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Cancer signs in a young patient

A 22-year-old woman was diagnosed with Hodgkin lymphoma after symptoms were delayed by misattribution to anaemia and lifestyle factors.

August 8, 2025 at 03:45 PM
blur 'Fit and healthy' gym fanatic, 22, with 'anaemia' blamed back pain on sitting all day - it was sign of deadly cancer

A healthy 22-year-old woman's symptoms were misattributed to anaemia and work stress, delaying cancer diagnosis.

Fit and healthy 22 year old misdiagnosed with anaemia reveals deadly cancer

Lara Muller, 22, from Guildford in Surrey, began to experience a sore neck and back and a chest infection in December 2024. She kept up her gym routine, but doctors told her exhaustion came from anaemia and that back pain was due to sitting at a new office job.

Her condition worsened with a persistent cough and increasing fatigue. After several GP visits, an urgent chest X-ray and CT scan revealed a mass in her chest. Keyhole surgery in June 2025 confirmed Hodgkin lymphoma, a cancer of the lymphatic system. She has completed two rounds of chemotherapy and has one cycle left with the hope of remission, while advocating for others to seek second opinions if symptoms persist.

Experts note Hodgkin lymphoma is uncommon but highly treatable and often presents with non specific symptoms that can mimic everyday illnesses. The NHS describes signs such as night sweats, unintentional weight loss, fever and persistent cough, underscoring that persistent tiredness should prompt a review.

Key Takeaways

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Symptoms in young patients can be non specific and still indicate cancer
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Persistent fatigue warrants re evaluation beyond initial anaemia diagnosis
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Second opinions can shorten time to correct diagnosis
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Back or neck pain may signal more than lifestyle factors
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Hodgkin lymphoma is treatable with chemotherapy and good outcomes exist
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Fitness level does not shield anyone from serious illness
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Advocacy and proactive patient engagement can change health outcomes

"I should have just trusted my gut instincts more, as you know in your gut how you're feeling."

Lara on trusting her gut

"I've always been really fit and active and into sports, and at my new job, I'd sit down all day."

Symptoms misattribution

"But no one prepares you to hear that you have cancer at 22."

Emotional impact

"I felt like I was going crazy."

Anxiety of illness

This case shows how easily serious disease can be missed when symptoms resemble everyday life in a young, active person. Doctors attributing fatigue to anaemia or back pain to posture can delay a cancer diagnosis. It also highlights the importance of patient advocacy and persistent questioning when symptoms endure.

It raises questions about how healthcare systems respond to unusual presentations in young adults and the value of multiple tests or second opinions. The emotional toll on Lara and her family illustrates why timely, careful reassessment matters as much as initial impressions.

Highlights

  • Trust your gut when something feels off.
  • I've always been fit and active and into sports.
  • But no one prepares you to hear that you have cancer at 22.
  • I felt like I was going crazy.

Health care delays in young patients raise concern

The case shows how fatigue and back pain can be dismissed as lifestyle factors or anaemia, delaying cancer diagnosis in a young adult. It highlights gaps in primary care and the need for timely referrals when symptoms persist.

Listening to patients when symptoms linger can turn fear into faster care.

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