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Haywards Heath cancer victim blasts smear test decision


A woman diagnosed with incurable cervical cancer after being refused a smear test has accused the government of signing a death warrant for future victims.

Katie Brickell says she is disgusted at the decision not to lower the cancer screening age from 25 to 20 despite a major campaign calling for change.

Mrs Brickell, 25, of Perrymount Road, Haywards Heath, was told she had cancer in March 2006.

She had asked for a smear test twice in the four years before her diagnosis but doctors said she was too young.

Mrs Brickell went through months of gruelling treatment including a hysterectomy, chemotherapy and radiotherapy.

She has responded well to treatment and is now working again in London.

A review was carried out by the independent Advisory Committee on Cervical Screening after many women began to ask about testing following the death of reality TV star Jade Goody.

The committee voted unanimously for no change because it said earlier screenings would do “more harm than good”.

Some experts believe women should have their first test as soon as they become sexually active.

However the committee said a high proportion of cell abnormalities in under 25s usually revert to normal without treatment and that screenings would throw up too many false results.

Earlier screenings are still carried out in Scotland, Wales and Northern Ireland.

Mrs Brickell said: “This decision is appalling. I was almost in tears when I heard.

“The review used figures based on 2005 when 56 women under 25 were diagnosed.

“Four years have not passed and we know cases of cancer in general are on the increase so it is likely a lot more women will be at risk.

“Not allowing them to be tested is effectively signing a death warrant for them.

“It is ridiculous that in other countries people can be screened if they want but they can't in England.

“I'm doing very well at the moment but there is no cure for me. My story just shows why it is important women can be checked.”

Mrs Brickell said she was planning to write to Health Minister Ann Keen to outline her concerns.

The government is running a vaccination campaign in which all girls aged between 12 and 18 are given a jab which protects against HPV, the sexual infection which causes most cases of cervical cancer.

Ms Keen said: “I asked the committee io carry out a review into the cervical screening age because I wanted to make sure that our guidelines are based on the latest available clinical evidence.

“'The committee have concluded that the screening age should not be lowered but have recommended that we do more work around the treatment of patients.

“I fully support this conclusion and look forward to beginning this important new work to ensure women with cervical cancer are diagnosed at the earliest possible opportunity.”

Comments(3)

RickH says...
2:53pm Sat 27 Jun 09

Whilst I wish Ms Brickell all the best for the future, it does not pay to get over-emotional when considering matters like this. The straight truth is that cancer is principally a 'disease' of aging ie the older you are, the greater your risk. Yes, it is true that 'incidents' of cancer is on the rise, but not per capita rates; its simply that there are more people living much longer, giving the impression of a cancer pandemic.

Jim BB says...
4:47pm Sat 27 Jun 09

I am deeply sorry for Mrs Brickell and wish her well.

The reason why the decision not to have smear tests earlier than 25 was based on evidence from doctors and was not a funding decision.

The cervix doesn't mature until the mid-20s which means immature cells show up as abnormal cells during smear tests, giving rise to a huge amount of false-positives.

These are obviously very distressing for the women involved and the resultant, unncessary biopsies can cause problems both in pregnancy and, unfortunately, can mean that, should true abnormal cells show up later, too much flesh could have been removed beforehand (after false-positive testing) to enable the tumour to be removed, lessening the chances of a positive outcome. As has happened to someone we know.

However, what is needed is more regular testing of those who have had problem cells who might not survive if they are forced to wait five years between each smear test.

I'd also like to see funding for regular tests for prostate cancer (a simple blood test to check PSA levels) for all men over 50.

timm says...
4:26am Sun 28 Jun 09

More men die of cancer, but there's oddly no screening programme in place for males in the UK - at all. Seems like a bad dream, but it's true. Misandry is the way in the UK, supported by the Islington-influenced media.


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