Main Article Content
Abstract
Background: Breast cancer is the leading cause of cancer-related deaths among women, particularly in low- and middle-income countries. Future doctors who are key players in prevention and health education must be adequately trained in this pathology. This study aimed to assess the views of final-year medical students in Guinea about breast cancer.
Methodology: This descriptive cross-sectional study was conducted at a referral university hospital using a self-administered questionnaire containing items on students’ knowledge, attitudes, and perceptions.
Results: Among the 400 students included, 82.7% had poor knowledge, and 75.0% supported promoting breast self-examination. Knowledge varied significantly by study level (p < 0.001): 75.8% of sixth-year students had poor knowledge, compared with 90.5% of seventh-year students. Finally, 8.0% believed it was the result of a curse, 4.0% directly associated it with death, and 1.0% considered it divine punishment.
Conclusion: Graduating medical students in Guinea lack essential knowledge about breast cancer. These findings emphasize the need to improve breast cancer education during medical training in Guinea.
Keywords
Article Details
Copyright (c) 2025 Ibrahima Kalil Condé, Kalil Cissé, Malick Bah, Mamady Keïta, Petiori Laurence Touré, Saran Camara, Bangaly Traoré

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
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- Amgad, M., Shash, E., & Gaafar, R. (2012). Cancer education for medical students in developing countries: Where do we stand and how to improve? Critical Reviews in Oncology/Hematology, 84(1), 122‑129. https://doi.org/10.1016/j.critrevonc.2012.01.003
- Bray, F., Parkin, D. M., Gnangnon, F., Tshisimogo, G., Peko, J.-F., Adoubi, I., Assefa, M., Bojang, L., Awuah, B., Koulibaly, M., Buziba, N., Korir, A., Dzamalala, C., Kamate, B., Manraj, S., Ferro, J., Lorenzoni, C., Hansen, R., Nouhou, H., … Chingonzoh, T. (2022). Cancer in sub-Saharan Africa in 2020: A review of current estimates of the national burden, data gaps, and future needs. The Lancet Oncology, 23(6), 719‑728. https://doi.org/10.1016/S1470-2045(22)00270-4
- Christensen, A. I., Ekholm, O., Glümer, C., & Juel, K. (2014). Effect of survey mode on response patterns: Comparison of face-to-face and self-administered modes in health surveys. European Journal of Public Health, 24(2), 327‑332. https://doi.org/10.1093/eurpub/ckt067
- Ezeome, E. R., Yawe, K.-D. T., Ayandipo, O., Badejo, O., Adebamowo, S. N., Achusi, B., Fowotade, A., Ogun, G., & Adebamowo, C. A. (2022). The African Female Breast Cancer Epidemiology Study Protocol. Frontiers in Oncology, 12, 856182. https://doi.org/10.3389/fonc.2022.856182
- Faria, E. H., Kim, D., Sisconetto, R. M., Cucio, V. F. M., dos Reis Ferreira, P. P. G., Alves, B. S. R., Mendonça, Í. M. M., Oliveira, M. R., Vicente, A. L. B., Alves, J. C., & Abdalla, D. R. (2021). Analysis of Knowledge About Male Breast Cancer Among Higher Education Male Students. European Journal of Breast Health, 17(4), 333‑340. https://doi.org/10.4274/ejbh.galenos.2021.2021-4-6
- Ferlay, J., Ervik, M., Lam, F., Laversanne, M., Colombet, M., Mery, L., Piñeros, M., Znaor, A., Soerjomataram, I., & Bray, F. (2024). Global Cancer Observatory: Cancer Today. https://gco.iarc.who.int/today/en
