DEAR SOMEONE ELSE’S MOM: Even though she was putting a brave face on, I could hear the fear in my granddaughter’s voice when she called to tell me she had just been diagnosed with stage 2 breast cancer. Fortunately it was caught early enough to save her life, but it still means a double mastectomy and further treatments to make sure they get everything and to try and keep it from returning.
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When I heard all this I was shocked. I am so grateful my granddaughter did not go with what her primary care doctor said about the tiny lump she felt and just waited to see what it would do. She is only 28 and her doctor told her she doubted it was anything to worry about. Still, my granddaughter insisted on getting a mammogram, which led to a biopsy, and then right away to a specialist.
I am angry this happened to our beautiful granddaughter, and I am furious at her primary care doctor who tried to tell her this was nothing to worry about when she examined our granddaughter in the first place. If our granddaughter had listened only to the doctor and not her gut, we might very well have lost her.
How can a medical professional be so blind as to jeopardize the life of a patient like this just because she decided our granddaughter was too young to have breast cancer? --- AT A LOSS TO UNDERSTAND
DEAR AT A LOSS TO UNDERSTAND: I agree it’s a good thing your granddaughter advocated for herself and was able to get the imaging and treatment she needed in time to prevent the cancer from advancing. She’s set a strong example by trusting her own instincts and working with her doctors to find first a diagnosis and then a course of treatment.
I can’t answer for your granddaughter’s primary care provider, but she was potentially following established guidelines, which include not routinely ordering mammograms for women under 40.
However, given the growing number of cases being diagnosed in younger women, including among those without generally recognized risk factors, it’s possible breast cancer screening guidelines will continue to evolve, as is evidenced by the recent drop in age from 50 to 40 for annual screenings.