D HENDESSI - CBUL - France ,NYCOM in U.S.A
MD Radiologist - CBUL - France ,NYCOM in U.S.A

Breast cancer survival rates vary greatly worldwide, ranging from 80% or over in North America, Sweden and Japan to around 60% in middle-income countries and below 40% in low-income countries (Coleman et al., 2008). The low survival rates in less developed countries can be explained mainly by the lack of early detection programmes, resulting in a high proportion of women presenting with late-stage disease, as well as by the lack of adequate diagnosis and treatment facilities. Key message: Breast cancer: prevention and control: Breast cancer control: WHO Comprehensive cancer control involves prevention, early detection, diagnosis and treatment, rehabilitation and palliative care. Raising general public awareness on the breast cancer problem and the mechanisms to control as well as advocating for appropriate policies and programmes are key strategies of population-based breast cancer control. Prevention : Control of specific modifiable breast cancer risk factors as well as effective integrated prevention of non-communicable diseases which promoteshealthy diet, physical activity and control of alcohol intake, overweight and obesity, could eventually have an impact in reducing the incidence of breast cancer in the long term. Early detection: Although some risk reduction might be achieved with prevention, these strategies cannot eliminate the majority of breast cancers that develop in low- and middle-income countries. Therefore, early detection in order to improve breast cancer outcome and survival remains the cornerstone of breast cancer control (Anderson et al., 2008). There are two early detection methods: Early diagnosis or awareness of early signs and symptoms in symptomatic populations in order to facilitate diagnosis and early treatment, and screening: It aims to identify individuals with an abnormality suggestive of cancer and that is the systematic application of a screening test in a presumably asymptomatic population, Which is far more complex undertaking that comparing to an early diagnosis programme. (WHO, 2007).