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- Ismail, H., Shibani, M., Zahrawi, H. W., Slitin, A. F., Alzabibi, M. A., Mohsen, F., Armashi, H., Bakr, A., Turkmani, K., & Sawaf, B. (2021). Knowledge of breast cancer among medical students in Syrian Private University, Syria: A cross-sectional study. BMC Medical Education, 21(1), 251. https://doi.org/10.1186/s12909-021-02673-0
- Joy, N., D’Souza, C., & D’Souza, C. R. S. (2018). Breast cancer awareness among undergraduate medical students in a tertiary healthcare centre in Mangalore, India. International Surgery Journal, 5(12), 3842‑3846. https://doi.org/10.18203/2349-2902.isj20184707
- Katsura, C., Ogunmwonyi, I., Kankam, H. K., & Saha, S. (2022). Breast cancer: Presentation, investigation and management. British Journal of Hospital Medicine, 83(2), 1‑7. https://doi.org/10.12968/hmed.2021.0459
- Khanna, D., Sharma, P., Budukh, A., & Khanna, A. K. (2024). Clinical breast examination: A screening tool for lower- and middle-income countries. Asia-Pacific Journal of Clinical Oncology, 20(6), 690‑699. https://doi.org/10.1111/ajco.14126
- Kim, J., Macharia, P. M., McCormack, V., Foerster, M., Galukande, M., Joffe, M., Cubasch, H., Zietsman, A., Anele, A., Offiah, S., Parham, G., Pinder, L. F., Anderson, B. O., Schüz, J., dos Santos-Silva, I., & Togawa, K. (2024). Geospatial disparities in survival of patients with breast cancer in sub-Saharan Africa from the African Breast Cancer-Disparities in Outcomes cohort (ABC-DO): A prospective cohort study. The Lancet. Global Health, 12(7), e1111‑e1119. https://doi.org/10.1016/S2214-109X(24)00138-4
- Meyer, V. M., Benjamens, S., Moumni, M. E., Lange, J. F. M., & Pol, R. A. (2022). Global Overview of Response Rates in Patient and Health Care Professional Surveys in Surgery: A Systematic Review. Annals of Surgery, 275(1), e75‑e81. https://doi.org/10.1097/SLA.0000000000004078
- Miskeen, E., & Al-Shahrani, A. M. (2023). Breast Cancer Awareness Among Medical Students, University of Bisha, Saudi Arabia. Breast Cancer: Targets and Therapy, 15, 271‑279. https://doi.org/10.2147/BCTT.S403803
- Moncaliano, M. C., Mahadevan, A., Liu, J. C., Naik, I., & Pateva, I. (2023). A Virtual Curriculum to Increase Exposure to Oncologic Subspecialties for Undergraduate Medical Students. Journal of Cancer Education, 38(3), 985‑990. https://doi.org/10.1007/s13187-022-02220-5
- Osei-Afriyie, S., Addae, A. K., Oppong, S., Amu, H., Ampofo, E., & Osei, E. (2021). Breast cancer awareness, risk factors and screening practices among future health professionals in Ghana: A cross-sectional study. PLoS ONE, 16(6), e0253373. https://doi.org/10.1371/journal.pone.0253373
- Qasim, S., Tayyab, H., Zulqadar, K., Masood, S., Qasim, T. B., & Zubair, Z. (2020). Breast Cancer knowledge and perceived barriers to help seeking among pre-clinical and clinical female medical students of King Edward Medical University, Lahore: A cross-sectional study. BMC Medical Education, 20, 222. https://doi.org/10.1186/s12909-020-02132-2
- Rallis, K. S., Wozniak, A., Hui, S., Stammer, A., Cinar, C., Sun, M., Fulton-Ward, T., Clarke, A. A., Papagrigoriadis, S., Papalois, A., & Sideris, M. Ch. (2022). Mentoring Medical Students Towards Oncology: Results from a Pilot Multi-institutional Mentorship Programme. Journal of Cancer Education, 37(4), 1053‑1065. https://doi.org/10.1007/s13187-020-01919-7
