Understanding Breast Pain: Causes and Hormonal Factors Explained
Breast pain Hello Doctor: I had a breast examination at the end of June, and the ultrasound detected a fibrocystic lesion on the right side, but it is not located in the area where I am experiencing pain on the right side of my breast. The mammogram report recommended a follow-up...
Dr. Yuan Tianmin Reply:
In women during their menstrual cycle, breast pain is mostly related to the menstrual period. Generally, most patients do not require medication; however, for those who experience significant pain, the use of analgesics may be appropriate.[Read More] Understanding Breast Pain: Causes and Hormonal Factors Explained
Understanding Nipple Discharge: Causes and Concerns for Men
Nipple discharge Hello Doctor, yesterday while showering, I noticed a small amount of white discharge from my nipples when I squeezed them, and it occurred on both sides. Today, there was no discharge when I squeezed again. I do not have gynecomastia, and there is no swelling or ...
Dr. Yuan Tianmin Reply:
Medications for male pattern baldness typically have an effect on inhibiting androgens, which may lead to nipple discharge. It would be advisable to discuss this concern with the physician who prescribed the medication.[Read More] Understanding Nipple Discharge: Causes and Concerns for Men
Understanding Thyroid Issues: From Hyperthyroidism to Hypothyroidism Concerns
Thyroid issues In November 2022, I had a blood test that revealed thyroid issues. The results were: Free Thyroxine Immunoassay 1.60 [0.70][1.48], Thyroid Stimulating Hormone Immunoassay < 0.0025 [0.35][4.94], T3 1.06 [0.35][1.93]. The doctor diagnosed me with hyperthyroidism a...
Dr. Yuan Tianmin Reply:
Your questions are all very good inquiries; however, it would be best to discuss these questions with your primary physician, who is most familiar with your condition, to get clearer answers.[Read More] Understanding Thyroid Issues: From Hyperthyroidism to Hypothyroidism Concerns
Understanding Nipple Discharge and Inversion: What You Need to Know
Nipple discharge and nipple inversion? Over the past year, I have noticed a dimpled area on my right breast, and both breasts have white discharge. However, there is no discharge when I squeeze them. Is this normal?
Dr. Yuan Tianmin Reply:
Please go to the breast surgery outpatient clinic for a breast ultrasound to confirm if there are any issues.[Read More] Understanding Nipple Discharge and Inversion: What You Need to Know
Understanding Breast Pain: Causes, Symptoms, and When to Seek Help
Breast pain Doctor, I have been experiencing pain in the upper right side of my chest for ten days before my period since the beginning of the year. It hurts more when I press on it, and any vibrations from running or walking cause pain, which lasts until one or two days before m...
Dr. Yuan Tianmin Reply:
Based on your description, it is unlikely to be a breast cancer issue. Breast pain is mostly related to the menstrual cycle, so you can manage it as you would with menstrual cramps. Of course, this is contingent upon first having a complete breast ultrasound for diagnosis.[Read More] Understanding Breast Pain: Causes, Symptoms, and When to Seek Help
Understanding Breast Fold Lines: Should You Worry About Breast Cancer?
Folds beneath the areola? Hello Doctor: In the past two days, I have noticed a fold line under each areola. The fold on the left side is more pronounced due to the asymmetry in breast size. The folds are visible when standing or sitting, but less noticeable when lying down. I hav...
Dr. Yuan Tianmin Reply:
Based on your description of the breast cancer risk, it should not be a concern for breast cancer. Some of these issues may even be related to lymphatic circulation swelling.[Read More] Understanding Breast Fold Lines: Should You Worry About Breast Cancer?
Can Powerful Topical Treatments Be Used for Nipple and Areola Itching?
Itching of the nipple and areola? Can the above-mentioned medications, such as Qiangli Shimei Meikang and Siyi, be used in this area? Previously, I was prescribed these medications for heat rash (prickly heat) under the armpits, but I'm unsure if they can be used on the nipp...
Dr. Yuan Tianmin Reply:
The commonly used anti-itch ointments primarily consist of corticosteroids, varying only in strength.[Read More] Can Powerful Topical Treatments Be Used for Nipple and Areola Itching?
