A MUM was diagnosed with cancer 10 months late because of a missed email, her lawyers have said.

Wioletta Smith, 41, had attended a yearly examination for breast cancer at Kingston Hospital in south west London in 2022 due to changes in her right breast.

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A mammogram image was marked as FAR (further action required) by the radiologist, with recommendations for an ultrasound assessment and possible biopsy.

It was emailed to the breast clinic – but it later transpired it was never received, Wioletta’s lawyers Irwin Mitchell have said.

Kingston Hospital Foundation Trust said in a letter the result was not sent via the agreed process, therefore it wasn’t received by the breast clinic and the recommendations weren’t actioned.

Having not heard anything back, Wioletta, from East Molesley in Surrey, “assumed everything was fine”.

In October 2023, she attended her GP surgery reporting a lump in her breast, and was referred under the urgent two-week suspected cancer pathway.

She underwent a biopsy and it was then she was diagnosed with stage 3 breast cancer.

Wioletta said: “I always made sure to attend all my appointments and reviews at the hospital, so when I didn’t hear back about the mammogram in question, I assumed everything was fine.

“So to then find out less than a year later that I had cancer came as a huge shock; I was absolutely devastated.

“It would have been easy for me to crumble and think ‘why me?’ but I knew I couldn’t change the diagnosis so I was determined to fight it. I have a young son and I want to be around to see him grow up, so giving up really wasn’t an option.”

Since her diagnosis, Wioletta has undergone surgery to remove the lump, and treatment including chemotherapy and radiotherapy.

She’s also received a letter from the trust to apologise, but still feels let down.

In their letter, the hospital trust said they have since redesigned the process for radiological alerts distribution and the pathway for patients under surveillance mammogram review to “minimise the likelihood of human error”.

Wioletta, who is a financial planner, has now instructed medical negligence lawyers at Irwin Mitchell to investigate her care and is working hard to raise awareness for the importance of testing.

She said: “The treatment process has been gruelling, both physically and emotionally, and I had to keep telling myself it’s temporary and I’ll get through the other side.

To find out less than a year later that I had cancer came as a huge shock; I was absolutely devastated.

Wioletta Smith

“I still feel hugely let down by the hospital trust, but I appreciate the apology and that they’ve introduced changes to help prevent something like this happening to someone else.

“I hope by speaking out, I can raise awareness of the symptoms of breast cancer. Many people are affected by the disease, so we all need to know what to look out for.”

Lauren Mannion, the lawyer representing her, said: “The past year has been incredibly difficult for Wioletta coming to terms with her diagnosis and the physical and emotional impact it’s had on her.

“Through our work, we sadly see the devastating effects that breast cancer can have, and understandably Wioletta has a number of questions and concerns around the events that led up to her diagnosis.

“While we continue to support Wioletta so she can access the specialist support and therapies she requires, we welcome that the Trust’s pledge to improve patient safety.

“Despite what happened to Wioletta and current concerns around cancer care and waiting times, it’s important people continue to participate in screening programmes or seek medical advice as soon as possible if they’re concerned they may have cancer.

“Early detection and treatment are key to beating it.”

The hospital trust was approached for comment.

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A WORRYING amount of Brits are developing mouth cancer, with a new report warning of record-breaking cases.

Some 10,825 people are being diagnosed with the disease each year, marking a 133 per cent rise in cases over the last 20 years.

Mouth cancer can affect gums, tongue, inside the cheeks, or lips, with symptoms including mouth ulcers that don’t heal, red or white patches in the mouth, and unusual lumps or swellings in the mouth, head, or neck.

The charity Oral Health Foundation says this is the first time annual cases have surpassed the 10,000 mark.

Its chief executive Dr Nigel Carter warned: “While many types of cancer are declining, mouth cancer continues to surge.

“Smoking and excessive alcohol consumption remain the most significant risk factors, but we are seeing a growing number of cases linked to the human papillomavirus (HPV) and other emerging causes.”

Despite this alarming rise, many people aren’t aware of the main causes and factors that put them at risk of the disease, making them less likely to take steps to reduce their chance of getting it.

According to the charity, just 8 per cent of the Brits can name the leading causes of mouth cancer.

Dr Carter said: “Mouth cancer can affect anyone, and the impact on a person’s life can be devastating.

“We need to raise awareness of the symptoms, the risk factors, and most importantly, the importance of early detection.

“Too many cases are diagnosed too late, often at the most advanced stage. This needs to change.”

In honour of Mouth Cancer Action Month this November, the Oral Health Foundation flagged five habits that could make you more likely to develop mouth cancer and lifestyle tweaks to lower your risk.

Dr Carter stressed: “Understanding the risks associated with mouth cancer is crucial for everyone.

“Take the time to learn about your own risk factors and make informed choices to reduce them.

“If you know you’re at higher risk, be extra vigilant about changes in your mouth.”

1. Smoking

It’s well known that smoking can be harmful to your lung health, but the habit is also linked to around 17 per cent of mouth cancers in the UK.