- Rezano, A., Utama, M. S., Wiraswati, H. L., Ekawardhani, S., Adha, M. J., Patahuddin, N. M., Siagian, V. O., Shamantri, S. S. N. S., Pratama, E. I. G. B., Lutfunnisa, L. A., Wiryasa, A., & Herman, H. W. (2022). Knowledge Level towards Breast Cancer and Breast Self-Examination among Medical Students of Indonesia. Global Medical & Health Communication (GMHC), 10(1), Article 1. https://doi.org/10.29313/gmhc.v10i1.8942
- Sama, C.-B., Dzekem, B., Kehbila, J., Ekabe, C. J., Vofo, B., Abua, N. L., Dingana, T. N., & III, F. A. (2017). Awareness of breast cancer and breast self-examination among female undergraduate students in a higher teachers training college in Cameroon. Pan African Medical Journal, 28. https://doi.org/10.11604/pamj.2017.28.91.1098
- Sarker, R., Islam, Md. S., Moonajilin, Mst. S., Rahman, M., Gesesew, H. A., & Ward, P. R. (2022). Effectiveness of educational intervention on breast cancer knowledge and breast self-examination among female university students in Bangladesh: A pre-post quasi-experimental study. BMC Cancer, 22, 199. https://doi.org/10.1186/s12885-022-09311-y
- Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209‑249. https://doi.org/10.3322/caac.21660
- Tomic, M., Vescan, M.-L., & Ungureanu, M.-I. (2023). Exploring female medical students’ knowledge, attitudes, practices, and perceptions related to breast cancer screening: A scoping review. Journal of Medicine and Life, 16(12), 1732‑1739. https://doi.org/10.25122/jml-2023-0412
- Traoré, B., Keita, M., Diane, S., Dankoro, A., Kabba, I. S., & Keita, N. (2012). Clinicopathological study of breast diseases presenting to the surgical oncology unit of Donka University Hospital in Conakry, Guinea. West African Journal of Medicine, 31(4), 227‑231.
- Wondmu, K. S., Tessema, M. T., Degu, G., Mihiret, G. T., & Sinshaw, M. T. (2022). Effect of breast cancer education based on the health belief model on knowledge, health belief, and breast self-examination among female students of Debre Markos University, Northwest Ethiopia, in 2021. Frontiers in Oncology, 12, 1034183. https://doi.org/10.3389/fonc.2022.1034183
References
Alsareii, S. A., Alqahtani, S. M., Alamri, A. M., Al-Wadei, H. H., Al-Ammari, S. A., Al-Qahtani, A. M., & Abu-Zaid, A. (2020). Awareness of Breast Cancer among Female Students and Faculty from Najran University, Najran, Saudi Arabia. Asian Pacific Journal of Cancer Prevention: APJCP, 21(5), 1415‑1422. https://doi.org/10.31557/APJCP.2020.21.5.1415
Amgad, M., Shash, E., & Gaafar, R. (2012). Cancer education for medical students in developing countries: Where do we stand and how to improve? Critical Reviews in Oncology/Hematology, 84(1), 122‑129. https://doi.org/10.1016/j.critrevonc.2012.01.003
Bray, F., Parkin, D. M., Gnangnon, F., Tshisimogo, G., Peko, J.-F., Adoubi, I., Assefa, M., Bojang, L., Awuah, B., Koulibaly, M., Buziba, N., Korir, A., Dzamalala, C., Kamate, B., Manraj, S., Ferro, J., Lorenzoni, C., Hansen, R., Nouhou, H., … Chingonzoh, T. (2022). Cancer in sub-Saharan Africa in 2020: A review of current estimates of the national burden, data gaps, and future needs. The Lancet Oncology, 23(6), 719‑728. https://doi.org/10.1016/S1470-2045(22)00270-4
Christensen, A. I., Ekholm, O., Glümer, C., & Juel, K. (2014). Effect of survey mode on response patterns: Comparison of face-to-face and self-administered modes in health surveys. European Journal of Public Health, 24(2), 327‑332. https://doi.org/10.1093/eurpub/ckt067
Ezeome, E. R., Yawe, K.-D. T., Ayandipo, O., Badejo, O., Adebamowo, S. N., Achusi, B., Fowotade, A., Ogun, G., & Adebamowo, C. A. (2022). The African Female Breast Cancer Epidemiology Study Protocol. Frontiers in Oncology, 12, 856182. https://doi.org/10.3389/fonc.2022.856182
