To think this gp was very dismissive and slightly inappropriate?

[whatonearth555]

NC. DD was a victim of rape when she was 15 (now 21). She had counselling after and developed ptsd and has been on sertraline for the past 2 or so years. Last week, she noticed a new lump on her breast. Today, she has an appointment with the gp (I went with her as she asked me to) he examined breast and felt the lump (about 30 seconds) said it was unlikely to be anything sinister and probably caused by stress of DD passed trauma???? DD didn't even mention that to him but guessing he read her medical records and saw she accessed counselling and of course the antidepressants. DD said to him she has never felt more content with herself and at uni etc and feels settled. To which he responded it well may be subconscious and if it doesn't settle down in a few weeks to come back???

A lump in a breast caused by past trauma 6 years ago? I'm struggling to see how that could be but I am no doctor.

Did he give any indication of what he thought the lump could be, cyst, inflamed lymph node etc?

Personally I wouldn't have left the room without being referred to the breast clinic for a lump that previously wasn't there before, but I do have a family history of breast cancer.

He said it thought it could be a cyst caused by stress...

Is the lump deep within the breast tissue or can you see it on the surface of the skin?

Hope your daughter continues well with the healing process.
PTSD plays absolute havoc with your body. I had a serious incident at work and developed ptsd as a result. My hair fell out in clumps, periods stopped then after a couple of months later I came on and didn’t stop for almost a year. I also had lumps in my breasts ( I’m a lot older at 39) they then referred me to breast clinic and my consultant said it could be where the ptsd has sent my hormones haywire.

Deep within breast I would say. And also darkness around nipple area.

That’s shocking, call and speak to the practice manager and ask for a different GP.

Did he mean trauma or trauma to the skin area?! Just wondering if you misunderstood?

Are you saying you don't think 30 seconds was enough? Because it's actually long enough to get a good feel of a lump.

But the rest of it - request to see another gp

He did say as well DDs age meant highly unlikely to be anything sinister.

It was mainly about rest of it and his attitude.

He meant mental trauma.

Given her age it's more than likely a cyst, but in my opinion she should have been referred to the breast clinic to be certain. I'd make another appointment and ask for her to be referred.

Get a second opinion op , he sounds an a bit of an idiot to be honest and you would expect better from a GP.
I hope your DD will be ok
I had a Breast cyst removed in my 20s ( non malignant) but luckily my GP and the NHS took it seriously.

I’d ask for a referral too. It is best practice and will set her mind at ease if it turns out to be nothing sinister.

Any lump should immediately be referred to the breast clinic. I was referred even for an obviously blocked duct while breastfeeding, just to be sure.

Go back, ask for a different GP.

DD going to ring up tomorrow for second opinion.

For under 30s this protocol doesn’t apply (see NICE guidelines) but a non urgent referral may be considered.

Statistically it's likely benign/hormonal, but the GP's attitude was dismissive for something we're frequently told we shouldn't avoid seeking medical advice for and that we'll be taken seriously.

But I have heard of medics advising women on the younger side to give it a few weeks and to come back for referral if the lump remains, because it's more likely a temporary benign hormonal/cycle thing in younger women that may resolve itself.

What about asking for a female GP

Definitely.

Hi, please don’t ignore it.
it can be hormonal and come and go, also some women get breast mice, called because they come and go.
if your lump is still there in 4 weeks then you should go back, see a female Gp, it will need an ultrasound, do not walk away until you have been listened too.

Also these days never assume you actually saw a GP. Some physician associates working in GP practices now

Fucking help, OP. If that happened to a daughter of mine I'd be spitting feathers.
She needs to demand (not ask for) a second opinion and also make a complaint, with your backup if she needs it.
My hat's off to her for being able to move past what happened. She doesn't need dicks like this 'doctor' bringing it up for no good reason.

YADNBU about the trauma breast lump association. The fact that a lump in one breast was found on examination will be documented in her notes. Your daughter can have a telephone, or face to face, consultation with another clinician to discuss her concerns about the lump and to ask for a referral to the breast clinic. She could also speak with the practice manager and/or senior partner, assuming that this isn't who her appointment was with, about what the inappropriate comments at her last appointment.

The NICE CKS (clinical knowledge summary) on Symptoms suggestive of breast cancer states that with a "Breast lump (unexplained) with or without pain, under age 30 years" "consider non-urgent referral".

https://cks.nice.org.uk/topics/breast-cancer-recognition-referral/diagnosis/symptoms-suggestive-of-breast-cancer/

My son had a lump when he was 20 he was referred straight to Breast clinic! Actually he had another lump in other side and seeing gp on the morning ! The previous one wasn’t anything sinister but always best to get it checked properly insist on referral x