Birmingham Post

Surgeon denies referring to patient as ‘timebomb’ Doctor on trial accused of unnecessar­y breast operations

- Alexander Britton Special Correspond­ent

ASURGEON accused of carrying out unnecessar­y operations never told a patient she risked carrying a “ticking timebomb” of cancer in her breast, a court has heard.

Ian Paterson, who prosecutor­s allege wrongly carried out a mastectomy on Patricia Welch, said biopsies had uncovered “four risk factors” of the disease.

But the 59-year-old surgeon said he had never told Mrs Welch, then 48, she had a “ticking bomb” in her left breast as had been claimed, before the operation to remove both breasts.

Giving evidence in his defence at Nottingham Crown Court on Wednesday: “This is where Mrs Welch said the ticking time bomb analogy. I’ve never used that analogy in my life, it is a frightenin­g analogy.”

He is standing trial after denying 20 counts of wounding with intent against nine women and one man relating to procedures he carried out between 1997 and 2011.

Jurors have previously heard claims he carried out completely unnecessar­y operations for “obscure motives” which may have included a desire to “earn extra money”, a suggestion he described as “abhorrent”.

Other alleged victims have included a mother who is said to have agreed to two “unnecessar­y operations” leaving her unable to breastfeed and a woman who had a “significan­t deformity in her visible cleavage area” after a pair of unneeded operations on her left breast, the court heard.

At the time of the operation Mrs Welch, was undergoing sixmonthly check-ups at the Little Aston Hospital, near Sutton Coldfield, after being told pre- cancerous cells had been found.

Paterson said he had given Mrs Welch and her husband Michael Welch all the options, ranging from continuing surveillan­ce of the left breast to a double mastectomy.

Following a biopsy earlier in 2001, he said the pathology report was clear, adding it “gave us four risk factors in her breast”.

He added: “So now, she has four cancer markers in her left breast.

He told jurors that after the successful mastectomy in May 2001, tests on the removed tissue had revealed Mrs Welch had one “unstable breast”, while the other seemed unaffected.

The surgeon said: “It’s an unstable breast, it had a variety of risk factors and the conclusion of the pathologic­al specimen because there’s a background of breast disease. “This whole breast is active. It’s interestin­g to then compare it to the other informatio­n from the other breast – which is completely silent.”

Paterson, of Altrincham, Greater Manchester, denies 20 counts of wounding with intent.

(Proceeding)

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> Surgeon Ian Paterson

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