Faria, E. H., Kim, D., Sisconetto, R. M., Cucio, V. F. M., dos Reis Ferreira, P. P. G., Alves, B. S. R., Mendonça, Í. M. M., Oliveira, M. R., Vicente, A. L. B., Alves, J. C., & Abdalla, D. R. (2021). Analysis of Knowledge About Male Breast Cancer Among Higher Education Male Students. European Journal of Breast Health, 17(4), 333‑340. https://doi.org/10.4274/ejbh.galenos.2021.2021-4-6
Ferlay, J., Ervik, M., Lam, F., Laversanne, M., Colombet, M., Mery, L., Piñeros, M., Znaor, A., Soerjomataram, I., & Bray, F. (2024). Global Cancer Observatory: Cancer Today. https://gco.iarc.who.int/today/en
Gul, P., Mansoor, M., Gul, P., & Arshad, Z. (2020). Breast cancer knowledge and perception among healthcare professionals and senior medical students at Bolan Medical Complex Hospital Quetta, Pakistan. JPMA. The Journal of the Pakistan Medical Association, 70(12(B)), 2432‑2436. https://doi.org/10.47391/JPMA.323
Islam, M. A., AlShayban, D. M., Nisa, Z.-u., Al-Hawaj, G. A. M., Al-Eid, G. H. A., Alenazi, A. M. M., Malik, Z., Maqsood, M. B., Ishaqui, A. A., Akbar, Z., Iqbal, M. S., Hossain, M. A., Alnuhait, M., & Haseeb, A. (2022). What Is the Current State of Awareness, Knowledge, and Attitudes Toward Breast Cancer? A Cross-Sectional Survey Among Health and Non-health College Students. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.838579
Ismail, H., Shibani, M., Zahrawi, H. W., Slitin, A. F., Alzabibi, M. A., Mohsen, F., Armashi, H., Bakr, A., Turkmani, K., & Sawaf, B. (2021). Knowledge of breast cancer among medical students in Syrian Private University, Syria: A cross-sectional study. BMC Medical Education, 21(1), 251. https://doi.org/10.1186/s12909-021-02673-0
Joy, N., D’Souza, C., & D’Souza, C. R. S. (2018). Breast cancer awareness among undergraduate medical students in a tertiary healthcare centre in Mangalore, India. International Surgery Journal, 5(12), 3842‑3846. https://doi.org/10.18203/2349-2902.isj20184707
Katsura, C., Ogunmwonyi, I., Kankam, H. K., & Saha, S. (2022). Breast cancer: Presentation, investigation and management. British Journal of Hospital Medicine, 83(2), 1‑7. https://doi.org/10.12968/hmed.2021.0459
Khanna, D., Sharma, P., Budukh, A., & Khanna, A. K. (2024). Clinical breast examination: A screening tool for lower- and middle-income countries. Asia-Pacific Journal of Clinical Oncology, 20(6), 690‑699. https://doi.org/10.1111/ajco.14126
Kim, J., Macharia, P. M., McCormack, V., Foerster, M., Galukande, M., Joffe, M., Cubasch, H., Zietsman, A., Anele, A., Offiah, S., Parham, G., Pinder, L. F., Anderson, B. O., Schüz, J., dos Santos-Silva, I., & Togawa, K. (2024). Geospatial disparities in survival of patients with breast cancer in sub-Saharan Africa from the African Breast Cancer-Disparities in Outcomes cohort (ABC-DO): A prospective cohort study. The Lancet. Global Health, 12(7), e1111‑e1119. https://doi.org/10.1016/S2214-109X(24)00138-4
Meyer, V. M., Benjamens, S., Moumni, M. E., Lange, J. F. M., & Pol, R. A. (2022). Global Overview of Response Rates in Patient and Health Care Professional Surveys in Surgery: A Systematic Review. Annals of Surgery, 275(1), e75‑e81. https://doi.org/10.1097/SLA.0000000000004078
Miskeen, E., & Al-Shahrani, A. M. (2023). Breast Cancer Awareness Among Medical Students, University of Bisha, Saudi Arabia. Breast Cancer: Targets and Therapy, 15, 271‑279. https://doi.org/10.2147/BCTT.S403803
