Understanding Gynecomastia: Is It Normal Before Puberty?
Gynecomastia Hello doctor, I haven't fully entered puberty yet, but I feel a hard lump in my left areola. Is this gynecomastia? Can it occur before puberty, or is it a sign of early puberty?
Dr. Yuan Tianmin Reply:
The pain in the young boy's nipples is actually related to puberty. It is not what is commonly referred to as gynecomastia.[Read More] Understanding Gynecomastia: Is It Normal Before Puberty?
Understanding Thyroid Nodules: Key Questions and Insights
Thyroid nodule issues? Hello, doctor. I have a few questions regarding thyroid nodules that I would like to ask, thank you! Due to the thyroid nodules, I went to the hospital for an ultrasound, and the doctor mentioned that I have multiple nodules, which is quite rare for someone...
Dr. Yuan Tianmin Reply:
1. These two terms refer to different pathologies, but both are benign tumors. 2. They arise from the follicular tissue of the thyroid gland. 3. They should be distinguished between benign tumors and malignant tissues.[Read More] Understanding Thyroid Nodules: Key Questions and Insights
Understanding Nipple Polyps: Causes, Symptoms, and Concerns
Nipple polyps can develop? Hello, I am 20 years old. A year ago, I found a fibroadenoma in my breast, and I regularly go to a major hospital for check-ups, and everything has been normal. Recently, I discovered a small polyp on my right nipple. After researching, I believe it mig...
Dr. Wu Jianting Reply:
Nipple skin polyps are generally not significantly associated with malignant tumors. It is recommended to consult a dermatologist or a breast clinic for confirmation. Thank you for your inquiry.[Read More] Understanding Nipple Polyps: Causes, Symptoms, and Concerns
Understanding Round Lumps in the Breast: What You Need to Know
A round hard lump in the chest? I usually have a habit of performing self-breast examinations. About a month ago, I suddenly noticed a round lump next to my right breast. It moves slightly when pressed and is somewhat painful. I previously had a sebaceous cyst on my left breast, ...
Dr. Wu Jianting Reply:
If you feel a hard lump in your breast, please visit a breast clinic for an examination. The details cannot be determined from the text alone. Thank you for your inquiry.[Read More] Understanding Round Lumps in the Breast: What You Need to Know
Understanding Axillary Lymph Nodes: Pain, Swelling, and Concerns
Axillary lymph nodes Hello doctor, recently I've been experiencing pain under my left armpit. It feels swollen when I touch it, and there's a dull, warm pain even when I'm not pressing on it. Pressing on it also causes pain, and it feels like something is swollen t...
Dr. Wu Jianting Reply:
Cancer can potentially metastasize to the lymph nodes, but isolated tenderness in the armpit does not necessarily indicate a lymph node issue. Even if the lymph nodes are enlarged, it does not automatically mean cancer, and the likelihood is low. If you are concerned, you can vis...[Read More] Understanding Axillary Lymph Nodes: Pain, Swelling, and Concerns
Is Chemotherapy Necessary After Breast Cancer Recurrence?
Is it necessary to proceed to chemotherapy? I apologize for the inconvenience, but I would like to ask: In 2012, I was diagnosed with ductal carcinoma in situ and underwent partial mastectomy and chemotherapy, followed by over a year of anti-hormonal therapy. I mistakenly stopped...
Dr. Wu Jianting Reply:
The following suggestions are based solely on the content of the letter; for specific treatment, please follow your attending physician's advice. For type B ductal carcinoma, chemotherapy should indeed be considered, but since the tumor is small and the ER/PR positivity rate...[Read More] Is Chemotherapy Necessary After Breast Cancer Recurrence?
Understanding Yellow Stains on Lingerie: Breast Health Concerns Explained
There are yellow stains on the underwear? Hello, doctor. Last November, I had a breast ultrasound and found a roughly one-centimeter mass in my left breast. The doctor mentioned it could be a fibrocystic change or a cyst (are there cysts in the breast?). I was advised to decide w...
Dr. Wu Jianting Reply:
Cyst aspiration is performed to obtain the contents for cytological examination to confirm whether the cyst is benign or malignant. The vast majority of cysts are benign; therefore, most cases are monitored. If there is an increase in size or a change in appearance, aspiration ma...[Read More] Understanding Yellow Stains on Lingerie: Breast Health Concerns Explained
Hard Lump Above Breast: What Could It Be?
