Understanding Gynecomastia in Teenage Boys: Causes and Solutions
Gynecomastia Doctor, I am currently 16 years old. When I was in sixth grade, I loved eating fried foods, but I wasn't obese, just slightly overweight. However, when I entered junior high, I became aware of my weight and started dieting. Now I have a standard body shape, but ...
Dr. Yuan Tianmin Reply:
You can stop the herbal medicine once you leave puberty. If similar symptoms occur again at that time, come to the clinic for further management.[Read More] Understanding Gynecomastia in Teenage Boys: Causes and Solutions
Understanding Breast Nodules in Adolescent Males: When to Seek Medical Advice
Nipple lump Hello doctor, I am a male high school student. I discovered hard lumps under both nipples during elementary school (they can be pulled up), and the shapes on both sides are different. I would like to know if I need to seek further medical attention. (The size of the l...
Dr. Yuan Tianmin Reply:
In such cases, it is generally related to your development. It is advisable to wait and see; if the issue persists after the age of 25, then further intervention can be considered.[Read More] Understanding Breast Nodules in Adolescent Males: When to Seek Medical Advice
Understanding Axillary Lumps: Post-Breast Cancer Concerns and Insights
Axillary lump Hello, doctor. I would like to inquire about a lump in my armpit. About a year ago, I underwent a mastectomy and reconstruction due to stage I breast cancer, and I have been under regular follow-up. However, I have experienced fluid accumulation in my armpit. The fi...
Dr. Yuan Tianmin Reply:
Post-operative issues are generally addressed based on the responses from your attending surgeon.[Read More] Understanding Axillary Lumps: Post-Breast Cancer Concerns and Insights
Understanding Nipple Pain and Inversion After Breast Surgery
Pain after breast cancer lumpectomy? Hello, doctor! I underwent a lumpectomy for breast cancer at the end of December last year, and it has been two months since the surgery. My nipple has been consistently painful, and there is a retraction of the nipple. Is this normal?
Dr. Yuan Tianmin Reply:
Regarding postoperative issues, your attending surgeon is the most knowledgeable.[Read More] Understanding Nipple Pain and Inversion After Breast Surgery
Understanding Breast Cancer Tumor Size Discrepancies and Treatment Options
Breast cancer size Hello Doctor: I was diagnosed with breast cancer a month ago during a breast ultrasound at a clinic, where the doctor found "irregular breast calcifications." The ultrasound estimated the tumor size to be 1.3 cm, while the mammogram at the medical cen...
Dr. Yuan Tianmin Reply:
The first point regarding the size of the breast cancer tumor is that I am unclear whether a breast ultrasound was performed before surgery to confirm the size, given that you underwent hormonal therapy for one month prior to the operation. If another ultrasound was not conducted...[Read More] Understanding Breast Cancer Tumor Size Discrepancies and Treatment Options
Managing Early-Stage Breast Cancer: Tamoxifen and Menopause Considerations
Breast cancer follow-up Hello, Doctor. I would like to ask you: 1. For a patient with Stage 1 invasive ductal carcinoma who has been found to have multiple foci of ductal carcinoma in situ during surgery, currently undergoing postoperative radiotherapy and taking oral Tamoxifen...
Dr. Yuan Tianmin Reply:
Currently, the use of menopause injections combined with tamoxifen is an appropriate method for managing postmenopausal women, as it is beneficial for handling stage I breast cancer. Health insurance covers tamoxifen for stage I, while for stage II, switching to fulvestrant may b...[Read More] Managing Early-Stage Breast Cancer: Tamoxifen and Menopause Considerations
Understanding the Connection Between Hyperthyroidism and Rapid Heartbeat
Hyperthyroidism and Heart Rate Hello, doctor. I would like to ask about my hyperthyroidism, which has been ongoing for four years. I also have a swollen neck and nodules that are being monitored. Currently, I take one medication daily and have follow-up appointments every three m...
