She was advised to have a breast operation as soon as possible. She came to me for a second opinion.
I had a breast ultrasound repeated in Healthcare Center 2. The report shows BIRADS 4 (low suspicion for malignancy) on a “breast mass” was on the right breast. There was no mention of the “breast mass” on the left side as reported by Healthcare Center 1. Clinically, there was no palpable dominant breast mass.
I recommended a third breast ultrasound in Healthcare Center 3. The report shows BIRADS 3 for the “breast mass” on the right breast as pointed out in Healthcare Center 2. There was no mention of the “breast mass” on the left side as reported by Healthcare Center 1. Clinically, there was no palpable dominant breast mass.
My primary clinical diagnosis was fibrocystic changes. I recommended monitoring and check-up with a breast specialist.
What to do in the light of these confusing breast ultrasound reports?
Patient and breast specialist have agreed to do monitoring through a monthly breast self-examination, breast specialist clinical examination (at planned intervals but adjustable as indicated), and imaging procedures (repeat ultrasound at planned intervals, other imaging procedures as needed).
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 September 2016, I already have 115 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.