There is a lump above the breast? Hello, doctor. I have a history of breast fibroadenomas, which are benign and monitored regularly every year. Two weeks ago, around mid-August, I suddenly noticed a very hard lump on the upper part of my breast that felt like a pimple. It was red...
Dr. Wu Jianting Reply:
The hard lump can only be accurately diagnosed through an actual clinical examination. What you described sounds like an infection; acne is a possibility as well. However, I still recommend visiting an outpatient clinic for a proper assessment. Thank you for your inquiry.[Read More] Hard Lump Above Breast: What Could It Be?
Painful Left Nipple: When to Seek Medical Attention?
Pain when touching the left nipple? Hello, doctor. I would like to ask about some pain I’ve been experiencing in my left nipple when I touch it. It doesn’t look abnormal, and my breast feels fine overall. I previously breastfed for a year but stopped over a year ago. Should I get...
Dr. Wu Jianting Reply:
During self-examination, please pay attention to whether you feel any lumps, if there is any discharge from the nipples, and if there are any skin changes resembling eczema. Pain is not necessarily related to tumor growth; it can be associated with the menstrual cycle. If you sti...[Read More] Painful Left Nipple: When to Seek Medical Attention?
Understanding Your Pathology Report: Treatment Options for Breast Tumors
Pathology Report Dear Doctor: My tumor measures 0.6 cm and has recurred. It has been completely excised, and the sentinel lymph nodes showed no infection. The pathology report indicates ER: POSITIVE <ABOUT 90%>, PR: POSITIVE <ABOUT 60%>, HER2/NEU: 0/3. What kind of tr...
Dr. Wu Jianting Reply:
Based on the content of the letter, please note that the definitive treatment should be determined by your attending physician. According to the pathology report, your tumor is hormone receptor positive, which means you can undergo hormone therapy and do not require targeted ther...[Read More] Understanding Your Pathology Report: Treatment Options for Breast Tumors
Itchy Areolas: Understanding Symptoms and Potential Concerns
Itchy areola? Initially, only the left areola started to itch, but recently the right areola has also begun to itch. This has been going on for about two years. At first, I ignored it and it improved for a while, but it seems to have worsened recently. Additionally, my bra has be...
Dr. Wu Jianting Reply:
Itching is just one of the symptoms of Paget's disease; it is also important to examine whether there are other conditions affecting the areolar skin. If necessary, a skin biopsy should be performed to confirm the diagnosis. It is recommended that you visit a clinic for an a...[Read More] Itchy Areolas: Understanding Symptoms and Potential Concerns
Intermittent Sharp Pain in Right Breast: Causes and Concerns
Intermittent sharp pain in the right breast? This morning, I was suddenly awakened by a sharp pain in my right breast while sleeping. It has occurred two to three times since then, with sudden and intense pain that feels somewhat like a cramp. However, my menstrual period is due ...
Dr. Wu Jianting Reply:
Due to hormonal changes in the body before and after menstruation, breast tenderness and swelling can occur. The severity may vary each month. It is recommended to perform self-examinations monthly. If you notice any lumps, please seek medical evaluation. If you still have concer...[Read More] Intermittent Sharp Pain in Right Breast: Causes and Concerns
Should I See a Doctor Again? Navigating Persistent Breast and Chest Pain
Do I need to see a doctor again? I find it frustrating myself? Hello Doctor: I have a noticeable swelling and pain under my right armpit, while the left armpit has a smaller lump that does not hurt. I also experience pain in my right chest and rib area, which becomes more pronoun...
Dr. Wu Jianting Reply:
Breast pain is related to the muscles of the breast, chest, and back, and it is not necessarily a breast issue. It is also not significantly associated with the feared breast cancer. It is recommended that you take medications prescribed by an orthopedic specialist and pay attent...[Read More] Should I See a Doctor Again? Navigating Persistent Breast and Chest Pain
Nutrition Tips for Stage II Breast Cancer: What to Eat Before and During Chemotherapy
For stage II breast cancer, what dietary recommendations should be followed? My mother went to see the results of her breast biopsy today, and the doctor said that cancer cells have spread to the axillary lymph nodes. The doctor recommended that she undergo chemotherapy first bef...
