knew. âIâll go if you like,â he offered, and half rose, but Annaâs hand came out and caught him. âNo.â
Jonas sank again. âThen tell us whatâs wrong, Anna,â he said softly. âWeâre with you all the way. Both of us are. But you have to tell us whatâs happening.â
Anna took a deep breath. She raised her face to Emâs and her eyes were like those of a rabbit caught in headlightsâterrified beyond belief.
âTell us, Anna,â Em said gently, and the girl shuddered.
âI donâtâ¦I donât know if I can face it. My kidsâ¦â
âJust tell us.â
âThereâs a lump in my breast. I think I have breast cancer.â
There was, indeed, a lump in Annaâs breast. It was as big as a pea and close to the nipple, and it moved a little as Em gently palpated it.
âHow long have you been able to feel it?â Em asked,carefully examining the rest of the breast. There was nothing elseâjust the one tiny, single lump.
âF-four weeks.â
âIs that all? Thatâs great,â Em said warmly. She had Anna on the examination couch behind the screen. Jonas stayed out of the way, but he was still within earshot. âItâs very small and youâve come early.â
âEarly?â
âSome women worry about a lump like this for a year or more without having it checked,â Em told her. âYou have no idea the kind of trouble that can cause. But youâve come quickly. And this is small. Itâs less than a centimetre across, Iâd think,â she added for the benefit of the listening Jonas.
But Anna was trembling under her hands, afraid to meet her eyes. âSo it is cancer?â
âIt might well be a small breast cancer,â Em admitted. There was no use giving false reassurance when the most important thing was to get Anna to agree to have the necessary tests. âBut thereâs also a very good chance itâs just a harmless cyst. Cysts in breasts are commonâmuch more common than cancerâand they feel very similar. It needs a biopsy to tell the difference.â
âSoâ¦â The girlâs eyes flew to hers, hope flaring. âThis may well be just a waste of time. If itâs just a cyst, I can go home and forget it.â
âYes, but you canât go home and forget it yet,â Em told her. âBecause you may be right in your first guess. Your age means that youâre in a low-risk group for breast cancer, but we have to exclude that possibility.â
âBut I donât want to know.â Anna put her hand to her mouth as if to stifle a sob. âIf it isâ¦cancerâ¦then I want to be as normal as I can for as long as I can. I have threekids. I want to be there for them. Jonas made me come, but if itâs cancer then itâs better not to know.â
âWell, thatâs exactly where youâre wrong.â Em handed Anna back her blouseâand a tissueâand waited until she was decent. Then she pushed back the screen so Jonas could join in the conversation. âItâs far, far better to know.â
âWhy? So you can cut off my breast?â
âThat hardly ever happens any more,â Jonas growled. Unable to restrain himself, he rose and moved to give his sister a hug. âFor heavenâs sakeâ¦Stoopid. Why didnât you tell me? I could have eased your fears.â
âBy agreeing I may have cancer?â She was looking wildly from one to another. She was very close to the edge, Em thought, and knew this visit was the culmination of weeks without sleeping. âNo oneâs easing my fears now.â
âI can do that,â Em said gently, but there was a note of iron in her voice. What Anna didnât need was false sympathy or reassurance. She needed facts. âSit down, Anna.â
And Anna sat, still looking like a hunted animal. She was like a tigress