Moncaliano, M. C., Mahadevan, A., Liu, J. C., Naik, I., & Pateva, I. (2023). A Virtual Curriculum to Increase Exposure to Oncologic Subspecialties for Undergraduate Medical Students. Journal of Cancer Education, 38(3), 985‑990. https://doi.org/10.1007/s13187-022-02220-5
Osei-Afriyie, S., Addae, A. K., Oppong, S., Amu, H., Ampofo, E., & Osei, E. (2021). Breast cancer awareness, risk factors and screening practices among future health professionals in Ghana: A cross-sectional study. PLoS ONE, 16(6), e0253373. https://doi.org/10.1371/journal.pone.0253373
Qasim, S., Tayyab, H., Zulqadar, K., Masood, S., Qasim, T. B., & Zubair, Z. (2020). Breast Cancer knowledge and perceived barriers to help seeking among pre-clinical and clinical female medical students of King Edward Medical University, Lahore: A cross-sectional study. BMC Medical Education, 20, 222. https://doi.org/10.1186/s12909-020-02132-2
Rallis, K. S., Wozniak, A., Hui, S., Stammer, A., Cinar, C., Sun, M., Fulton-Ward, T., Clarke, A. A., Papagrigoriadis, S., Papalois, A., & Sideris, M. Ch. (2022). Mentoring Medical Students Towards Oncology: Results from a Pilot Multi-institutional Mentorship Programme. Journal of Cancer Education, 37(4), 1053‑1065. https://doi.org/10.1007/s13187-020-01919-7
Rezano, A., Utama, M. S., Wiraswati, H. L., Ekawardhani, S., Adha, M. J., Patahuddin, N. M., Siagian, V. O., Shamantri, S. S. N. S., Pratama, E. I. G. B., Lutfunnisa, L. A., Wiryasa, A., & Herman, H. W. (2022). Knowledge Level towards Breast Cancer and Breast Self-Examination among Medical Students of Indonesia. Global Medical & Health Communication (GMHC), 10(1), Article 1. https://doi.org/10.29313/gmhc.v10i1.8942
Sama, C.-B., Dzekem, B., Kehbila, J., Ekabe, C. J., Vofo, B., Abua, N. L., Dingana, T. N., & III, F. A. (2017). Awareness of breast cancer and breast self-examination among female undergraduate students in a higher teachers training college in Cameroon. Pan African Medical Journal, 28. https://doi.org/10.11604/pamj.2017.28.91.1098
Sarker, R., Islam, Md. S., Moonajilin, Mst. S., Rahman, M., Gesesew, H. A., & Ward, P. R. (2022). Effectiveness of educational intervention on breast cancer knowledge and breast self-examination among female university students in Bangladesh: A pre-post quasi-experimental study. BMC Cancer, 22, 199. https://doi.org/10.1186/s12885-022-09311-y
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209‑249. https://doi.org/10.3322/caac.21660
Tomic, M., Vescan, M.-L., & Ungureanu, M.-I. (2023). Exploring female medical students’ knowledge, attitudes, practices, and perceptions related to breast cancer screening: A scoping review. Journal of Medicine and Life, 16(12), 1732‑1739. https://doi.org/10.25122/jml-2023-0412
Traoré, B., Keita, M., Diane, S., Dankoro, A., Kabba, I. S., & Keita, N. (2012). Clinicopathological study of breast diseases presenting to the surgical oncology unit of Donka University Hospital in Conakry, Guinea. West African Journal of Medicine, 31(4), 227‑231.
Wondmu, K. S., Tessema, M. T., Degu, G., Mihiret, G. T., & Sinshaw, M. T. (2022). Effect of breast cancer education based on the health belief model on knowledge, health belief, and breast self-examination among female students of Debre Markos University, Northwest Ethiopia, in 2021. Frontiers in Oncology, 12, 1034183. https://doi.org/10.3389/fonc.2022.1034183
