Cancer de la prostate au Sénégal : Le défi crucial du diagnostic tardif et de l’accès aux soins
In Senegal, prostate cancer constitutes a genuine health emergency, largely dominated by late diagnoses. According to observations by Professor Racine Kane, a urologist at Dakar's Principal Hospital, approximately four out of five patients discover their condition at a very advanced stage, thus diminishing their prospects for recovery.
In an interview with the newspaper "Le Soleil," the doctor highlighted the particular vulnerability of Black men, combined with age and family genetics. To counter this silent threat, he recommends screening starting at age 45 for at-risk individuals, focusing on a digital rectal exam and PSA testing.
However, the path to diagnosis remains fraught with obstacles. Between cultural taboos, lack of information, and embarrassment surrounding intimate examinations, patients too often delay seeking medical help. The economic struggle is equally arduous: hormone therapy, essential in the long term, costs between 100,000 and 500,000 CFA francs, a heavy burden compounded by the still complex access to radiotherapy equipment.
Despite this bleak picture, hope remains when the disease is treated early. When caught in its localized stages, cancer can be cured through surgery or radiotherapy, while metastatic forms are managed with a focus on control and palliative care.
In order to reverse this trend, Professor Kane calls for a general mobilization focused on communication, the life-saving normalization of screening and the overall improvement of the care pathway.
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