Going to your GP

Cancer is rare in young people. Therefore when a GP sees a young person with certain signs or symptoms they tend to think of the more common possible causes of these signs and symptoms first e.g. when a girl with a swollen stomach presents to her GP, the GP is more likely to start thinking ‘pregnancy?’ than ‘ovarian cancer?’. Other young people said that that their doctor was baffled by their symptoms, and dismissed them as ‘growing pains’, or put them down to things like ‘exam stress’.

Says that her GP could not make out what her symptoms were due to and suggested that she should…

Age at interview 25

Gender Female

Age at diagnosis 21

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His GP initially thought he had a virus (such as glandular fever) but he was referred to hospital…

Age at interview 18

Gender Male

Age at diagnosis 14

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Her GP consulted with another colleague because he wasn’t sure what was causing the lump in her…

Age at interview 21

Gender Female

Age at diagnosis 18

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Young people were often not tested until after they had visited their doctor several times or when they or their parents started to think there must be something more seriously wrong. Parents sometimes went with the young person to the doctors to make sure their symptoms were taken seriously.

Stephen, age 15, repeatedly went back to the GP and A & E over a six month period with classic symptoms of bowel cancer, but even with a family history of bowel cancer it was ruled out because of his age.

Age at interview 19

Gender Male

Age at diagnosis 15

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Visited her GP eight times in 6 months with headaches and neck aches and started to think she…

Age at interview 26

Gender Female

Age at diagnosis 17

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His GP sent him for an X-ray when his blood test showed that it was not glandular fever.

Age at interview 19

Gender Male

Age at diagnosis 14

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People who do not have pain or discomfort may not be worried about their symptoms and may delay visiting their doctor for some time.

Says that he was not really worried about the lump that developed in his neck and therefore…

Age at interview 25

Gender Male

Age at diagnosis 22

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If a GP suspects cancer they will arrange for tests or send the young person to see a hospital specialist (consultant). Looking back, some teenagers thought their GP was more concerned than they let on. Some GPs were very quick off the mark, while others took longer to refer or made non-urgent hospital referrals. Teenagers and their parents sometimes still felt angry towards their GPs for not taking their symptoms seriously.

Feels that GPs should consider serious diagnosis earlier, even if it is unlikely because the…

Age at interview 23

Gender Female

Age at diagnosis 17

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Stephen would like doctors to not automatically dismiss cancer as an option when investigating young people who are ill.

Age at interview 19

Gender Male

Age at diagnosis 15

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Says that his GP was ‘pretty useless’ but did refer him to a neurologist. He also explains that…

Age at interview 18

Gender Male

Age at diagnosis 18

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Believed he had a virus. Since his cancer is very rare he does not blame the GP for not sending…

Age at interview 24

Gender Male

Age at diagnosis 16

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Sometimes it was a nurse, physiotherapist or junior doctor who first picked up the symptoms. One young woman said that in comparison to her friends she considers herself lucky because she did not have to explain symptoms to doctors. Her ganglioneuroblastoma was discovered by ‘chance’ following recurrent back pain problems after a car accident.

Her physiotherapist noticed a lump when treating her for shoulder pain and recommended an X-ray.

Age at interview 21

Gender Female

Age at diagnosis 16

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Is grateful to a junior doctor who picked up a sign of her brain tumour during an examination.

Age at interview 26

Gender Female

Age at diagnosis 17

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Her GP initially thought she had an inflammation but when her symptoms worsened did a blood test.

Age at interview 17

Gender Female

Age at diagnosis 14

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She did not have the problem of going to a GP and trying to explain her symptoms because her…

Age at interview 22

Gender Female

Age at diagnosis 21

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Tests for cancer in young people

Some tests are done to diagnose cancer and some are to assess how far the cancer has spreadDoctors and nurses were usually very kind to...