Minimally Invasive Surgery for Breast Fibroadenomas: What You Need to Know
Minimally Invasive Surgery for Breast Fibroadenoma I am 47 years old, unmarried, and have never given birth. I discovered a fibroadenoma in my right breast when I was 18, and in my 30s, I found another fibroadenoma in my left breast. I have been undergoing follow-up with a breast...
Dr. Zhou Jiazhen Reply:
Dear Ms. Li: Is minimally invasive surgery the same as "Mammotome"? This procedure is not covered by health insurance and is primarily used for 1. the removal of benign tumors and 2. biopsies of suspected malignant tumors. It is not recommended for the excision of suspe...[Read More] Minimally Invasive Surgery for Breast Fibroadenomas: What You Need to Know
Excessive Oily Discharge from Breast: Causes and Concerns
Breast oiliness Hello doctor, I have excessive oil secretion from my left breast, which soaks half of my bra. The fluid is clear, odorless, and feels very oily, similar to baby oil. I'm a bit worried because the amount is significant. What could this condition be?
Dr. Zhou Jiazhen Reply:
Dear TA: Is it oil coming from the breast or the nipple? If it's unilateral, I would recommend an outpatient examination. Most cases involve nipple discharge, but I haven't encountered oil. Please visit a breast surgery clinic for evaluation.[Read More] Excessive Oily Discharge from Breast: Causes and Concerns
Understanding Breast Tumors: Diagnosis, Treatment, and Emotional Support
Breast tumor During a physical examination, a 0.6 cm tumor was found at the 7 o'clock position on the right side. The doctor recommended a biopsy because it appeared to be raised, but stated there is a 95% chance it is benign. I immediately went to Chang Gung Memorial Hospit...
Dr. Zhou Jiazhen Reply:
Dear Mo: 1. Changing hospitals would be fine. 2. Conversely, the chances of it being benign are very high, which is why the doctor scheduled such a long wait, but no doctor can definitively tell the patient that it is benign; we can only wait. 3. If it is malignant, a second surg...[Read More] Understanding Breast Tumors: Diagnosis, Treatment, and Emotional Support
Understanding the Cost of Thyroid Surgery: Is $70,000 to $80,000 Normal?
Surgical costs I would like to ask about a growth resembling a tumor or cartilage on the fifth cervical vertebra. The doctor has recommended surgical removal after performing a CT scan. Is it normal for the cost to be between 70,000 to 80,000 NT dollars?
Dr. Zhou Jiazhen Reply:
Dear 60051: Are you referring to the neck? Is it the cervical spine? Is the fifth joint the fifth cervical joint? Please consult a neurosurgeon.[Read More] Understanding the Cost of Thyroid Surgery: Is $70,000 to $80,000 Normal?
Understanding White Nipple Discharge: When to Seek Medical Advice
Nipple discharge of white fluid? I would like to ask, today I noticed that when I compress my breast, a white fluid comes out of the nipple (I am not pregnant or breastfeeding). Is this normal? I have been taking stomach medication for a while. If it is not normal, which speciali...
Dr. Zhou Jiazhen Reply:
Dear Zhenzhen: 1. Increased secretion is often caused by mammary gland hyperplasia, which is usually bilateral, but can also be unilateral. If symptoms persist or if the discharge changes to a white, abnormal appearance, it is recommended to follow up with a breast surgery clin...[Read More] Understanding White Nipple Discharge: When to Seek Medical Advice
Understanding Axillary Lumps: Causes and When to Seek Treatment
Axillary swelling? Thank you for your previous response, doctor. I have noticed swelling in my armpit that is not visible externally. You mentioned it could be accessory breast tissue, but I have not had this in past examinations. Is it possible for it to develop now? Do you have...
Dr. Zhou Jiazhen Reply:
Hello: There is a larger lump under your right armpit, and a smaller one under your left armpit. Generally, both sides have tissue that is mostly accessory breast tissue, but you mentioned that there is no obvious lump on the surface; it may be located deeper in the armpit. Lymph...[Read More] Understanding Axillary Lumps: Causes and When to Seek Treatment
Understanding Breast Lumps: Causes and Concerns for Teens
A lump that increases in size with breast enlargement? I am currently a senior in high school and would like to ask about a hard lump in my breast that I have had since childhood. The lump has grown larger as my breast has developed, and now it feels like my entire breast is comp...