This includes puffing on cigarettes, pipes and cigars.

According to the Oral Health Foundation, 38 per cent of Brits have no idea smoking could lead to mouth cancer.

Dr Carter said: “Tobacco use is a leading cause of mouth cancer.

“Quitting smoking or use of tobacco products can significantly reduce your risk.

“There are many resources available to help you quit smoking, including NHS smoking cessation services and local support groups.

“Regular dental check-ups are also crucial if you smoke.

“Your dental team can help you manage any oral diseases that have been caused by smoking and trained to spot anything more sinister if it arises.”

2. Snus and chewing tobacco

Smokeless ways of consuming tobacco aren’t as common in the UK, but tobacco pouches dubbed snus have seen a recent rise in popularity.

Tucked in between the lip and gum, snus can give you a nicotine buzz and has reportedly been used by football stars Jamie Vardy and Jamaal Lascelles.

But the Oral Health Foundation warned that smokeless and chewing tobacco can increase a person’s mouth cancer risk by up to four-and-a-half times.

The charity’s research shows that 40 per cent of people don’t know the two are linked.

Common examples of smokeless tobacco are chewing tobacco in loose or compressed leaves, snuff – a finely ground tobacco that can be dry or moist – dissolvable tobacco in tablets or strips, and snus.

In the UK, smokeless tobacco use is most prevalent among South Asian communities, particularly those of Bangladeshi, Indian, and Pakistani origin.

Dr Carter said: “These products pose significant health risks and are often linked to cultural practices.”

“If you use smokeless or chewing tobacco, it’s important to know that it’s not a safer alternative to smoking. This misconception can be dangerous.

“To protect your oral health, try to quit these products and seek help from healthcare professionals.

“Regular dental check-ups, maintaining good oral hygiene, and using support services can make a big difference.”

3. Drinking too much

Drinking too much can affect your health in many way – including raising your risk of mouth cancer.

The Oral Health Foundation says excessive boozing is linked to 34 per of mouth cancers, making it one of the main causes.

But 58 per cent of Brits don’t know the risks.

Dr Carter said: “Excessive alcohol consumption is a major risk factor for mouth cancer, yet awareness remains alarmingly low.

“Many people who drink heavily might not realise the serious impact it has on their oral health.

“By reducing your alcohol intake and attending regular dental check-ups, you can significantly lower your risk of mouth cancer and improve your overall health.”

4. Unsafe sex

According to Dr Carter, a growing number of mouth cancer cases have been linked to HPV, a common group of viruses that affects areas like the mouth, throat, and genitals.

It’s usually spread through skin-to-skin contact during sex, as well as oral sex and kissing.

Most people with HPV don’t show any symptoms and the infection often goes away on its own, but certain high risk strains can cause warts.

For some, the changes caused by the virus can lead to cervical cancer and mouth cancer.

The number of mouth cancer cases linked to HPV is on the rise, with data showing that up to 73 per cent of cancers in areas like the back of the tongue and tonsils are HPV-positive.

But 8 per cent of people know HPV can cause mouth cancer.

Practising safe sex and getting tested for the virus can help protect you.

But teens and young adults in the UK also have access to an HPV-combating vaccine.

Dr Carter explained: “The HPV vaccine has been offered to girls in the UK since 2008 and to boys since 2019.

“I urge parents to ensure their children are vaccinated. It’s the most effective form of protection and it is vital this happens before a person becomes sexually active.

“For those who are older and haven’t been vaccinated, it’s important to be mindful of the threat HPV poses.

“Being vigilant to any changes in and around the mouth is crucial.

“Remember, just because you don’t smoke or drink, it doesn’t mean you’re free from the risk of mouth cancer.”

5. Unhealthy diet

What you eat can influence your risk of the disease too, as eating a healthy diet can slash your risk.

Dr Carter noted: “A balanced diet rich in fruits, vegetables, and essential nutrients can substantially reduce the risk of developing mouth cancer.

“It’s important to incorporate these elements into your daily routine for better overall health.”

Research has shown that consuming fruits regularly can lower your risk by 48 per cent, while taking vitamin C supplements can reduce the risk by 24 per cent, the Oral Health Foundation added.

It claimed calcium supplements could also lower the risk by 36 per cent, while drinking four cups of coffee a day could reduce your risk by 39 per cent and drinking green tea by 20 per cent.

“By making small, consistent changes to your diet, you can significantly protect yourself against mouth cancer,” Dr Carter said.

“Stay vigilant about your health and make informed dietary choices to support your oral health.”

DEMENTIA can cause a number of physical changes in a person – but some of these changes could appear years before a diagnosis.

More and more studies are suggesting risk factors for Alzheimer’s can reveal themselves long before a diagnosis.

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A recent study found how long you’re able to stand on one leg for could signal dementia.

Now, a new study has linked increased frailty to dementia – nine years before a diagnosis.

The findings give “new hope” early intervention can prevent the condition.

Researchers from The University of Queensland looked at international data from more than 30,000 people from the US and UK over a 20 year period.

