Why late diagnosis remains the Gulf’s biggest breast cancer challenge

The Gulf region is grappling with a significant breast cancer challenge: late diagnosis. While there has been considerable progress in raising awareness about the disease, simply being aware of breast cancer is not enough. The real value of awareness lies in taking informed action and detecting the disease at an earlier stage. In the United Arab Emirates (UAE), invasive breast cancer is the most commonly diagnosed cancer among women, accounting for 36.6% of all invasive cancers diagnosed in women in 2023.

However, the stage of diagnosis also plays a crucial role in determining the prognosis and treatment options. According to research presented by the International Agency for Research on Cancer (IARC) at Tawam Hospital in Al Ain, 42.3% of women diagnosed with invasive breast cancer between 2018 and 2023 were at stage III or IV. While this figure decreased to 40.2% in 2023, it still highlights the prevalence of late diagnosis.

The timing of diagnosis is critical, as it can significantly impact the outcomes for women. US National Cancer Institute data show that five-year relative survival rates vary greatly depending on the stage of diagnosis. When breast cancer is localized at diagnosis, the survival rate is 100%, compared to 87.5% when it has spread regionally and 33.8% when it has spread to distant parts of the body.

These statistics emphasize the importance of early detection in improving treatment options, outcomes, and the overall experience for women. Breast cancer awareness should extend beyond October and focus on proactive health screening. Mammography scans are recommended for women aged 40 and above, or as advised by their doctors. Regular health checks can help identify potential issues earlier, when intervention is more effective.

Advancements in breast imaging and mammography systems are making screening more sophisticated, efficient, and comfortable for patients. Overcoming anxiety about the examination and ensuring easy access to screening facilities are essential components of the early-detection challenge. The UAE government and community initiatives have made significant strides in embedding breast cancer screening within its preventive health framework, providing free mammograms to eligible women through various programs.

However, true success lies in empowering women to take the next step and participate in screening. A culture of proactive health management, involving families, communities, healthcare providers, and employers, is crucial to achieve this goal. By normalizing the process of taking an earlier diagnosis, we can improve treatment options, outcomes, and peace of mind for countless women across the region.