Dr. Zhou Jiazhen Reply:
Hello: Most cases are caused by fibrocystic breast changes, and sometimes it may be a fibroadenoma. If you are concerned, you can have an outpatient examination. Pay attention to whether you notice any increase in the size of the lump or any symptoms. If so, please seek an outpat...[Read More] Understanding Breast Lumps: Causes and Concerns for Teens
Understanding Post-Cyst Aspiration Changes in Breast Tissue
Breast seroma After the aspiration of a cyst, it has been one month, and upon self-examination, I still feel a hard lump. Is this a normal phenomenon? Thank you.
Dr. Zhou Jiazhen Reply:
Hello Ms. Wang: After aspiration of a cyst, it is possible to still feel a lump, as there may be reaccumulation of fluid in the cyst, or the cyst wall may be thickened, giving a lump-like sensation. If you notice that it has increased in size or recurs, surgical excision is recom...[Read More] Understanding Post-Cyst Aspiration Changes in Breast Tissue
Understanding Breast Sensitivity: When to Seek Further Evaluation
Pressing on the breast may cause a sensation of itching? Hello, I have been experiencing a deep pressure sensation in my right breast (specifically on the sternum) accompanied by a very sensitive itching feeling inside (not on the surface). Could this be a breast issue? I have un...
Dr. Zhou Jiazhen Reply:
Hello Ms. Lin: Sometimes it is a sensory nerve issue, not a problem with the breast itself. Everyone has axillary lymph nodes; as long as they do not become hard or enlarged, regular check-ups are sufficient.[Read More] Understanding Breast Sensitivity: When to Seek Further Evaluation
Understanding Inverted Nipples and White Discharge in Men
The nipple is inverted, and there is a thin layer of white discharge in the depressed area? Question 1: I have had inverted nipples since childhood. Is this normal for males? Question 2: If I lightly scrape the inverted part of my nipple with my fingernail, there is a small amo...
Dr. Zhou Jiazhen Reply:
Hello: Male nipples can also have a depression, and as long as there are no persistent changes, it is not a concern. Regarding discharge, it can vary in amount; it may be due to the depression being less open or more prone to accumulation, making it more noticeable. As long as th...[Read More] Understanding Inverted Nipples and White Discharge in Men
Understanding Breast Nodules: Symptoms, Diagnosis, and Treatment Options
There is a lump beneath the left areola? Hello Dr. Chou, Thank you very much for your previous response. I am Ah-Xiang, who asked about the "lump under the left areola" on November 20th. I would like to extend my questions to you as follows: 1. You mentioned that if t...
Dr. Zhou Jiazhen Reply:
Hello Mr. Ah-Hsiang: It is important to pay attention to the issue of enlargement, as symptoms may vary from person to person, and everyone may feel differently. If you notice any changes or if it affects your daily life, such as being preoccupied with the lump or constantly worr...[Read More] Understanding Breast Nodules: Symptoms, Diagnosis, and Treatment Options
Understanding Axillary Lymph Node Enlargement: What You Need to Know
Axillary swelling? A month ago, during a routine breast examination, multiple lumps were found in both breasts. This time, the ultrasound examination revealed an enlarged lymph node in the right axilla measuring approximately 1.1 cm. The doctor mentioned that there is a 90% chanc...
Dr. Zhou Jiazhen Reply:
Hello, Ms. Sakura: The axillary aspiration revealed breast tissue, which may indicate accessory breast tissue. However, lymph nodes and accessory breast tissue can usually be distinguished better on ultrasound, so the physician considers it to be uncommon. Follow-up in the outpat...[Read More] Understanding Axillary Lymph Node Enlargement: What You Need to Know
Understanding Breast Lumps: When to Seek Medical Advice
Feeling small lumps in the chest? Hello Doctor: About two months ago, I noticed a small, movable lump in the lower inner part of my left breast while showering. It doesn't feel too hard, but it has a texture similar to a cord. It can be painful to the touch, especially close...
Dr. Zhou Jiazhen Reply:
Hello: Sometimes it is just fibrocystic breast changes, but you should monitor for any persistent enlargement. If you are unsure, it is recommended to have an outpatient examination.[Read More] Understanding Breast Lumps: When to Seek Medical Advice
Understanding Thyroid Nodules: Patient Concerns and Treatment Options
Thyroid nodule Hello Dr. Zhou: I am a patient with thyroid nodules. About 19 years ago, I had a colloid cyst on the left side of my thyroid, which was removed due to its large size as recommended by my doctor. Years later, approximately 2 years ago, I discovered swelling on the r...