Dr. Yuan Tianmin Reply:
Patients with hyperthyroidism often experience symptoms such as tachycardia or arrhythmias. If these symptoms can be managed with medication, a conservative treatment approach is preferred. However, if these issues cannot be controlled, options such as radioactive iodine therapy ...[Read More] Understanding the Connection Between Hyperthyroidism and Rapid Heartbeat
Understanding Your Pathology Report: Benign vs. Malignant Breast Conditions
Pathology Slide Report PATHOLOGIC DIAGNOSIS: Breast, left (L/1/1), excision. (1) Tubular adenoma. (2) Microcalcification. GROSS DESCRIPTION: The specimen submitted consists of multiple tissue fragments measuring up to 1.6 x 0.6 x 0.2 cm in size, fixed in formalin. Grossly, they ...
Dr. Yuan Tianmin Reply:
There are no malignant terms in this report, so there's no need to be overly concerned.[Read More] Understanding Your Pathology Report: Benign vs. Malignant Breast Conditions
Small Hard Lump in Accessory Breast: Should I See a Specialist?
There is a small hard lump in the accessory breast tissue? Hello Doctor: About a month ago, I accidentally found a round lump estimated to be about 0.5 cm in size, located slightly below the right breast's accessory nipple. Since the lump is not on the surface of the breast,...
Dr. Yuan Tianmin Reply:
Young girls may often experience the presence of lumps in their breasts; however, the presence of these lumps does not necessarily indicate the existence of a tumor. It is essential to perform an ultrasound to confirm whether a tumor is present.[Read More] Small Hard Lump in Accessory Breast: Should I See a Specialist?
Understanding Thyroid Nodule Growth Rates: What You Need to Know
The growth rate of thyroid nodules? Hello Doctor, I recently discovered a thyroid nodule during a thyroid ultrasound at my health check-up. Since I have not had an ultrasound before, I am unsure how long this nodule has been present. I was concerned, so I immediately went to the ...
Dr. Yuan Tianmin Reply:
Ultrasound examinations are relatively subjective, which means that variations can occur due to differences in the operator, the machine used, and the timing of the examination. Therefore, the measurements may not be identical, but the discrepancies should not be significant.[Read More] Understanding Thyroid Nodule Growth Rates: What You Need to Know
Understanding Fibrosclerosis in Breast Surgery: A Case Report
Case Report of Breast Surgery Clinical Diagnosis: Fibrosclerosis of unspecified breast Organ: Right breast, 3/1 Surgical Procedure: VABB Procedure Code: FPABS4 Procedure Name: Level IV Surgical Pathology Clinical and Surgical Findings: Right breast tumor 3/1 --------...
Dr. Yuan Tianmin Reply:
This report indicates a benign tumor, so there is no need to worry too much.[Read More] Understanding Fibrosclerosis in Breast Surgery: A Case Report
Understanding Thyroid Ultrasound Reports: Key Insights for Patients
Thyroid Ultrasound Report Hello, doctor. I completed chemotherapy for lymphoma at the end of last year, but recently I noticed a small nodule in my neck. The doctor arranged for a thyroid ultrasound, and here are the interpretation results. Could you please explain what this mean...
Dr. Yuan Tianmin Reply:
Clearly, this report was generated by your attending physician. You should discuss your concerns thoroughly with them, as they have a better understanding of your condition.[Read More] Understanding Thyroid Ultrasound Reports: Key Insights for Patients
Post-Thyroid Nodule Surgery: Recovery Tips and Time Off for Teachers
Postoperative Care for Thyroid Nodules Hello, doctor. I have been considering undergoing thyroid nodule removal surgery, but since I am currently teaching at a school, I would like to ask if the surgery will have any impact on my throat. If I need to take time off for recovery af...
Dr. Yuan Tianmin Reply:
Surgery for thyroid nodules does not need to be done urgently. Since he is a teacher, he can wait until the holidays, such as winter or summer break, to undergo the procedure.[Read More] Post-Thyroid Nodule Surgery: Recovery Tips and Time Off for Teachers
Understanding Family Breast Cancer: Key Questions and Insights
Family history of breast cancer? Dear Doctor, Family's medical condition description: My mother had a mammogram and fine needle aspiration at a clinic last year, where the doctor noted an abnormal area (Tumor 1). At that time, there was suspicion of ductal carcinoma in situ...
