A Call for Patience in Patients with Breast Mass Induced by Hormonal Changes
Ms. Josephine Espiritu Pascual was 36 years old in 1997 when she first consulted me for a huge breast mass. I did a needle aspiration which showed a macrocyst (a big cyst), which is part of the fibrocystic breast condition or hormonal change condition or “aberration of normal development and involution of the breast.” The mass completely disappeared only to recur and recur, year after year and at times, months after months for the next 13 years. At times, a solid mass, as big as 5 cm in diameter, would appear and then spontaneously disappear after months of watchful waiting. Every time a mass would recur, I would either do a repeat needle aspiration or just closely monitored it (at a frequency of once every 3 months). Ms. Pascual has been following up with me for the past 14 years now. I have NOT done any operation on her breast. I have done only 3 needle evaluations and biopsies. I saw her today, August 18, 2011. She is now 50 years old, already in menopause for one year. Since her menopause one year ago, there has been NO recurrence of any breast mass anymore.
Ms. Pascual’s story calls for patience in situation where there are breast masses induced by hormonal changes. Aberrations of normal development and involution of the breasts (ANDI) that include fibrocystic changes, macrocysts, and even fibroadenoma usually disappear when menopause sets in.
Patients and physician-surgeons, please be PATIENT.
Patients, please be patient and don’t be in a hurry to have them operated by a surgeon.
Surgeons, please be patient in doing close monitoring and don’t be in a hurry to operate on these conditions.