Understanding Gynecomastia: Causes, Symptoms, and Treatment Options
Gynecomastia Hello Doctor, I have been overweight since childhood (100 kg). I worked hard to lose weight and have managed to shed about 20 kg, bringing my weight down to 80 kg. While I have lost fat all over my body, my chest size remains the same as it was when I was younger. I ...
Dr. Zhou Jiazhen Reply:
1. If chest issues significantly impact daily life, particularly on a psychological level, it is recommended to consider surgical intervention and liposuction in the plastic surgery department. 2. If there are concerns about male hypogonadism, one can seek assistance for evaluati...[Read More] Understanding Gynecomastia: Causes, Symptoms, and Treatment Options
Understanding Persistent Breast Pain: Causes and Next Steps
Breast pain issues? Hello, last month I experienced persistent chest pain and underwent an examination, including a breast ultrasound and a physical examination. The doctor said there was nothing wrong, but now, two months later, the pain continues (the pain is present on both si...
Dr. Zhou Jiazhen Reply:
Pain Issues: Breast pain is commonly experienced by many women and may arise from either breast tissue itself or from muscular or nerve-related causes. It is important to pay attention to dietary habits, avoiding high-fat foods, especially fried and greasy items, as well as anima...[Read More] Understanding Persistent Breast Pain: Causes and Next Steps
Why Are My Breasts Growing? Understanding Changes and Concerns
Is your chest continuously enlarging? I am already a sophomore in high school, and I have been experiencing continuous breast enlargement, which I find very troubling. I have had examinations before, but the doctor said there was nothing wrong. I have been searching online for wa...
Dr. Zhou Jiazhen Reply:
Breast changes are related to growth and development as well as diet. It is advisable to avoid high-fat foods and maintain a normal lifestyle. If concerns persist, consulting a plastic surgeon may be beneficial.[Read More] Why Are My Breasts Growing? Understanding Changes and Concerns
Understanding Breast Pain and Yellow Discharge: When to Seek Help
I experience a burning sensation in my breasts and there is a yellowish discharge? Hello doctor, I have been experiencing sharp pain in my breasts over the past few days, along with some yellow discharge. There is also a slight burning sensation, and the area near my nipples is e...
Dr. Zhou Jiazhen Reply:
Dear Yu: Changes in breast secretion are related to hormonal fluctuations in the mammary glands and ducts. If the symptoms persist, you may follow up at a breast surgery clinic.[Read More] Understanding Breast Pain and Yellow Discharge: When to Seek Help
Understanding Unusual Breast Nodules: Causes and Concerns
A strange protrusion? Yesterday, a small, raised, red and white bump suddenly appeared on my areola, resembling a large pimple. It hurts when I press on it. What could this be? Although there is only one bump for now, could more appear? Am I suffering from a serious condition?
Dr. Zhou Jiazhen Reply:
Most cases are caused by the obstruction of the areolar sebaceous glands and are generally benign. A common issue is infection. If there is persistent enlargement or symptoms, it is recommended to seek medical evaluation.[Read More] Understanding Unusual Breast Nodules: Causes and Concerns
Understanding Fibrocystic Breast Changes: Symptoms and Dietary Considerations
Fibrocystic breast changes Hello, doctor. I have been experiencing a slight discharge that is either milky or clear from my right nipple when it is squeezed. I went to the hospital for a breast ultrasound, and the doctor informed me that there are two fibrocystic lesions near the...
Dr. Zhou Jiazhen Reply:
Fibrocystic changes may not always be painful, and symptoms can vary. Sometimes there may be cystic tumors, tenderness, or slight discharge from the nipple, among others. Therefore, discharge is also considered a symptom. If there is blood-stained or foul-smelling discharge, it i...[Read More] Understanding Fibrocystic Breast Changes: Symptoms and Dietary Considerations
Post-Surgery Breast Cyst: Understanding Wound Discharge and When to Seek Help
Postoperative discharge from breast fibrocystic surgery? Dear Doctor, I had breast fibroid surgery in July in the southern part of Taiwan. Currently, I am working in the north and cannot return to my original hospital for a follow-up appointment. Yesterday, while changing the non...
Dr. Zhou Jiazhen Reply:
If there is exudate from the wound and surrounding redness and swelling, it is recommended to seek outpatient evaluation. If there is inflammation, it generally takes several months to improve.[Read More] Post-Surgery Breast Cyst: Understanding Wound Discharge and When to Seek Help
Understanding Gynecomastia: Recommended Clinics and Insurance Coverage in Taiwan
Gynecomastia Hello doctor, I would like to seek treatment for gynecomastia. Could you recommend any hospitals or doctors, preferably in New Taipei or Taipei? If I go to a plastic surgery clinic for treatment, will there still be coverage under the National Health Insurance?
Dr. Zhou Jiazhen Reply:
Surgery typically involves "excision" combined with "liposuction," which can generally be performed at a medical center's plastic surgery department. Liposuction is an out-of-pocket expense.[Read More] Understanding Gynecomastia: Recommended Clinics and Insurance Coverage in Taiwan
Itchy Left Nipple and Areola Skin Breakdown: Causes and Concerns
Itchy left nipple and broken skin on the areola? Hello doctor, about five years ago when I was 20 years old, I noticed a small white bump on my left nipple. After I tried to remove it, my nipple became irritated, and the areola also got scratched. At that time, applying medicatio...
