My breast cancer became noticeable to me due to a SEVERE pain in my shoulder*. I got diagnosed after a mammogram and a biopsy both carried out on the same day. I was referred for a scan because the consultant at the breast clinic was pretty certain I had secondary cancer even before the results were known and wanted to know how far it had spread. Once my diagnosis was through I had another scan and some further tests to assess my fitness for treatment and the type of cancer I had. None of the tests with the possible exception of the biopsy was invasive and no one mentioned a dark mass, all the chat was tumours. My experience of diagnosis doesn't seem to be atypical so I expect Jack required extra tests because she is precious and does so much for people.
ETA: I did directly ask my GP who'd done a blood test for me if she thought I had Rheumatoid Arthritis because there's a lot of it in my family and she said it's highly unusual to appear where mine was as its almost always in the joints. Once she got the blood test results she confirmed there were no results that would indicate RA and reiterated it's generally the joints that are affected. Jack is very rare and special in a medical sense.
*It really was total agony. I am not Jack.
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