Ms. Anabel Estanislao, a 52-year-old Filipina from Mindoro came to me for a concern of her left breast mass. I saw her before, in 2004 and in 2009. In these two meetings, I did a needle aspiration of her multiple macrocysts. She had another recurrence of a breast mass this year. Initially, she sought consult in Mindoro and she was told by a surgeon to undergo an excision operation of her breast mass. Her husband told her to go to Manila to see me instead. I did a needle aspiration right in my clinic. The mass completely disappeared after I aspirated 16 cc of light brown fluid. The diagnosis, thus, was MACROCYST.
Ms. Estanislao was so happy that she requested for a picture with me. She consented to publication of her story so as to be of help to other Filipino women with the same concern. I was also happy that I saved her from unnecessary breast operation.
A palpable breast mass that contains fluid is a macrocyst which does not need an operative incision to excise it. Aspirating the fluid with a syringe and a needle removes the fluid which is followed by complete disappearance of the palpable breast mass. Breast macrocyst is NOT breast cancer. It is just a transient aberration of hormonal changes.
Below is my updated registry of patients saved from unnecessary breast operations.
History of ROJoson’s Project: ROJoson’s Patients Saved from Unnecessary Breast Operations – June 23, 2012 (Start of Registry)
Posted on June 23, 2012
Today, June 23, 2012, I had a patient, Elizabeth_C, 40s, a sewer, whom I saved from an unnecessary breast operation. She had a macrocyst which I just aspirated. Prior to seeing me, she was advised by another physician to have a breast operation. No doubt, as a result of what I did, she was very thankful to me as I saved her from an unnecessary breast operation. I have experienced a lot of this kind of situation before, that is, patients advised to have breast operations but which to me are not necessary, either just a needle aspiration is needed or the patient just has a fibrocystic breast condition, which is considered normal. Today, June 23, 2012, I start a project dubbed as “Patients Saved from Unnecessary Breast Operations.” I will make a registry of patients whom I have saved from unnecessary breast operations. The main inclusion criterion will be those patients who were previously advised to have a breast operation (one that is more than a needle evaluation and aspiration with or without biopsy) and after my evaluation, I decided it is not needed and the patient appreciated my recommendation. I will target a total of 50 patients in the registry. I can backtrack, meaning those patients that I have saved from unnecessary breast operations even before June 23, 2012 can be included in the registry. This will be another legacy that I will leave behind for my patients. The other one that I have started in December 2011 is the ROJoson’s Cancer Survivors in which I am also using “50″ as a target. As of December 11, 2012, I already have 50 survivors in the registry. I have reached my target. As of December 2014, I already have 100 survivors in the registry. The ROJoson’s Cancer Survivors and the ROJoson’s Patients Saved from Unnecessary Breast Operations will be two of my end-points in which I can say I have lived a life that matters.