Monthly Archives: December 2015

ROJoson’s Patients Saved from Unnecessary Breast Operations – December 19, 2015 (#24)

Ms. B. Pornea, a 43-year-old Filipina came to me for a concern of her left breast mass. Initially, she sought consult with another physician who advised breast mass excision despite an ultrasound report of a cystic mass.   I did … Continue reading

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ROJoson Medical Clinic Disclaimer

ROJoson Medical Clinic Disclaimer Medicine is not an exact science! Medicine is a science of uncertainty and an art of probability! (Sir William Osler)   I practice my medical profession factoring in the above precepts. I don’t guarantee or give warranty … Continue reading

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Examining Needle Aspirate at a Gross Level

The medical community is familiar with “needle aspiration” of lumps for diagnostic purpose.   When one says “needle aspiration” of lumps for diagnostic purpose, automatically it refers to “fine-needle aspiration biopsy.” From Wikepedia: Fine-needle aspiration biopsy (FNAB, FNA or NAB), or … Continue reading

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Gout and Tophi

Recently, December 2015,  I saw a patient, 48-year-old male, with very evident masses on the surface of his joint areas – upper and lower extremities (elbows, hands, knees, feet). When I saw these masses, based on pattern recognition, nodular masses … Continue reading

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Lipomas – Chest Area and Axilla

Lipomas Deep-seated lipoma on the chest wall Lipoma on the right axillary area Lipoma – Mayo Clinic A lipoma is a slow-growing, fatty lump that’s most often situated between your skin and the underlying muscle layer. A lipoma, which feels … Continue reading

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Seborrheic Keratosis – Thigh

E.R., 79-year-old female, with a black, warty-surface, and pedunculated on her left thigh. Initially, my considerations were: verrucae vulgaris, melanoma, and seborrheic keratosis.  The histopath result showed seborrheic keratosis. Warty Pedunculated Warty No clear-cut base – spreading base As I … Continue reading

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Breast and Breast Skin Abscesses

There is a difference between abscesses arising from the breast substance and those arising from the skin of the breast.  However, the treatment is essentially the same, incision and drainage with or without antibiotics. The exact antecedent cause is not … Continue reading

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