Facing breast cancer together: the power of early detection and community support
Every year, more than 1 500 women in the Western Cape are diagnosed with breast cancer, which remains the most common cancer among women in South Africa, with survival rates heavily dependent on early diagnosis.
Yet, many women are still being diagnosed at advanced stages, often due to fear, stigma, or limited access to timely screening.
As October marks Breast Cancer Awareness Month, this year’s national theme, “No One Should Face Breast Cancer Alone,” highlights the urgent need for early detection, support, and coordinated care to save lives.
“Early detection and treatment are the cornerstones of effective breast cancer care,” explained Dr Sharon Čačala, Head of Breast and Endocrine Surgery at Tygerberg Hospital.
“Partnerships between primary care and hospital services help us identify patients sooner, personalise treatment, and improve survival rates. Multi-disciplinary teamwork ensures no patient falls through the cracks.”
Primary health care clinics serve as the first line of defence, assessing and identifying warning signs before referring patients to hospitals for diagnosis and management.
The Western Cape’s health system has developed an integrated ecosystem of care, connecting clinics, regional hospitals, and tertiary facilities such as Tygerberg and Groote Schuur Hospitals.
Each week, virtual multidisciplinary meetings bring together surgeons, oncologists, pathologists, radiologists, genetic counsellors, and doctors to discuss patient cases. This collaborative approach ensures that every treatment plan is tailor-made recognising that breast cancer is not one single disease, but many, each requiring a unique approach.
Most patients will undergo surgery, while others may also need chemotherapy, radiotherapy, or endocrine treatment, depending on the specific characteristics of their cancer.
The aim is to provide person-centred, evidence-based care that gives every patient the best chance of survival and recovery.
Supporting this system are partnerships with community organisations such as Reach for Recovery, Project Flamingo, and Pink Lady Apples at Tygerberg Hospital. These groups provide emotional and practical support, from counselling and peer mentoring to facilitating screenings and awareness campaigns.
For 63-year-old Kulsum Abrahams from Parow, early intervention and strong support networks made all the difference. Diagnosed in 2014 after experiencing pain in her left breast, she underwent surgery and chemotherapy at Tygerberg Hospital and has now been in remission for 10 years.
“Don’t be afraid to ask for help. Know your body. Do self-exams regularly. Live a healthy lifestyle,” she said.
She volunteers with Reach for Recovery, offering guidance to other patients navigating their breast cancer journeys. She praised the Tygerberg staff: “They are wonderful; you can ask them anything, and they’re always ready to assist.”
Health professionals continue to urge women to take charge of their breast health to speak out, perform regular self-examinations, and seek help early if they notice any changes.
Women can access free breast screenings and referrals at their nearest primary health care clinic or community health centre.
Additional support:
* Reach for Recovery (SA) – Counselling and peer support
* Project Flamingo – Screenings and awareness initiatives
* National Cancer Helpline – 0800 22 66 22 or cansa.org.za
tracy-lynn.ruiters@inl.co.za