Understanding the Timeline from Ductal Hyperplasia to Atypical Hyperplasia
Atypical hyperplasia Hello Dr. Yuan, how long does it typically take for ductal hyperplasia to progress to atypical ductal hyperplasia? Thank you.
Dr. Yuan Tianmin Reply:
This question may not have a definitive answer, as we cannot continuously observe this condition; we can only assess changes at specific points in time. Therefore, it is truly uncertain how long it takes for hyperplasia to progress to atypical hyperplasia.[Read More] Understanding the Timeline from Ductal Hyperplasia to Atypical Hyperplasia
Understanding Nipple Issues: When to Seek Medical Advice
Nipple issues Recently, while self-massaging my breasts, I noticed a white, pimple-like spot on my nipple. It doesn't hurt when pressed, and after a slight squeeze, I was able to express some white, stringy discharge, which has no odor. After squeezing, it left a wound on my...
Dr. Yuan Tianmin Reply:
Be cautious of wound infection, but it is still advisable to seek medical attention.[Read More] Understanding Nipple Issues: When to Seek Medical Advice
Understanding Breast Lipomas: Pain, Imaging, and Follow-Up Care
Breast lipoma Hello Doctor, I would like to ask: In April, I felt a hard lump that was painful. The next day, I went for a breast ultrasound, and the doctor said it looked like a lipoma. However, the ultrasound could not determine if there was any calcification inside, so the doc...
Dr. Yuan Tianmin Reply:
Mammography does not enhance your ability to detect breast tumors through palpation; however, it is still advisable for you to seek a second opinion at a breast surgery clinic.[Read More] Understanding Breast Lipomas: Pain, Imaging, and Follow-Up Care
Understanding Male Gynecomastia and Inverted Nipple Concerns
Gynecomastia and inverted nipple issues? Hello Doctor, I am a male. Actually, about 15 years ago, when I was in the 9th grade, I discovered a small oval hard lump in my left breast. At that time, since there was no discomfort or visible difference, and being young, I didn't ...
Dr. Yuan Tianmin Reply:
Based on your description, it doesn't seem to resemble breast cancer; it appears more aligned with the phenomenon known as gynecomastia. If there is not a significant difference between the two nipples, observation should be sufficient.[Read More] Understanding Male Gynecomastia and Inverted Nipple Concerns
Understanding Thyroid Nodules: Hypoechoic vs. Iso-Hypoechoic and Their Risks
Thyroid nodule consultation? Hello Doctor, I participated in the company health check this year and recently received the report results. The right side shows hypoechoic areas measuring 0.686 x 0.517 x 0.343 cm, 0.604 x 0.733 x 0.171 cm, and 0.583 x 0.549 x 0.288 cm. The left sid...
Dr. Yuan Tianmin Reply:
Health check-ups are generally conducted by hospitals that are contracted for the examinations. If you have questions about the thyroid ultrasound report, you can visit the outpatient department of the hospital that conducted the health check-up to consult with a physician who ca...[Read More] Understanding Thyroid Nodules: Hypoechoic vs. Iso-Hypoechoic and Their Risks
How Long Should Letrozole Be Taken for Hormonal Breast Cancer Treatment?
The duration of tamoxifen treatment for hormone receptor-positive breast cancer can vary depending on individual circumstances, but it is generally recommended to take it for 5 to 10 years. Always consult with your oncologist for personalized advice? Hello Doctor, my mother has s...
Dr. Yuan Tianmin Reply:
The standard treatment for oral anti-hormonal therapy is five years. However, if you are wondering why it is no longer necessary to continue after a year and a half of treatment, it would be best to consult your mother's attending physician for a more detailed understanding ...[Read More] How Long Should Letrozole Be Taken for Hormonal Breast Cancer Treatment?
Understanding Concerns About A1 Stage Breast Cancer Follow-Up Findings
Annual examination for Stage A1 ductal carcinoma in situ (DCIS) reveals issues? Hello, doctor. My wife was diagnosed with Stage A1 tubular carcinoma in April 2023, with a size of 1.8 cm, ER/PR both at 90%, FISH negative, no lymph node involvement, and a Ki-67 of 8. The malignancy...
