Cancer is not a death sentence

Breast Cancer treatment in Ghana

BREAST CANCER

➢ Breast cancer is the commonest cancer seen women.

➢ Both young and old women can have breast cancer.

➢ Men can also have breast cancer.

➢ Symptoms include

– Lump or mass in the breast or armpit

– Changes in the skin colour of the breast

– Changes in the shape of the breast

– Bloody nipple discharge

➢ Not all lumps in the breast are cancerous.

➢ Not all breast cancer patients have a positive family history of cancers.

➢ Monthly self-breast examination is keys to early detection.

➢ Women above 40yrs should have a mammogram done at least every 2 years to detect the disease at an early stage.

Korle Bu Teaching Hospital

Brief History

Established on October 9, 1923, the Korle Bu Teaching Hospital has grown from an initial 200 bed capacity to over 1,500. It is currently the third largest Hospital in Africa and the leading national referral centre in Ghana.

Korle Bu, which means the valley of the Korle lagoon, was established as a General Hospital to address the health needs of the indigenous people under Sir Gordon Guggisberg’s administration, the then Governor of the Gold Coast.

Population growth and the proven efficacy of hospital-based treatment caused a rise in hospital attendance in Korle Bu. By 1953, demand for the Hospital’s services had escalated so high that the government was compelled to set up a task force to study the situation and make recommendations for the expansion of the Hospital.

The government accepted and implemented the recommendations of the task force which resulted in the construction of new structures, such as the Maternity, Medical, Surgical and Child Health Blocks. This increased the Hospital’s bed capacity to 1,200.

Korle Bu gained teaching hospital status in 1962, when the University of Ghana Medical School (UGMS) was established for the training of medical doctors. The UGMS and five other constituent schools are now subsumed under the College of Health Sciences to train an array of health professionals. All the institutions of the College however, undertake their clinical training and research in the Hospital.
At the moment, the Hospital has 2,000 beds and 17 clinical and diagnostic Departments/Units. It has an average daily attendance of 1,500 patients and about 250 patient admissions.
Clinical and diagnostic departments of the Hospital include Medicine, Child Health, Obstetrics and Gynaecology, Pathology, Laboratories, Radiology, Anaesthesia, Surgery, Polyclinic, Accident Centre and the Surgical/Medical Emergency as well as Pharmacy. Other Departments includes, Pharmacy, Finance, Engineering, General Administration.

The Hospital also provides sophisticated and scientific investigative procedures and specialisation in various fields such as Neurosurgery, Cardiothoracic surgery, Paediatric Surgery Dentistry, Ophthalmology, ENT, Renal, Orthopaedics, Oncology, Dermatology, Radiotherapy, Radio diagnosis, and Reconstructive Plastic Surgery and Burns.

The National Reconstructive Plastic Surgery and Burn Centre, the National Cardiothoracic Centre and the National Centre for Radiotherapy and Nuclear Medicine in particular also draw a sizeable number of their clientele from neighbouring countries such as Burkina Faso, Nigeria, and Togo.

Korle Bu Teaching Hospital continues to blaze the trail when it comes to the introduction of specialised services. It carried out the first ever kidney transplant in Ghana in 2008. It is one of the few hospitals in Africa where sophisticated laboratory investigations are carried out. Other specialised services the Hospital provides include brachytherapy intervention for the treatment of prostate cancer and keyhole surgeries.

Plans are underway to venture into molecular testing and employ the use of cutting-edge technology in care delivery. All these are part of the grand plan to offer a wider spectrum of specialist care to position Ghana as the hub of health tourism within the West Africa Sub-region.

Brachytherapy in Ghana

Brachytherapy treatment in Ghana

Brachytherapy is a major component in the treatment of cervical cancer and other female gynaecological cancers in Africa. We offer High- Dose –Rate (HDR) intracavitary brachytherapy treatment with a multi- source HDR after loader and 3-D treatment planning.

Our brachytherapy suite is fitted with a comfortable stirrup bed for patient’s relaxation. The procedure is performed by well qualified oncologists with several years of experience in brachytherapy insertions. Oncology nurses provide the necessary counselling and support needed throughout the procedure.

We also offer Low –Dose- Rate (LDR) interstitial brachytherapy with Iodine 125 sources for prostate cancer. Our highly professional brachytherapy team of radiation oncologists, urologists, anaesthetists, medical physicists and nurses work efficiently together to ensure patient safety, comfort and improved outcome.

Prostate Cancer treatment in Ghana

PROSTATE CANCER SUMMARY

➢ Only men have the prostate gland

➢ The prostate gland can grow big without being cancerous

➢ Prostate cancer is the commonest male cancer

➢ It may present with no symptoms

➢ Sometimes patients can have difficulty urinating and frequent urination especially at night

➢ For a few people the disease maybe found when very advanced and has gone into the bone

➢ Old age and family history are risk factors

➢ The PSA test can be done to find out if you have prostate cancer.

