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During the 12th Breast, Gynecological &amp; Immuno\u2010oncology International Cancer Conference \u2010 Egypt 2020, 26 experts from 7 countries worldwide voted to establish the first consensus for BC awareness, early detection and risk reduction in LMICs\/MENA region. The panel advised that there is an extreme necessity for a well\u2010developed BC data registries and prospective clinical studies that address alternative modalities\/modified BC screening programs in areas of limited resources. The most important recommendations of the panel were: (a) BC awareness campaigns should be promoted to public and all adult age groups; (b) early detection programs should combine geographically distributed mammographic facilities with clinical breast examination (CBE); (c) breast awareness should be encouraged; and (d) intensive surveillance and chemoprevention strategies should be fostered for high\u2010risk women. The panel defined some areas for future clinical research, which included the role of CBE and breast self\u2010examination as an alternative to radiological screening in areas of limited resources, the interval and methodology of BC surveillance in women with increased risk of BC and the use of low dose tamoxifen in BC risk reduction. In LMICs\/MENA region, BC awareness and early detection campaigns should take into consideration the specific disease criteria and the socioeconomic status of the target population. The statements with no consensus reached should serve as potential catalyst for future clinical research.<\/jats:p>","DOI":"10.1002\/ijc.33506","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T18:15:29Z","timestamp":1612980929000},"page":"505-513","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["The first <scp>BGICC<\/scp> consensus and recommendations for breast cancer awareness, early detection and risk reduction in low\u2010 and middle\u2010income countries and the <scp>MENA<\/scp> region"],"prefix":"10.1002","volume":"149","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9327-286X","authenticated-orcid":false,"given":"Hesham","family":"Elghazaly","sequence":"first","affiliation":[{"name":"Clinical Oncology Department Ain shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel T.","family":"Aref","sequence":"additional","affiliation":[{"name":"School of Public health University of Adelaide  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin O.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Breast Health Global Initiative, Fred Hutchinson Cancer Research Center University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banu","family":"Arun","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng\u2010Har","family":"Yip","sequence":"additional","affiliation":[{"name":"Subang Jaya Medical Centre University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hany","family":"Abdelaziz","sequence":"additional","affiliation":[{"name":"Clinical Oncology Department Ain shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwan","family":"Ghosn","sequence":"additional","affiliation":[{"name":"Hematology and Oncology Department Saint Joseph University  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meteb","family":"Al\u2010Foheidi","sequence":"additional","affiliation":[{"name":"Princess Noorah Oncology Center\/College of Medicine King Abdulaziz Medical City  Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilda","family":"Cardenosa","sequence":"additional","affiliation":[{"name":"Wake Forest Baptist Medical Center  Winston Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica W. 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