‘Longer we wait, worse it gets’: Struggle of Gaza’s breast cancer patients

Deir el-Balah, Gaza Strip – Hiba Musbah has already been through seven rounds of chemotherapy for the breast cancer that is plaguing her body.

Key points

• Sabreen al-Buhaisi, who supervises Hekr al-Jameh's primary healthcare services, remarked the centre had screened between 700 and 800 women during the campaign.
• Musbah first noticed lumps around her right breast in January 2024, a few months after the beginning of Israel's genocidal war on Gaza.
• October is the global Breast Cancer Awareness Month – additionally known as Pink October.
• But the 36-year-old mother of three, from eastern Deir el-Balah, notes her condition has continued to deteriorate as she waits to travel outside Gaza for further treatment.
• A private hospital has a scanner, she remarked, but the examination costs concerning 150 shekels ($48).

"I can no longer take care of my children as I applied to. My son is the one who helps me, " she informed Al Jazeera. Her husband Motaz, who has a heart condition, has had to take on more responsibility as her health has worsened, caring for their three children – Mohammed, 13, Jaber, 10, and Ahmad, eight.

Musbah first noticed lumps around her right breast in January 2024, a few months after the beginning of Israel's genocidal war on Gaza. At the time, she initially ignored them since she was displaced and the war was intensifying. Her mother eventually insisted that she seek medical attention.

Doctors confirmed it was cancer, but despite needing urgent surgery, it took two months for Musbah to be operated on, with the delay caused by Israeli military attacks around the Nasser Hospital in Khan Younis, where she was being treated.

"The situation was difficult, with the bombardment and the tanks, " she remarked. "I delayed the operation since of the war. The last time, I almost died from tank fire, so I postponed the operation."

Her chemotherapy was initially additionally delayed for seven months as medicines were unavailable at Nasser Hospital.

Musbah's experience reflects the reality facing hundreds of women with breast cancer in Gaza, where Israel's war and blockade have severely weakened the health system's ability to diagnose and treat the disease.

Shortages of medicines and medical equipment, broken diagnostic machines, the absence of radiotherapy and difficulties leaving the Gaza Strip for specialised care have turned the fight against cancer into another struggle against the backdrop of Gaza's deepening health and humanitarian crisis. Surgery, chemotherapy and the cost of waiting.

Meanwhile, the lack of access to diagnostic equipment is now another source of anxiety for Musbah. She explains that she needs a new computerised tomography (CT) scan to assess how her condition has progressed, but has been unable to obtain one since the equipment is unavailable at public hospitals.

In practice, a private hospital has a scanner, she remarked, but the examination costs concerning 150 shekels ($48). It she cannot afford. The waiting time for an appointment can additionally exceed three months.

"I am now suffering from pain in my back and leg, and I have not had a scan for three months because the equipment is unavailable, " she remarked. "My doctor told me he was concerned that the disease might have spread through my body, but I still do not know."

As well as damage to her hair and nails during treatment, musbah now struggles to walk and move one of her arms, and experiences pain in her shoulder, legs and eyes.

"If I had received treatment early, things would not have reached this point. My condition has become much more tough as my treatment was delayed, " she noted. "Cancer patients also need good food, fruit, meat, fresh produce, but we cannot afford everything we need."

According to Musbah, she has been waiting for around two years to leave Gaza for treatment after receiving a medical referral. But Israel, which controls all entry and exit from Gaza, has yet to offer her security approval to travel.

"I want to travel, receive treatment and get better, " Musbah remarked. "I want to regain my health and return to the way I was before."

According to Gaza's Ministry of Health, the Gaza Strip recorded regarding 360 new breast cancer cases annually before the war, compared with 250 in 2024 and around 260 in 2025.

For context, the ministry has cautioned that these figures may not reflect the true number of cases as screening and early-diagnosis services have largely collapsed, potentially leaving hundreds of patients undiagnosed.

