4.1 Article

Social taboos: a formidable challenge in cancer care

Journal

BMJ CASE REPORTS
Volume 14, Issue 1, Pages -

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/bcr-2020-236095

Keywords

surgical oncology; head and neck cancer

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Taboo surrounding cancer persists as a stubborn issue in South Asian countries, leading to disparities in cancer care due to varying cultural influences. This case report highlights the impact of social taboos on cancer care and the financial challenges faced by low to medium-income groups in accessing optimal treatment. Approaches to address misconceptions and potential measures to debunk myths have also been discussed.
Taboo surrounding cancer has continued to be a stubborn and refractory public health issue especially in South Asian countries. Disparities in cancer care remain ubiquitous. Differences in the manner in which cancer is perceived, addressed, and treated might partly be a result of varying cultural influences. This case report highlights the clinical course of a female patient with neurofibromatosis who later developed a large facial malignant peripheral nerve sheath tumour. The case particularly addresses the catastrophic impact of the 'cancer-related social taboos' on various dimensions of cancer care ranging from primary and secondary prevention to definitive management. The financial issues in low-income to medium-income groups as potential deterrents to optimum treatment have also been highlighted. Approach to the common challenges faced by an oncologist practising in a society plagued by misconceptions about health and disease and potential remedial measures to debunk these myths have also been discussed.

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