Dr. Emmeline De Los Santos- Cancer Surgeon Ph

Dr. Emmeline De Los Santos- Cancer Surgeon Ph Dr. Emy is a surgical oncologist and breast surgeon
Breast Health Advocate
📍 MNL 🇵🇭

Dr. Emmeline Elaine "Emy" Cua-De Los Santos is a Breast Surgical Oncologist who is double fellowship-trained and double board-certified, with specialized training from the Philippine General Hospital and the National University Hospital in Singapore. Her practice is dedicated to providing women with the highest level of care in breast cancer—offering advanced oncoplastic, minimally invasive and robotic surgical techniques while always prioritizing safety, wellness, and confidence. Beyond surgery, she is deeply committed to patient education, research, and advocacy, empowering women to make informed decisions and supporting them throughout their healing journey. She is a 2025 BRAVO Awardee for Science, Technology, Engineering and Mathematics (STEM).

Edukasyon 🩺 | Hindi kapalit ng konsultasyon.
17/09/2025

Edukasyon 🩺 | Hindi kapalit ng konsultasyon.

11/09/2025

💖 May calcifications sa mammogram? Huwag agad matakot.

👉 Madalas, benign o normal na pagbabago lang ito.
👉 Hindi lahat ay cancer, hindi lahat ay kailangan ng biopsy.
👉 Minsan kailangan lang ng follow-up o ultrasound para makasiguro.

Ang mahalaga: mas maaga nating nakikita, mas maaga nating naaagapan. 🌸

Regular na mammogram = proteksyon, hindi dapat katakutan. ✨

04/09/2025

Tamoxifen vs Anastrozole (AI): alin ang mas epektibo? 💊✨

🔹 Postmenopausal
AI gaya ng Anastrozole → 30% mas mababa ang recurrence at 15% mas kaunting pagkamatay mula sa breast cancer kumpara sa Tamoxifen.

🔹 Premenopausal
Kailangan ng ovarian suppression (OFS).

AI + OFS → halos 28% mas mababa ang recurrence at may 3.3% dagdag na overall survival kumpara sa Tam+OFS sa high-risk.

🔹 Side effects
Tamoxifen → risk ng blood clots at endometrial cancer (3.1% kung 10 yrs vs 1.6% kung 5 yrs).

Anastrozole → pananakit ng buto/kasu-kasuan, fractures (11% vs 7.7% sa Tam), pero mas mababa risk ng endometrial cancer.

👉 Piliin ang gamot kasama ng oncologist, ayon sa menopause status, bone health, at risk profile.



24/08/2025

"Hindi lahat ng ‘gene tests’ ay pare-pareho. 🧬

Genetic testing ay para makita kung may namamanang mutation tulad ng BRCA1 o BRCA2 na dala mo mula pagkasilang at puwedeng ipasa sa anak.
Genomic testing naman ay sinusuri ang genes ng tumor para makita kung alin ang aktibo o hindi, at matukoy kung anong targeted treatment ang babagay.

Germline mutations ay nasa lahat ng cells ng katawan mo mula pagkasilang (namamana), habang somatic mutations ay nasa cancer cells lang (hindi namamana).

Bakit mahalaga ito?
Ang PARP inhibitor na olaparib — pinatunayan sa OlympiA trial (NEJM 2021) — ay epektibo para sa mga pasyenteng may germline BRCA mutation at high-risk, HER2-negative early breast cancer matapos ang standard treatment.

Isipin mo si PARP bilang mekaniko ng DNA. Kapag may BRCA mutation ka, isa sa mga mekaniko mo ay wala na. Pinipigilan ni Olaparib si PARP, kaya hindi na makakagawa ng repair ang cancer cells at namamatay sila — habang ang normal cells ay may iba pang paraan para mag-repair.

Tamang test = tamang gamutan.
✅ Tanungin ang oncologist mo: Kailangan ko ba ng genetic testing, genomic testing, o pareho?"

📚 Sanggunian:

Tutt ANJ et al. N Engl J Med. 2021;384:2394-2405 (OlympiA Trial)

Robson M et al. N Engl J Med. 2017;377:523-533 (OlympiAD Trial)


20/08/2025

🩷 DCIS vs Invasive.

DCIS = Stage 0, nakakulong pa sa ducts, hindi pa invasive.

Invasive = Nakalabas na sa ducts, puwedeng kumalat sa lymph nodes at ibang bahagi ng katawan.

May 3 uri ng staging para gabayan ang gamutan:
1️⃣ Clinical – bago operahan, gamit exam at imaging.
2️⃣ Pathologic – matapos operahan, base sa histopathology.
3️⃣ Prognostic – anatomy + tumor biology (ER, PR, HER2, grade) para mas tumpak ang prognosis.

📌 Maagang diagnosis = mas magandang laban.
💖 Magpa-screening, alagaan ang sarili.



🪞Weekend reflections✝️Like anyone, I also have my ups and downs. There are moments when the work feels heavier than what...
17/08/2025

🪞Weekend reflections✝️

Like anyone, I also have my ups and downs. There are moments when the work feels heavier than what people may realize. But what always recharges me is my patients’ appreciation—whether it’s a simple thank you, a small gesture, or support for the advocacies I hold close to my heart.

This weekend, I happened to bump into someone I deeply respect in the hospital. His simple advice to me was: “Don’t work too hard.” It struck me because, in our profession, the weight of responsibility often goes unseen.