Dr. Zhou Jiazhen Reply:
Hello Ms. Chia: If a thyroid tumor continues to grow, surgical removal is generally recommended.[Read More] Understanding Thyroid Nodules: Patient Concerns and Treatment Options
Understanding Montgomery Glands: When to Consult a Dermatologist
Peri-nipple papules Hello, there are small bumps around the nipple that appear to be Montgomery glands. If I need to have them removed, can I make an appointment with a dermatologist?
Dr. Zhou Jiazhen Reply:
Dear Jing: You can schedule an appointment with either the surgery department or the dermatology department.[Read More] Understanding Montgomery Glands: When to Consult a Dermatologist
Understanding Breast Nodules: What to Do When You Find a Lump
There is a lump beneath the left areola? Hello Dr. Zhou, My name is Ah Xiang. Last night while showering, I noticed a lump under the left areola that is about the size of the entire areola. It is slightly painful when pressed. I also have a vague memory of noticing a lump in the...
Dr. Zhou Jiazhen Reply:
Dear Ah Xiang: 1. More cases of gynecomastia in small males. 2. Observe for no enlargement. 3. If there is enlargement or symptoms (pain, hardness, discharge, etc.), it is recommended to seek outpatient examination.[Read More] Understanding Breast Nodules: What to Do When You Find a Lump
Understanding Painful Breast Lumps and Nipple Changes: Causes and Concerns
There is a painful lump in the left breast? There is a lump about 0.5 cm above the left breast that resembles an acne lesion, but it is painful to touch and feels hard. What could be the reason for this? Additionally, there is an indentation in the right nipple; is there a cause ...
Dr. Zhou Jiazhen Reply:
Dear Chi: 1. Most lumps are caused by the obstruction of skin glands, which may sometimes be painful. Please monitor for any increase in size, as well as any signs of redness, swelling, or heat, which may indicate inflammation. If any of these symptoms occur, it is advisable to s...[Read More] Understanding Painful Breast Lumps and Nipple Changes: Causes and Concerns
Understanding Breast Discharge and Thyroid Issues: What You Need to Know
Breast issues Hello doctor, during my previous visit to the obstetrics and gynecology department, I mentioned to the doctor that my breasts secrete a white, milk-like fluid when squeezed, but it's only a drop or two. I am not pregnant. The doctor suspected I might have a thy...
Dr. Zhou Jiazhen Reply:
Dear Xiao Jie: 1. White discharge from the nipple is mostly caused by hyperplasia of the mammary ducts, typically occurring bilaterally. You should perform self-examinations to check for any lumps and follow up with regular outpatient visits. Pay attention to your diet and livi...[Read More] Understanding Breast Discharge and Thyroid Issues: What You Need to Know
Understanding Breast Concerns: Inverted Nipples and Lumps in Teens
Breast indentation and hard lumps around the breast? I am a 14-year-old middle school student, and I have a retracted nipple on one side. Both breasts have lumps, and I didn't notice when they started. I am very scared that this could be breast cancer, but I am still very yo...
Dr. Zhou Jiazhen Reply:
Dear Student Chen: 1. A young woman has lumps on both sides, mostly benign fibroadenomas; however, if they increase in size or present symptoms, an outpatient examination is recommended. 2. Nipple inversion can sometimes be a constitutional issue; just monitor for any enlarging l...[Read More] Understanding Breast Concerns: Inverted Nipples and Lumps in Teens
Understanding Breast Concerns in Adolescents: Hard Lumps and Inverted Nipples
Breast issues Hello, Dr. Chou. I would like to ask you, I am currently 12 years old and I have a hard lump in my breast. Is this normal? Also, one of my nipples is inverted; is this normal?
Dr. Zhou Jiazhen Reply:
Dear Qi Qi: 1. If there is a lump, it is recommended to have an outpatient examination, as it is mostly a fibroadenoma. If it increases in size or presents symptoms, surgery may sometimes be necessary. 2. Inverted nipples are mostly congenital; you should monitor for any discharg...[Read More] Understanding Breast Concerns in Adolescents: Hard Lumps and Inverted Nipples