Ms. LS, 51-year-old female, had BI-RADS 4A (suspicious for malignancy) report on her breast ultrasound on July 12, 2013. She was advised breast operation. There was no dominant breast mass palpated. My primary clinical diagnosis was fibrocystic changes. I recommended a repeat ultrasound in another institution. The repeat ultrasound had a report of BI-RADS 3 (probably benign). We decided to do watchful waiting. Repeat annual ultrasounds in 2014 and 2015 showed BI-RADS 3 and up to the present (May 2016 – 3 years after the first report of BI-RADS 4A), there has been no palpable breast mass on physical examination. LS is happy with what transpired and I am also happy to have saved her from a breast operation.
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 April 2016, I already have 113 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.