They found frailty appeared and accelerated in the nine years before those who had dementia by the end of the study were diagnosed.

Dr David Ward, one of the study’s authors, told The Royal Australian College of General Practitioners (RACGP), said: “Our findings who with every four to five additional health problems there is on average a 40 per cent higher risk of developing dementia, while for people who are fitter the risk is lower.”

The paper didn’t definitively prove frailty is a symptom of dementia, but Dr Ward told RACGP: “This [data] suggests frailty is not merely a consequence of undetected dementia but contributes to its onset.”

He added: “By understanding the connection between ageing frailty and dementia we can use targeted intervention strategies to reduce risk and improve quality of life.”

What is frailty?

Frailty describes  a person’s physical and mental resilience, or ability to recover from illness or injury. 

Symptoms of frailty, according to the NHS, can include:

• Walking slowly
• Getting exhausted easily
• Struggling to get out of a chair or climb stairs
• Being housebound or only able to leave home with help

Frailty can lead to adverse outcomes, such as falls, disability, hospital admission, long-term care, and mortality.

While early dementia diagnosis is key, to help manage the condition and as a diagnostic tool, promoting healthy ageing can help avoid or delay the onset of frailty.

How to promote healthy ageing

According to Age UK, there are a number of things you can do to age better.

Watch what you eat and drink

Eating a healthy, balanced diet is crucial for good health and preventing illness. A healthy diet includes a variety of foods from different food groups, such as fruits and vegetables, starchy foods, and protein, and limits foods high in fat, salt, and sugar. You should also make sure you drink plenty of fluids such as water, diluted squash and fruit juice to stay hydrated. 

Look after your teeth

You should brush your teeth twice a day and floss daily to help prevent gum disease. Gum disease can be linked to diabetes, strokes, heart disease and rheumatoid arthritis. Make sure you have regular check-ups, and if you have dentures or a bridge, ask your dentist to check they fit properly.

Stay active

Daily exercise can help you stay strong and healthy as it lowers the risk of obesity, heart disease, stroke, diabetes, and even cancer. Staying active can boost your self-esteem, improve your sleep, and give you more energy. Government guidelines recommend that older adults do 150 minutes of moderate intensity activity per week, as well as strengthening exercises twice a week.

Make the most of your doctor

Routine tests at the doctors can check your blood pressure and cholesterol levels. High readings of these can increase the risk of stroke and heart disease, but can be treated with medication.

Get a vitamin boost

Many people have a vitamin D deficiency and don’t know it. Vitamin D deficiency has been linked to cognitive impairment, bone problems and also cardiovascular disease. Try to get outside in the sunshine for at least 15-20 minutes a day for a vitamin D boost. Foods like eggs, mushrooms and oily fish are also good sources of vitamin D, or you can speak to your doctor about getting a vitamin D supplement.

Take care of your feet

Look after your feet by applying moisturiser to prevent dry skin, and cut your toenails straight across. Also, make sure you have footwear that fits properly and supports your feet. Contact your doctor if your feet become painful, feel very hot or cold or if you have common problems like corns, bunions or ingrown toenails.

Sort out your sleep

Sleep is essential for good health and well-being. You can avoid sleep problems like insomnia by cutting down on daytime naps, establishing a bedtime routine, and going to bed at the same time each night.

Take the tests

Hearing and eye tests are important, particularly as hearing loss is common in older people. You should have your eyes checked every two years, so if there are any changes in your vision, these can be corrected. Eye tests are free if you’re over 60.

Stay in touch

Spending time with other people can prevent you from feeling lonely or anxious. Loneliness has been linked to a number of health conditions including depression and heart disease.

Give up smoking

Smoking has been linked to a whole range of different health problems, including heart disease, lung cancer, and bronchitis. If you stop smoking, regardless of your age, your circulation, your lung capacity and your energy levels will improve. 

Is it ageing or dementia?

Dementia – the most common form of which is Alzheimer’s – comes on slowly over time.

As the disease progresses, symptoms can become more severe. 

But at the beginning, the symptoms can be subtle or mistaken for normal memory issues related to ageing.

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The US National Institute on Aging gives some examples of what is considered normal forgetfulness in old age, and dementia disease.

You can refer to these above.

For example, it is normal for an ageing person to forget which word to use from time-to-time, but difficulting having conversation would be more indicative of dementia.

Katie Puckering, Head of Alzheimer’s Research UK’s Information Services team, previously told The Sun: “We quite commonly as humans put our car keys somewhere out of the ordinary and it takes longer for us to find them.

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“As you get older, it takes longer for you to recall, or you really have to think; What was I doing? Where was I? What distracted me? Was it that I had to let the dog out? And then you find the keys by the back door.

“That process of retrieving the information is just a bit slower in people as they age.

“In dementia, someone may not be able to recall that information and what they did when they came into the house.

“What may also happen is they might put it somewhere it really doesn’t belong. For example, rather than putting the milk back in the fridge, they put the kettle in the fridge.”

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