In an official note on October 1, the ministry remarked repeated breakdowns of mammography machines and shortages of laboratory supplies had severely restricted early detection in Gaza. While radiotherapy was completely unavailable, chemotherapy, hormonal and targeted therapies were additionally unavailable or critically scarce.

Notably, the ministry remarked surgery for advanced tumours had additionally been halted since of a lack of specialised medical capabilities.

For context, the shortage of diagnostic equipment adds another obstacle for women who suspect they may have cancer.

Dr Iman al-Haj Ahmad, an obstetrician and gynaecologist at Hikmat al-Jamei Health Centre in Deir el-Balah, understands these barriers both as a doctor helping women seek diagnosis and as a breast cancer patient herself, having been diagnosed in May 2025.

"I had to search until I found a place where I could get a mammogram, " al-Haj Ahmad remarked. "I kept thinking regarding ordinary women who don't have the medical knowledge or connections that I have. If it was this tough for me, how much harder must it be for them?"

Before the war, women could seek an initial examination at a primary healthcare centre and be referred to hospitals for mammography, ultrasound scans, and further tests.

Now, al-Haj Ahmad remarked, imaging services are limited, some cancer specialists have left Gaza, and tests needed to confirm a diagnosis are not always available through public health services. Some patients have to pay privately.

Al-Haj Ahmad waited regarding a month for surgery, eventually undergoing the operation at Nasser Hospital with a visiting Jordanian medical team while the hospital was operating under dangerous conditions.

Chemotherapy and severe food shortages afterwards took a heavy toll on al-Haj Ahmad's health. She remarked she lost concerning 20kg (44lb), her immune system weakened significantly, and doctors had to pause chemotherapy temporarily.

Al-Haj Ahmad is now receiving hormonal treatment while waiting to travel abroad for radiotherapy. Her referral for treatment abroad had been pending since September 2025.

Despite her own illness, she continues to examine women and refer suspected cases to the surgery department at Al-Aqsa Hospital. She additionally encourages women with a family history of breast cancer to be especially attentive to changes in their breasts.

"Early detection is especially important in Gaza because treatment options are so limited, " she remarked.

Although Israeli attacks continue, bringing the death toll from the war up to more than 74, 400 Palestinians, it has been a year since the "ceasefire" began in Gaza.

October is the global Breast Cancer Awareness Month – additionally known as Pink October. Health workers in Gaza are participating in the international initiative, with staff at Hekr al-Jameh Health Centre in Deir el-Balah trying to reach women through healthcare visits and targeted awareness sessions.

It's part of a Pink October campaign they've called "pink blooms from among the rubble". It teaches women regarding breast cancer, demonstrates breast self-examination, and offers psychological backing to those affected by the disease.

Sabreen al-Buhaisi, who supervises Hekr al-Jameh's primary healthcare services, remarked the centre had screened between 700 and 800 women during the campaign. Seven or eight cases were referred to hospital surgical departments for further assessment.

But identifying women who may have cancer is only the first step. Al-Buhaisi remarked free mammography was available at a limited number of hospitals, where women face long waits for appointments. Private screening is too expensive for plenty of families.

"The financial cost is particularly high for women. Our individuals cannot afford these expenses, " she stated.

Still, al-Buhaisi pressed women to continue examining their breasts despite the challenging circumstances the vast majority live in.

"Even displacement and living in the camps should not stop you from examining yourself, " she remarked. "Take five minutes of your time. It can create a sizeable difference in your treatment journey." Against the backdrop of these hardships, Musbah continues her fight against time.

She notes she has repeatedly followed up on the travel arrangements, but remains unable to leave, with no clear explanation for the delay.

For context, the evacuation process is coordinated between the World Health Organization and Gaza's Ministry of Health, but they have to then submit patients' files to Israel for security screening and approval.

In short, 'Longer we wait, worse it gets': Struggle of Gaza's breast cancer patients is the central thread here, and readers can expect follow-up reporting as the picture becomes clearer.