Breast Cancer in Developing Countries: Opportunities for Improved Survival

Table 1

Stage of initial diagnosis of breast cancer for a selection of low- and middle-income countries and USA [3].

Region	Country and city	% Stage I/localized	% Stage III-IV/regional-metastatic	Year (s)	Source of data
Latin America	Mexico [4]	14	48	2002	Registry of the Mexican Social Security Institute
	Peru, Lima [5]	9	49	1985–1997	Instituto Nacional de Enfermedades Neoplasicas
	Brazil, [5]
	Sao Paulo	10	67	1979–1989	Academic Hospital of the University of Sao Paulo
	Puerto Alegre	16	30	1975–1997	Academic Hospital of the Fed. University of Rio Grande do Sul
Asia	India: [6, 7]
	Mumbai	8	35	1995	Tata Memorial Hospital Registry
	Trivandrum	4	53	1996	Hospital Cancer Registry Trivandrum
Middle East	Saudi Arabia [8]*	24	62	2004	National Cancer Registry
	Jordan, Amman [9]**	23	37	2008	Jordan Cancer Registry
	Egypt, Gharbia [7, 10]*	26	74	2000–2002	Tanta Cancer Registry
	Egypt, South [11]	11	50	2001–2008	South Egypt Cancer Institute
Africa	South Africa [12]
	Blacks	5	78	1970–1987;	Grote Schuur, Cape town;
	Whites	31	31	1976–1997***	Provincial Hospitals of Port Elizabeth and East London, and Johannesburg General Hospital
North America	United States [13]	60	38	1999–2005	National cancer registry

*For these countries data were not provided by stage (I, II, III, IV) and were given only as localized versus regional or distant metastatic.
**The Jordan Cancer Registry for 2008 figures are 3% in-situ, 23% Stage I, 29% Stage II, 23% Stage III, 14% Stage IV, and 7.5% unknown.
***Data collected from 4 hospitals, three from the first-time period listed and the fourth from the second-time period listed.