. The availability of breast reconstruction procedures, survivorship programs, germline genetic testing, counselling, and palliative care is improving, but these are not widely practiced. In this manuscript, we review the status of breast cancer in Jordan and highlight some of the existing challenges and opportunities.
约旦是一个人口快速增长但经济面临挑战的相对较小国家。在全球范围内及约旦国内，乳腺癌均为女性中诊断率最高的癌症。尽管其年龄标准化发病率仍低于西方社会，但新增病例数持续上升，且涉及更年轻的女性群体，新发病例通常在更晚期才被检出。在医疗保健全过程中，包括早期检测、预防、治疗、生存期护理及姑息治疗在内的乳腺癌护理水平已有显著提升，但仍可能无法匹配问题的严重程度。亟需更有组织、目标明确的工作来降低疾病分期，并提高对早期检测项目的认知度、可及性与参与度。近期引入的抗癌疗法成本构成巨大挑战，但这些疗法对治疗结果（包括总生存期）的影响正日益显著。尽管多学科综合治疗理念在多数医疗机构得到提倡，但其在实际操作中的实施情况差异显著。乳房重建手术、生存期护理项目、胚系基因检测、咨询及姑息治疗的可用性正在改善，但尚未广泛普及。本文综述了约旦乳腺癌现状，并重点探讨了当前面临的挑战与机遇。
Challenges and Opportunities in Breast Cancer Care in Low-Resourced Countries, Jordan as An Example
肿瘤(癌症)患者之家