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Irish Independent
an hour ago
- Irish Independent
Gynaecologist refused to refer woman who later developed cancer for mammogram as he thought ‘she was too young'
A Dublin-based gynaecologist has been found guilty of poor professional performance over refusing to refer a woman with an inverted nipple who later developed breast cancer for a mammogram because he believed she was too young for such a scan.
Irish Independent
9 hours ago
- Irish Independent
Dublin-based gynaecologist refused to refer woman who later developed cancer for mammogram as he thought ‘she was too young'
A Dublin-based gynaecologist has been found guilty of poor professional performance over refusing to refer a woman with an inverted nipple who later developed breast cancer for a mammogram because he believed she was too young for such a scan.
Irish Daily Mirror
16 hours ago
- Irish Daily Mirror
Gynaecologist refused to refer woman who later developed cancer for mammogram
A Dublin-based gynaecologist has been found guilty of poor professional performance over refusing to refer a woman with an inverted nipple who later developed breast cancer for a mammogram because he believed she was too young for such a scan. An inquiry by the Medical Council found two allegations of poor professional performance proven against Jarosław Kryźanowski over his treatment of the patient at his clinic in the Medicus Medical Centre at the Park Shopping Centre in Prussia Street, Stoneybatter, Dublin 7. A fitness-to-practise committee ruled that the gynaecologist had failed to have due regard to the significance of an inverted nipple in the patient at his clinic on September 25, 2020 as well as failing to arrange for appropriate investigations to be carried out, including but not limited to a mammogram. The committee also found a separate allegation proven that Dr Kryźanowski had carried out breast ultrasounds on the woman on September 25, 2020 and May 20, 2021 when he did not have the required skill or expertise. Counsel for the Medical Council, Caoimhe Daly BL, claimed the doctor's actions failed to meet the standards to be reasonably expected of a registered medical practitioner. Dr Kryźanowski, who represented himself at a two-day hearing, disputed the Medical Council's claim that his actions constituted poor professional performance. The Polish medic qualified as a doctor in 1978 and has been registered to practise in Ireland since March 2008. Although he is eligible for retirement, the inquiry heard he continues to practise at clinics in Ireland and Poland. The patient gave evidence that she had chosen Dr Kryźanowski because he was described as a breast specialist. The inquiry heard that the gynaecologist carried out a breast ultrasound on the woman in September 2020 but refused her request to be referred for a mammogram as he believed it was an invasive procedure and unnecessary given her age. The patient discovered a lump on her breast about six months later but was told when she visited Dr Kryźanowski again in May 2021 that she was too young to have a mammogram. The woman was aged 43 at the time. She became worried when the gynaecologist said he did not see anything after conducting another ultrasound on her breast even though she claimed her lump was 'very visible.' The woman was ultimately referred for a mammogram by Dr Kryźanowski and attended the Mater Misericordiae University Hospital later that day where it was confirmed she had Stage II cancer of her right breast and lymph nodes. She subsequently underwent surgery to remove the lump In July 2021 after which she was treated with chemotherapy and radiotherapy. The inquiry heard she is now just on medication. Explaining its findings, the committee's chairperson Marie Culliton said the patient was a credible witness while an expert witness had given evidence that the woman's condition merited an urgent referral to a breast clinic to be seen within two weeks. Although Dr Kryźanowski had pointed out that many medical facilities were closed in September 2020 because of the Covid-19 pandemic as part of his explanation for not referring the patient for a mammogram, Ms Culliton said breast clinics had only been closed for two weeks in April 2020. Ms Culliton said referrals for mammograms for breast cancer patients were not limited during the pandemic. The inquiry heard expert evidence that all breast radiologists must have a minimum of one year sub-specialist training but that Dr Kryźanowski had admitted he has no speciality in radiology. Ms Culliton noted that the gynaecologist had made remarks which indicated that he did not recognise that ultrasounds were unable to detect all forms of breast cancer and that mammograms were the key test in working up breast symptoms in women over 35. She observed that Dr Syliva O'Keeffe, a consultant radiologist at St James's Hospital, had also testified that it can be difficult to perform an ultrasound behind a nipple because of shadow. Dr O'Keeffe observed that Dr Kryźanowski appeared to lack knowledge about the complexity of breast disease. Ms Culliton said the fitness-to-practise committee would make its recommendation on sanction, which is not made public, to the Medical Council.
