Good afternoon

I was diagnosed with Hormone + Breast Cancer in 2019 and had a lumpectomy in January 2020.  After my operation my consultant told me that my operation had been difficult due to having extremely dense breasts.  This is also written in their letter regarding the operation.  I had also been previously told this after a mammogram 10 years previously and the breast nurse at that time told me I should inform whoever was performing mammograms in the future. On that occasion my mammogram had been clear. I also did not understand the significance of having dense breasts at that stage and had not mentioned it when I had a mammogram in 2019.

My concern is that now that I am aware of this fact and the implications nothing is actually written on my medical notes, I know this as when I have stated it I have been told there is nothing on my notes stating this.  I assume the letter from the consultant in 2020 is on my file but understand that  there is not enough time available to go through this for the professional that is going to examine me. When I go for my yearly checks I inform the radiographer of this fact but am dismissed and the choice of having an ultra sound is not offered to me. When I have pushed for it it has been met with what appears to be irrirtation and only on the breast that was originally operated on.

I have a lump at the top of my breast and my GP referred me back to have it checked out in April this year. My GP thought it was nothing to be concerned about but due to my history thought it best. The radiographer did an ultrasound, again only on the breast that I and my GP can feel a lump.  The radiographer told me at that time that this was not part of my breast and nothing to be concerned about.  I have not had anything in writing regarding this result and cannot see anything on my NHS app however that is not unusual as a previous mammogram in November I had to keep chasing up for the result which finally came through in the following March.

My concern is that this lump is still there and sometimes feels achy and painful and although right at the top of my breast is in my view is part of my breast.  My question is how can I get the radiographers to take my declaration of being told that I have extremely dense breasts seriously and to be offered an alternative test on both my breasts. How does the radiographer differ what is and what is not part of my breast..

Sent in hope that someone is able to answer my questions