Dr. Wu Jianting Reply:
Based on the consultation with our nutritionist, the recommendations are as follows: 1. It is advised to avoid saturated fats and high-fat foods. This includes animal fats and skin, as well as fried and processed foods that are high in fat content. Most restaurant meals are oft...[Read More] Nutrition Tips for Stage II Breast Cancer: What to Eat Before and During Chemotherapy
Breast Ultrasound: Should You Opt for Core Needle Biopsy or Surgery?
Breast ultrasound examination Hello Doctor: The breast ultrasound examination has shown that the fibroadenoma has remained at 2.5 cm for the past two years, but recently it has increased to 2.9 cm. A fine needle aspiration biopsy performed in 2013 indicated that it was benign. Sh...
Dr. Wu Jianting Reply:
1. Both approaches have their considerations, depending on the patient's individual preferences. 2. The tumor has increased in size from 2.5 cm to 2.9 cm, indicating a growth (there may still be some variability in the measurements). Therefore, surgical resection is recomm...[Read More] Breast Ultrasound: Should You Opt for Core Needle Biopsy or Surgery?
Understanding Nipple Discharge: Is It Normal and What to Expect?
Nipple discharge Hello doctor, during my recent breast examination, I also checked my nipples and noticed that when I squeeze my nipples, there is a toothpaste-like white discharge, and sometimes there is a clear, transparent discharge. Is this normal? Additionally, I found three...
Dr. Wu Jianting Reply:
1. It is recommended that nipple discharge should still be examined in person at a clinic. Additionally, during monthly self-examinations, gentle squeezing is sufficient; there is no need for excessive squeezing. 2. The protrusions on the areola may be Montgomery glands, but it...[Read More] Understanding Nipple Discharge: Is It Normal and What to Expect?
Persistent Crusting on Nipples: Understanding Possible Causes and Treatments
Nipple crusting, with the nipple appearing larger than usual? I have had scabbing on my nipples since high school, and even when I remove it, it keeps coming back. One side has a smaller area of scabbing, while the other side is much more severe. I previously consulted a doctor w...
Dr. Wu Jianting Reply:
1. The size of the nipples varies from person to person and is influenced by individual physiology. 2. Skin lesions of the nipples should focus on ruling out malignancies, although the likelihood is low. If there are recurrent eczema lesions, a skin biopsy may be considered. ...[Read More] Persistent Crusting on Nipples: Understanding Possible Causes and Treatments
How to Alleviate Itchy and Irritated Nipples: Tips and Remedies
Itching of the nipples and areola? If the nipple appears to have a wound with white deposits on the rough areas of the surface that flake off, causing redness and stinging after peeling, and if not cleaned, it leads to itching, how can this be improved?
Dr. Wu Jianting Reply:
Nipple discharge from the ducts and surface of the skin can sometimes lead to the formation of flakes. Please maintain cleanliness; gently wipe the area with water during bathing to improve the condition. Thank you for your inquiry.[Read More] How to Alleviate Itchy and Irritated Nipples: Tips and Remedies
Understanding Armpit Pain: Causes and Concerns Beyond Breast Cancer
Axillary pain? Hello doctor, what could be the reason for persistent pain in my armpit (it only hurts when pressed)? However, when I press carefully, I don't feel any swollen lymph nodes. Sometimes it feels better and doesn't hurt, but at other times it does hurt. I res...
Dr. Wu Jianting Reply:
1. Male breast cancer does exist, but the probability is very low, so there is no need for excessive concern. 2. Axillary pain is not necessarily related to the breast; it may also originate from the muscles or nerves around the axilla. The key focus should be on whether a lump...[Read More] Understanding Armpit Pain: Causes and Concerns Beyond Breast Cancer
Brown Crust on Nipple: Causes, Concerns, and When to Seek Help
There is brown crust on the nipple? Hello doctor, I have noticed a brownish, crust-like substance on my nipple since high school, and now that I’m in college, it hasn’t caused any pain or itching (so I’ve just left it alone…). I previously tried to pick it off, but it was a bit p...
Dr. Wu Jianting Reply:
1. Due to the discharge of secretions from the ducts and the surface of the skin, there may sometimes be the formation of flakes around the nipple. Please maintain cleanliness and avoid scratching. Gently wipe with water after moistening during bathing to improve the condition. ...[Read More] Brown Crust on Nipple: Causes, Concerns, and When to Seek Help