Mother-of-three, 48, died from cervical cancer two years after bungling doctors wrongly said her screening test was normal


By Rory Tingle, Home Affairs Correspondent For Mailonline

11:27 23 Jan 2024, updated 12:01 23 Jan 2024



A mother-of-three died of cervical cancer two years after bungling doctors wrongly said her screening test was normal.

Kerry Pugh, 48, started experiencing tell-tale symptoms, including bleeding during sex, in 2017.

She had previously been flagged as being at a high risk of contracting cancer-causing virus HPV.

She had checks at the Royal Shrewsbury Hospital but no definitive cause for the bleeding was determined.

In 2018 Mrs Pugh, from Shrewsbury, started to experience irregular bleeding and attended a routine cervical cancer screening appointment in June that year.

Kerry Pugh, 48, started experiencing tell-tale symptoms, including bleeding during sex, in 2017
Mrs Pugh before her cancer diagnosis with her family – husband Stephen Pugh and kids Lily, Morgan and Freddie

The early symptoms of cervical cancer that are hard to spot 

Cervical cancer may not cause any symptoms or the symptoms may not be obvious. The most common symptoms of cervical cancer are unusual vaginal bleeding, including after the menopause, after sex or between regular periods; changes to vaginal discharge; pain or discomfort during sex; and unexplained pain in the lower back or pelvis.

The main cause of cervical cancer is a virus called high-risk human papillomavirus (HPV). HPV is very common and usually goes away on its own without causing any problems. But it sometimes causes changes in the cells of the cervix, which can develop into cervical cancer. On average this happens slowly, typically between five and 20 years.

Other risk factors include smoking, a weakened immune system, taking the oral contraceptive pill and a medicine called diethylstilbestrol (DES), which was given to some pregnant women from 1938 until 1971. Currently in the UK, less than one in 100 women will develop cervical cancer.

Research predicts that someone who did not have the HPV vaccine and never went to cervical screening would have a lifetime risk of about 2 in 100. Cervical cancer deaths in the UK fell by 75 per cent between 1971/73 and 2017/19, when adjusted for the changing age of the population.

Since the early 1990s, cervical cancer incidence rates have decreased by 25 per cent in females in the UK. Incidence rates for cervical cancer in the UK are highest in females aged 30 to 34 and deaths are highest among those aged over 90-years-old.

She was told the results were normal when in fact tests had revealed severe cell changes.

Months later, her symptoms got worse and she suffered irregular bleeding and pain in her coccyx.

She had tests which revealed she had stage four cancer. An MRI scan showed she had a large invasive tumour bigger than a tennis ball.

The size of the growth, which measured 8cm x 5cm x 5cm, meant surgery was not an option.

Mrs Pugh had an operation to have a stoma fitted and underwent a gruelling course of radiotherapy and chemotherapy.

Tragically, the treatment was too late and she died aged 48 in June 2022 from cervical cancer.

Following her death, Shrewsbury and Telford Hospitals NHS Trust, which analysed the 2018 test, carried out an audit of the screening results.

It found that despite originally being reported as normal, the sample actually showed severe cell changes.

Mrs Pugh’s devastated husband, Stephen, instructed specialist medical negligence lawyers at Irwin Mitchell to investigate whether more could have been done to diagnose her cancer sooner.

Mr Pugh, 45, is considering taking legal action against the Trust and has urged women to be aware of the signs of the disease.

The network support engineer said: ‘I can’t begin to describe the distress and exhaustion that Kerry went through.

‘She was a beautiful and caring person and a great mum. To see her health deteriorate as the cancer took hold of her was heartbreaking.

‘Although she was suffering extreme pain because of her illness, Kerry always tried to stay positive right to the end, especially for the children.

‘She was more concerned about their wellbeing than her own. Kerry was absolutely everything to me and we all miss her every day.’

Mrs Pugh, who worked as a retail assistant, leaves behind her children Morgan, 24, 14-year-old Lily, and 11-year-old Freddie.

Mrs Pugh with Freddie after her cancer diagnosis. She had previously been flagged as being at a high risk of contracting cancer-causing virus HPV
In 2018 Mrs Pugh, from Shrewsbury, started to experience irregular bleeding and attended a routine cervical cancer screening appointment in June that year. She’s seen with Lily and Freddie
Tragically, the treatment was too late and she died aged 48 in June 2022 from cervical cancer

Her grieving husband added: ‘Our family had the rest of our lives to spend together but it’s difficult not to think this has been snatched away from us.

‘That Kerry will never get to see her children grow up and be there to celebrate life’s milestones is the hardest thing to accept.

READ MORE – Why did our daughter have to die? Family’s anguish after cancer death of mum misdiagnosed by medic with two years’ training

‘There are so many unanswered questions about Kerry’s diagnosis and treatment; in particular, could Kerry’s cancer have been picked up sooner?

‘Not knowing just adds to the hurt and pain we endure daily.

‘Kerry wanted these answers so that the kids would know how hard she fought to still be here.

‘I’d do anything to have Kerry back but I know that’s not possible. I just hope that by speaking out I can help others.

‘Even if I can help one person then at least some good may have come from this terrible situation.’

Mrs Pugh had attended screening appointments and had previously undergone procedures to remove cells in her cervix.

It had been determined previously that she had high risk HPV – a virus which can be linked to cancer.

Her smear test in June 2018 was reported as negative. 

Mrs Pugh gives a thumbs up as she reads a magazine during her treatment
She was described as a ‘beautiful and caring person and a great mum’

That November she visited a GP concerned about bleeding and was referred for a biopsy which was reported as being clear.

Lawyer Eleanor Giblin, who is representing Mr Pugh, said: ‘The last 19 months have been incredibly difficult for Stephen and the rest of Kerry’s family as they’ve attempted to try and come to terms with her death and the circumstances surrounding it.

‘Understandably Stephen has a number of concerns regarding whether more could have been to diagnose Kerry’s cancer sooner, especially in light of the audit which highlighted severe cell changes rather than Kerry’s result being negative as initially recorded.

‘We’re investigating this further with the assistance of independent medical experts.

‘Through our work we sadly see the devastating impact cancer has. While nothing can make up for what’s happened, we’re determined to at least provide Stephen and Kerry’s children with the answers they deserve.

‘In the meantime, Stephen hopes that by sharing his family’s story they can help others be aware of the symptoms of cervical cancer.

‘Despite concerns about Kerry’s test results, it’s vital that people continue to attend screening appointments as early detection and treatment is key to beating cancer.’

The Shrewsbury and Telford Hospital NHS Trust has offered its condolences to Stephen and his family.

Medical Director Dr John Jones said: ‘We continue to support Mr Pugh with any questions regarding the care of his wife.’

Mrs Pugh had attended screening appointments and had previously undergone procedures to remove cells in her cervix
Mrs Pugh, who worked as a retail assistant, leaves behind her children Morgan, 24, 14-year-old Lily, and 11-year-old Freddie

Reference

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