Meet Sabina: a married mother of six children aged 23, 16, 12, 10, 6 and 4 years from Malawi. She is a farmer together with her husband. Her first child is married with one child and the rest of the children are in primary school except the last born who is yet to join school. Sabina likes chatting with her children and enjoys eating nsima made from maize flour with vegetables.
Sabina was well until 18 months ago when she noted a small lump on her right breast that was not painful. She visited the nearest hospital where she was referred to Kamuzu Central Hospital (KCH) for further assessments. At KCH, different tests were done, and a diagnosis of invasive ductal carcinoma was made followed by four cycles of neo-adjuvant therapy during September 2023. Sabina was later scheduled for surgery that same month, but unfortunately she did not report back since her last child was sick and admitted to the hospital for malaria. On January 16th this year, Sabina went back to KCH where she was referred to our medical partner’s care center PIH for a modified radical mastectomy. Of late, Sabina has been experiencing needle pricking pains that are becoming unbearable without pain-relieving medications plus backache, weakness, and leg & chest pains affecting her farm work plus household chores.
Sabina believes the surgical operation will help her get back to her normal condition and for her to continue taking care of her children and resume her farm work. Sabina said, “It is better to remain with one breast than have two with problems, I will move on with one breast.”