title: Perspectives from a weary surgical oncologist in Sub-Saharan Africa.
abstract: This is an personal reflection on the challenges of managing advanced breast cancer in a resource-poor setting, focussing on financial constraints, unavailability of treatment options, and the personal cost to patient and surgeon.
authors.affiliation: AIC Kijabe Hospital, Kijabe 00220, Kiambu County, Kenya. Electronic address: surgery.kh@gmail.com.
authors.forename: Peter
authors.initials: P
authors.lastname: Bird
mesh_terms: D000328:Adult; D017954:Africa South of the Sahara; D001943:Breast Neoplasms; D017281:Cost of Illness; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008495:Medical Oncology
keywords: Global surgery; Locally advanced breast cancer; Radiation therapy; Resource-poor cancer care