That’s why Brian Cabral’s piece “Stop Calling Doctors Greedy” resonates so deeply. It’s not about money—it’s about the unseen sacrifices, the emotional investment, and the quiet moments that keep us going. (Read more here: https://tribune.net.ph/2025/08/15/stop-calling-doctors-greedy?fbclid=IwY2xjawMO4CVleHRuA2FlbQIxMQABHs6GiaIuf7XVw8TABXq6519Kcwmk9fdI5daLSXDVtJgH0FLoj4po5Yind0Ix_aem_wF7dxxaRZko4yl2lk9kpuw)

Over time, I’ve learned that what sustains me is not external validation, but knowing my purpose. I believe God entrusted me with this calling. Because my work, my ministry. All glory to God 🙏

🦴 On letrozole or anastrozole? Protect your bones!These meds lower estrogen, which can weaken bones over time.💊 Calcium ...
15/08/2025

🦴 On letrozole or anastrozole? Protect your bones!
These meds lower estrogen, which can weaken bones over time.
💊 Calcium + Vitamin D = stronger bones, fewer fractures.

13/08/2025

🩻 BREAST MRI — Kailan at Bakit?

Ang Breast MRI ay makapangyarihang imaging test, pero hindi ito para sa lahat. Ginagamit ito kapag kailangan ng mas detalyadong impormasyon kaysa sa makikita sa mammogram o ultrasound.

✅ Karaniwang Dahilan:

Lobular breast cancer – mas mahirap makita sa mammogram/ultrasound, kaya kailangan ng MRI para makita ang totoong laki at lawak.

Malakas na family history o may BRCA gene mutation – mas maagang nadidiskubre kapag pinagsama ang MRI at mammogram.

Sobrang dense ang dibdib at mataas ang lifetime cancer risk.

Pagsuri ng breast implants para sa posibleng rupture o leakage.

Kung malabo o hindi malinaw ang resulta ng ibang tests.

💡 Tandaan: Ang tamang test ay nakabase sa iyong risk factors, breast density, at uri ng cancer — doktor ang magpapasya kung kailangan mo ng MRI.

👩‍⚕️ Tamang test. Tamang oras. Tamang dahilan.

10/08/2025

May BRCA gene mutation ka ba? 🧬
Ang BRCA1 at BRCA2 ay mga genes na tumutulong mag-ayos ng sirang DNA.
Pero kapag may mutation, tataas ang lifetime risk mo na magkaroon ng breast cancer nang hanggang 69–72%.

💡 Good news:
Para sa mga kababaihang may BRCA mutation, ang prophylactic mastectomy ay maaaring magpababa ng panganib ng breast cancer ng hanggang 90–95% — at ayon sa bagong pag-aaral, maaari rin nitong pahabain ang buhay ng mga batang BRCA+ na may breast cancer.

🔍 Bakit mahalagang magpa-test:
Ang BRCA mutation ay maaaring mamana ng iyong anak sa 50% na posibilidad.

💉 Paano ginagawa:
Simpleng blood draw o saliva test lang.

📋 Ayon sa NCCN, magpa-test kung:

Na-diagnose ng breast cancer ≤ edad 45

May triple-negative breast cancer ≤ edad 60

May lalaking may breast cancer sa pamilya

May kasaysayan ng ovarian, pancreatic, o prostate cancer sa pamilya

May kilalang BRCA mutation sa pamilya

Ang kaalaman ay proteksyon. Alamin ang iyong BRCA status para sa buhay mo at ng iyong pamilya.


Ang makahanap ng espesyalita na may ganitong puso ay tunay na kayamanang hindi matutumbasan.Maraming magagaling na dokto...
10/08/2025

Ang makahanap ng espesyalita na may ganitong puso ay tunay na kayamanang hindi matutumbasan.
Maraming magagaling na doktor — pero ang malasakit, hindi mo mabibili.

Sa bawat konsultasyon, may doktor na naglaan ng maraming taon ng pag-aaral, puyat, at sariling gastos para sa kanilang propesyon. At tulad ng iba, may mga pang-araw-araw din silang pangangailangan at responsibilidad.

Kaya kung mapalad ka na magkaroon ng doktor na hindi lang nagbibigay ng galing kundi pati ng puso, pahalagahan mo siya. ❤️

At kung talagang wala kang kakayahan, may mga charity clinic kung saan libre ang professional fee — dahil ang pagpapagaling ay dapat abot-kamay ng lahat.

Saludo po sainyo Dr. Ribu!

Isang mapagpalang Linggo saating lahat!

https://www.facebook.com/share/p/1Ao1gTtQ2U/

08/08/2025

🎗️ ER+ PR– HER2– breast cancer? Alamin kung bakit ito tinatawag na Luminal B — at kung bakit mahalagang malaman ang subtype ng breast cancer mo.
⁣
💉 Mas agresibo ito kaysa sa Luminal A.
📉 Mas mataas ang chance ng pagkalat sa kulani.
✅ Tumutugon sa chemotherapy.
🌀 Medyo mas mahina ang sagot sa hormonal therapy, pero kailangan pa rin ito.
📊 Survival ay maganda pa rin — lalo na kung maagang masimulan ang tamang gamutan.
⁣
👩‍⚕️ Hindi sapat na “basta breast cancer lang.”
Kailangang tukuyin ang subtype para tama ang plano, kumpleto ang laban.
⁣
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St. Luke's Medical Center Global City
Taguig

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