Trends of breast cancer treatment in Sabah, Malaysia: A problem with lack of awareness

  • Leong B
  • Chuah J
  • Kumar V
 et al. 
  • 34


    Mendeley users who have this article in their library.
  • 17


    Citations of this article.


INTRODUCTION: Sabah, formerly known as North Borneo, is part of East Malaysia. 52.2 percent of patients with breast cancer in Sabah presented at advanced stages and up to 20.4 percent of patients defaulted proper treatment, opting for traditional therapy. We performed a two-year prospective study looking at the treatment trends of breast cancer in Sabah.

METHODS: Our subjects were all newly-diagnosed breast cancer cases seen at the hospital in 2005 and 2006. Type of surgery, chemotherapy, radiotherapy, hormonal therapy and surgical complication for each patient were studied.

RESULTS: Out of 186 newly-diagnosed cases, 152 (81.7 percent) had surgery, 126 (67.7 percent) had chemotherapy, 118 (63.4 percent) had radiotherapy and 92 (49.5 percent) had hormonal therapy. 18.3 percent did not have surgery either due to refusal of treatment or advanced disease. They were more likely to be non-Chinese (91.1 percent, p-value is 0.02). Only 15.8 percent had breast-conserving surgery. The most frequent surgical complication was seroma formation (15.0 percent) . The commonest chemotherapy regime and hormonal therapy were anthracycline-based regime (88.1 percent) and tamoxifen (95.8 percent), respectively.

CONCLUSION: The proportion of breast-conserving surgery and usage of modern adjuvant therapies are low in Sabah. This can be attributed to lack of breast cancer awareness leading to late presentation and refusal of treatment, coupled with insufficient health service funding.

Author-supplied keywords

  • Advanced cancer
  • Breast cancer
  • Cancer awareness
  • Cancer treatment

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

  • PMID: 19710974
  • PUI: 355302235
  • SGR: 70349272979
  • SCOPUS: 2-s2.0-70349272979
  • ISSN: 00375675
  • ISBN: 0037-5675


  • Benjamin Dak Keung Leong

  • J. A. Chuah

  • V. M. Kumar

  • S. Rohamini

  • Z. S. Siti

  • C. H. Yip

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free