RESUMO
In this retrospective study prostate biopsy data from the three divisional hospitals in Fiji was reviewed to determine the rate of prostate cancer in the period 2001 – 2010. In addition key hospital staff members were interviewed to gain an understanding of the support services available to those diagnosed with cancer. A total of 455 prostate biopsies of patients in the age group 45 to 70+ years were done over the 10 year period. The results of 133 (29%) were positive. No statistically significant increase or decrease in prostate cancer (CaP) positive biopsies was observed over the study period. Although 80% of the samples were from the 60 years age group, the proportion of positive samples in each age group was not significantly different. Of 116 biopsies graded, 59% had a Gleason score of 7 or higher. The interviews with medical staff indicated that support was primarily surgical and clinical care. A number of areas of deficiency were perceived by staff including lack of support groups and counseling services, geographical and financial factors affecting access to clinics and medications and the need for improved staff training. Data obtained in this retrospective study indicated that those diagnosed with prostate cancer in Fiji are typically older, have a poor prognosis and that there is an opportunity for providing improved support services for patients.