Dr. Yuan Tianmin Reply:
The primary physician of your wife is the one who understands her condition best, so it would be more beneficial to discuss these questions with him for accurate answers. If you wish to have another consultation, it may be necessary to bring your wife's complete medical reco...[Read More] Understanding Concerns About A1 Stage Breast Cancer Follow-Up Findings
Understanding Sudden Sharp Pain in the Left Breast: Causes and Insights
Pain, swelling, and heat in the outer side of the left breast? Doctor, recently I've experienced sudden and intense pain on the outer side of my left breast when I change positions abruptly (for example, getting up quickly from lying down or bending down suddenly to pick som...
Dr. Yuan Tianmin Reply:
Breast pain is often related to the menstrual cycle. If you experience pain in different positions, it is important to note that if there is a significant issue, pain would occur regardless of your posture. Therefore, there is no need to worry too much. However, it is still advis...[Read More] Understanding Sudden Sharp Pain in the Left Breast: Causes and Insights
Understanding Crusty Nipples: Causes and Solutions for Teens
Nipple crusting Hello, I just turned 13 this year, and I've been concerned about my nipples for the past few months. During the third and fourth grades of elementary school, they were very itchy, and one day I couldn't help but scratch them. Now they have scabbed over, ...
Dr. Yuan Tianmin Reply:
I suggest you go directly to the breast surgery clinic or the dermatology clinic for an examination. The presence of wounds on the nipple can lead to scabbing issues; if the wound has not healed properly and scabs are removed prematurely, it may still bleed.[Read More] Understanding Crusty Nipples: Causes and Solutions for Teens
Understanding Thyroid Nodules and Autoimmune Thyroid Disease Management
The use of Sotalol and thyroid nodules? Hello Doctor: Last week, I returned for a follow-up regarding my thyroid ultrasound and blood tests. The data is as follows: Ultrasound findings: The thyroid measures 5.29x1.69x1.98 cm in the right lobe and 3.09x1.43x1.91 cm in the left l...
Dr. Yuan Tianmin Reply:
It is clear that you are currently being monitored and managed in the outpatient clinic of the Metabolism Department. You can discuss these issues with your physician, who should provide you with more specific answers based on your reports and imaging studies.[Read More] Understanding Thyroid Nodules and Autoimmune Thyroid Disease Management
Understanding Breast Changes: Questions on Purple Veins and Glandular Growth
Inquiry for clarification? Hello Dr. Yuan: Recently, I have observed some deep purple blood vessels resembling veins around my left nipple, which appear to converge towards the left nipple; the right nipple does not exhibit this condition. I would like to ask Dr. Yuan the followi...
Dr. Yuan Tianmin Reply:
Generally, men do not experience glandular hyperplasia in the nipple area. You may want to visit a dermatologist to check if there is any specific condition.[Read More] Understanding Breast Changes: Questions on Purple Veins and Glandular Growth
Post-Thyroid Surgery: Concerns About Iodine Intake from Protein Powder
Post-thyroidectomy Iodine Intake Issues Hello Doctor: A few years ago, I underwent a total thyroidectomy due to papillary thyroid carcinoma, and recently I had another surgery due to parathyroid adenoma. Therefore, I purchased high-protein milk powder to supplement my nutrition. ...
Dr. Yuan Tianmin Reply:
Are these postoperative supplements sufficient? Your needs may only be determined through a blood test, so you might want to get a blood test first to see if the current intake is adequate.[Read More] Post-Thyroid Surgery: Concerns About Iodine Intake from Protein Powder
Understanding Nipple Discharge: Causes and When to Seek Help
Nipple discharge I have been experiencing nipple pain for over two weeks, and there is a slight lump around the area. Today, when I squeezed it, there was a clear, watery discharge.
Dr. Yuan Tianmin Reply:
You may consider visiting a breast surgery outpatient clinic for evaluation.[Read More] Understanding Nipple Discharge: Causes and When to Seek Help