AB224. SOH26AB_0319. The impact of the Ukrainian war on the symptomatic breast unit in the west of Ireland

Background: The Russian invasion of Ukraine created a large displacement crisis in Europe. Since the onset of the war in Ukraine, Ireland has welcomed over 115,000 refugees. University Hospital Galway has experienced a noticeable increase in healthcare presentations, including within the symptomatic breast unit (SBU). This study aimed to assess the impact of Ukrainian arrivals on service delivery to an SBU in the West.

Methods: A retrospective cohort review was undertaken using hospital records to identify Ukrainian nationals referred to the SBU between March 2022 and August 2025. All new attendances were screened for country of birth (Ukraine) or nationality (Ukrainian), or if they required a Ukrainian translator. Data extracted included demographics, imaging modality use, biopsy rates, histopathological results, and surgical intervention rates. Descriptive statistics were calculated using Microsoft Excel and Jamovi software.

Results: Of 20,571 presentations to SBU, Ukrainian patients made up 363 (1.8%). Imaging performed: 81% underwent mammography, 54 for ultrasound. Further, 16% patients had a biopsy and discussion at the multidisciplinary team (MDT). There were 35 patients who underwent surgery, with two awaiting at the time of data collection. Twenty-two wide local excisions, one re-excision, six mastectomies, and six benign excisions. Perioperative planning issues: Interpreter dependence was high; delays occurred in clinic and theatre when interpreters were unavailable. There were 82 consultations with an interpreter, and 22 consultations were rescheduled due to the lack of interpreter.

Conclusions: Ukrainian refugees accounted for a small but significant proportion of SBU activity. Cancer detection rates were similar to Irish averages, but language and logistical pressures demonstrate barriers to care. Dedicated interpreter provision and pathway navigation should be integral to future service planning for displaced populations.

Keywords: Ukrainian; breast cancer; interpreter; services; delays