Dr. Yuan Tianmin Reply:
The pathology report from your biopsy is quite rare for me, so it may be necessary to discuss the results in conjunction with the final postoperative pathology report with your physician and the pathologist. I also have limited experience with tumors of this type, so I cannot pro...[Read More] Understanding Family Breast Cancer: Key Questions and Insights
Understanding Hormonal Changes and Dark Spots on Male Areolas
Inquiry Consultation Dear Dr. Yuan, Hello, I am a male. I previously consulted you regarding the issue of "areolar hyperpigmentation." I have 2 to 3 dark spots, each less than 0.3 cm, on my left areola, and one spot on my right areola, also less than 0.3 cm. Given that...
Dr. Yuan Tianmin Reply:
I'm not quite sure about what you mentioned regarding the online information related to estrogen and the blackboard, as the changes in estrogen levels in your body should not be significant since you are male.[Read More] Understanding Hormonal Changes and Dark Spots on Male Areolas
Post-Surgery Concerns: Fibrocystic Breast Changes and Recovery Tips
Postoperative issues following breast fibrocystic surgery? Hello Doctor, I am currently 14 days post-operative from breast fibrocystic surgery. I have been experiencing mild swelling and pain in my armpit these past few days. Could this be due to mastitis or lymphadenitis? There ...
Dr. Yuan Tianmin Reply:
If you are concerned about any issues with your postoperative wound, you can go to your original attending physician for an ultrasound examination.[Read More] Post-Surgery Concerns: Fibrocystic Breast Changes and Recovery Tips
Understanding High Anti-TPO Levels: Thyroid Health and Hair Loss Concerns
Blood test? Doctor, I went to the dermatologist due to abnormal hair loss and graying hair, and I had blood tests for Anti-TPO (75.26 IU/mL) and Anti-Tg (47.18 IU/mL). Other tests for T3, T4, and TSH were not performed. The doctor suggested that I see a metabolic specialist for f...
Dr. Yuan Tianmin Reply:
Due to the incomplete examination, it is not possible to assess the issue you inquired about. Please visit the metabolic medicine department to complete all necessary tests.[Read More] Understanding High Anti-TPO Levels: Thyroid Health and Hair Loss Concerns
Understanding Thyroid Blood Test Results: T4 and TSH Levels Explained
Thyroid blood test results? Hello: Due to issues with arrhythmia, I visited a cardiologist who arranged for blood tests. The results showed T4 at 0.92 and TSH at 8.65. Should I undergo further testing? The blood test report was dated September 15, and I had been taking heart medi...
Dr. Yuan Tianmin Reply:
The normal reference ranges can vary between hospitals, so I cannot determine how much your report differs. However, I believe the physician who ordered your blood test should have explained it to you.[Read More] Understanding Thyroid Blood Test Results: T4 and TSH Levels Explained
Understanding Breast Pain: Causes, Symptoms, and Solutions
Breast pain issues? Hello, Doctor. About a month ago, I started experiencing pain in the left outer breast and along the lower edge of the breast, with occasional sharp pain in the sternum. I have visited a neurologist and a thoracic surgeon for examinations, diagnoses, and blood...
Dr. Yuan Tianmin Reply:
Breast pain at this age is generally related to menstrual cycles.[Read More] Understanding Breast Pain: Causes, Symptoms, and Solutions
Understanding Itchy and Painful Nipples: When to Seek Medical Advice
Itching of the nipples and areola? I would like to ask the doctor, about two years ago, my nipple was very itchy, and I kept scratching it. Now, after two years, the nipple and the area around it occasionally hurt, and this only happens on the left side. Additionally, my left bre...
Dr. Yuan Tianmin Reply:
Getting a breast ultrasound is likely a very good choice.[Read More] Understanding Itchy and Painful Nipples: When to Seek Medical Advice