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Doctor cleared in breast cancer case

A MACCLESFIELD doctor accused by a patient of not detecting her breast cancer early enough has been cleared of any wrongdoing.

A MACCLESFIELD doctor accused by a patient of not detecting her breast cancer early enough has been cleared of any wrongdoing.

Dr Chandeena Roshan lall faced a disciplinary panel after she found a "tiny pea-sized" lump in the patient’s breast in June 2006, but did not order a biopsy.

The patient, who had suffered with breast cancer seven years earlier, was again diagnosed with the disease in June 2007, after a biopsy was performed by another consultant.

She made an official complaint that Dr Roshan lall, who works at the private Spire Regency Hospital, should have ordered the test the year before, rather than just an ultrasound.

At a hearing of the General Medical Council (GMC) investigation committee in Manchester, Dr Roshan lall was cleared of any wrongdoing.

Professor Mark Winslet and Mr Tim Davidson, two experts in breast cancer at London’s Royal Free Hospital, backed Dr Roshan lall in written reports to the GMC.

They said that her choice not to give the patient a biopsy was ‘supported by a responsible body of medical opinion’ and ‘could not be criticised’.

Christina Lambert QC, counsel for the defence, told the committee: "There is simply no evidence before you, that there has been any departure from good medical practice or that there has been evidence of a want of care.

"(In June 2006) she was unable to identify any abnormalities. She invited the patient to show her the part of the breast she was concerned about. Upon careful investigation, what she was able to identify was a tiny, pea-sized area of thickening.

"She decided it was normal breast tissue, an area of thickening which was entirely normal with the breast texture of a woman of that age."

Dr Roshan lall sent the patient for an ultrasound, which came back negative, and when the patient returned in September, no ‘abnormalities’ were found.

Dr Christopher Hanning, chairman of the investigation committee, told Dr Roshan lall: "The patient’s complaint was that, given her history of right-sided breast cancer, your decision not to perform a biopsy in June and September 2006 amounted to missed opportunities to take early action, which could have improved her prognosis."

Dr Hanning later added: "The committee is satisfied that your clinical examination and assessment of the patient was comprehensive and appropriate.

"The committee shares your dismay and sadness at the prognosis for the patient, but concludes that your care and management of her was in no way deficient and that you acted in her best interests at all times."

Dr Roshan lall was cleared of any further action.

Verlie Brazel, hospital director of Spire Regency Hospital, said: "Spire Regency Hospital has a long track record as a responsible private provider and has very rigorous procedures in place to ensure the highest possible standards of care are given to all their patients.

"We are aware of the outcome of the recent GMC hearing concerning Miss Roshan lall, and will be taking no further action following the GMC panel findings."

 
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