Cancer Treatment in Ghana

The National Radiotherapy Oncology and Nuclear Medicine Centre is a Clinical Department of Korle Bu Teaching Hospital and a Centre of Excellence.

Our main pre-occupation is to manage solid tumours and some benign tumours with ionizing radiation, chemotherapy and radio nuclides. The centre was established in 1997.

Our workforce consists of seasoned Oncologists, Medical Physicists, Oncology Nurses, Nuclear Medicine Physicians, Radiation Therapy Technologists, Biomedical engineers, Clinical Psychologist, Bio Statisticians, Health Informaticists and other administrative staff.

Approximately 1500 patients from various parts of the country and the sub-region are seen yearly.

The National Radiotherapy Oncology and Nuclear Medicine Centre provide comprehensive cancer care supported by advanced technology, innovative techniques and evidence-based medicine.

We also undertake researches and affiliated to the University of Ghana, Ghana College of Physicians and Surgeons, Ghana College of Nurses and Midwives, Ghana College of Pharmacy and School of Biomedical and Allied Health Sciences.

Radiotherapy treatment in Ghana

External Beam Radiation Therapy

Radiation therapy offered at the National Radiotherapy Oncology and Nuclear Medicine Centre is based on innovative technology that ensures precision in delivery.

3- Dimensional conformal radiotherapy and other cutting edge techniques such as Intensity Modulated Radiotherapy (IMRT) and Volumetric arc therapy (V- MAT) are practiced with attention to every detail of patient safety.

Our well established and internationally acceptable quality assurance protocol ensures that radiotherapy is delivered precisely to our target with little or no effects to nearby tissues.

Chemotherapy in Ghana

Chemotherapy treatment in Ghana

The National Radiotherapy Oncology and Nuclear Medicine Centre has a well-coordinated and highly structured chemotherapy administration system. The Centre has an on-site pharmacy that stocks chemotherapeutic agents procured from accredited pharmaceutical companies that have been certified by Ghana Food and Drugs Authority (FDA).

Our Pharmacy is managed by well-trained pharmacists who follow specific safety procedures in the preparation and administration of chemotherapy. The use of a laminar flow in drug preparation ensures strict adherence to infection and occupational safety protocol.

We understand the difficult patient experience of cancer diagnosis and treatment, and therefore provide a warm ambience for short stay in our chemotherapy suites.

Experts visit Korle Bu Centre for Radiotherapy and Nuclear Medicine

Nuclear security experts and diplomats from Europe, North America and 13 African countries have visited a newly installed cancer treatment facility at the National Centre for Radiotherapy and Nuclear Medicine at the Korle Bu Teaching Hospital in Accra.

The visit was part of  an ongoing one-week workshop on nuclear security policy and practice organised by the African Centre for Science and International Security.

Delegates witnessed practical steps being taken by Ghana to ensure secure and safe use of radiological material for cancer treatment. They were briefed on the efforts of the Ministry of Health to expand access to quality cancer treatment services in the country by purchasing two non-isotopic treatment machines called Linear Accelerators for the Centre.

Currently, Ghana has three cancer treatment centres – two public and one private.

Treatment facilities

The Korle Bu and Komfo Anokye Teaching hospitals are government owned cancer treatment facilities, while the Sweden Ghana Medical Centre is privately owned.

The two public hospitals were the first to introduce LINACs for improved cancer care and enhanced radiological security in Ghana.

Welcoming the delegation, the Director of the National Radiotherapy and Nuclear Medicine Centre at Korle-Bu Teaching Hospital, Dr Joel Yarney, said cancer  was a public health problem in Ghana.

He said the situation was more worrisome following the World Health Organisation’s (WHO) prediction of an increase in the incidence of cancer cases in developing countries, including Ghana.

Cases

Dr Yarney  said common cancer types recorded at the centre included breast cancer, cervical cancer, prostrate cancer, head and neck cancer.

The centre treats on average 70 patients per day, totalling about 15,00 patients a year.

The Komfo Anokye Teaching Hospital (KATH) and the Sweden Ghana Medical Center also treat about 800 and 400 patients, respectively.

 Dr Yarney noted that WHO had estimated that there were 16,000 new cancer cases in Ghana each year.

He said the large difference between the estimated cases and reported cases suggested that there was the need to raise awareness of cancer in Ghana, increase treatment facilities to other regions of the country, especially the northern part of the country and to make cancer treatment affordable to ordinary citizens.

“Unfortunately we do not have adequate centres in the country. Ghana needs to have at least six treatment machines for her 26 million people.” he said.

Currently, he said, there was no cancer treatment facility in the northern part of the country.

“As such, patients have to travel long distances in order to access treatment and, this might not be possible for many Ghanaians living in the northern belt,” he said.