Dr. Zhou Jiazhen Reply:
It resembles eczema and is treated by a dermatologist, but if symptoms persist, a biopsy may sometimes be necessary.[Read More] Itchy Left Nipple and Areola Skin Breakdown: Causes and Concerns
Understanding Gynecomastia: Causes, Symptoms, and Treatment Options
Gynecomastia I used to be overweight, but I have lost weight through exercise. However, my chest is still fatty, although it's much better than when I was heavier. Is this gynecomastia or just fat? By the way, what is the definition of gynecomastia?
Dr. Zhou Jiazhen Reply:
Gynecomastia predominantly occurs in males and is often caused by an excess of female hormones. Individuals with obesity tend to have higher levels of hormone synthesis, which contributes to a higher incidence of gynecomastia in men.[Read More] Understanding Gynecomastia: Causes, Symptoms, and Treatment Options
Post-Surgery Concerns: Managing Hematomas After Fibroadenoma Removal
Post-operative issues following fibroepithelial tumor excision? Hello, I had surgery in September to remove a 4.7 cm fibroadenoma (using a self-paid needle, the incision is only half a centimeter). The wound has now scabbed over, but there are areas near the internal wound that f...
Dr. Zhou Jiazhen Reply:
It is common for bruising or fluid accumulation to occur within a wound. If it persists for more than a week, applying a warm compress can help accelerate absorption. As for the depressed area of the wound, it may take time to recover, especially if the tumor was larger.[Read More] Post-Surgery Concerns: Managing Hematomas After Fibroadenoma Removal
Understanding Breast Lumps: Causes, Symptoms, and When to Seek Help
Breast lump Hello Dr. Chou, I would like to ask about hard lumps in both breasts. The lump on the left side feels larger, while the one on the right is smaller. Since I was young, my left breast has always been slightly larger. Occasionally, I experience a feeling of fullness o...
Dr. Zhou Jiazhen Reply:
1. Breast self-examination involves using the pads of your fingers to press on the breast to check for any lumps, assessing whether the lumps are movable rather than pinching them. 2. Based on your description, a fibroadenoma is the most common diagnosis; just monitor for any c...[Read More] Understanding Breast Lumps: Causes, Symptoms, and When to Seek Help
Understanding Breast Lumps: What You Need to Know About Adenomas
Breast mass A few days ago, I went to the hospital for an ultrasound and found that there are tumors (adenomas) on both sides of my chest. The doctor said they are benign and that I should return in three months to monitor for any growth. My sister also had an adenoma but has had...
Dr. Zhou Jiazhen Reply:
Fibroadenoma is the most common benign tumor in women aged 20 to 30. It does not undergo malignant transformation; however, since diagnosis is often based on clinical experience, it is still recommended to manage it if there are changes, such as continued growth or the presence o...[Read More] Understanding Breast Lumps: What You Need to Know About Adenomas
Understanding Breast Development Issues in Teenagers: A Guide
In the transition from first year to second year of high school, there has been minimal breast development? I started my period in the second semester of my second year, but since then, my menstrual cycles have been infrequent and irregular. I have seen a doctor who adjusted my m...
Dr. Zhou Jiazhen Reply:
Dear Student Chen, Hello, maintaining a normal daily routine and engaging in moderate exercise is important. If necessary, you may consult a gynecologist. Wishing you safety and good health. Sincerely, Zhou Jiazhen Director of Surgery, Ministry of Health and Welfare Taoyuan...[Read More] Understanding Breast Development Issues in Teenagers: A Guide
Understanding Breast Cysts: Pain, Concerns, and Follow-Up Care
Fibrocystic breast pain? Hello, doctor. I live in Penghu. Two years ago, before I gave birth, I felt two hard lumps under my right breast, spaced about a finger's width apart. After an ultrasound, the doctor thought they were irregular, and I underwent a fine needle aspirati...
Dr. Zhou Jiazhen Reply:
Hello: 1. Cysts are often multiple, and they may or may not be painful. In most cases, if there are many cysts, observation without aspiration is usually sufficient. 2. Generally, aspiration is performed on cysts that are symptomatic or continue to enlarge. 3. Cysts are mostl...[Read More] Understanding Breast Cysts: Pain, Concerns, and Follow-Up Care
Understanding Breast Development: Painful Lumps in Adolescents
Chest Could you please tell me if having a hard lump in my chest that hurts when pressed, which I've had since fourth grade, is considered part of development?
Dr. Zhou Jiazhen Reply:
Hello: If both breasts are the same, it may be normal; however, if there is asymmetry or a sensation of a suspicious lump, a clinic examination is necessary. Wishing you peace and health. Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare, Dr. Chou Chia-Cheng.[Read More] Understanding Breast Development: Painful Lumps in Adolescents
Understanding Breast Lumps: Are Movable Hard Lumps Normal?
Breast lump The presence of movable lumps in both breasts can be concerning, and while some lumps may be benign, such as fibrocystic changes or fibroadenomas, it is important to have any new or unusual breast lumps evaluated by a healthcare professional. It is recommended to sche...
Dr. Zhou Jiazhen Reply:
Hello: It may be a fibrous adenoma. If it increases in size, please follow up at the outpatient clinic. Wishing you safety and health. Sincerely, Dr. Chou Chia-Cheng, Director of Surgery, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Breast Lumps: Are Movable Hard Lumps Normal?
Does Reduced Breast Pain Mean Growth Has Stopped?
The reduction in chest pain may indicate that the condition is not worsening, but it does not necessarily mean that it will not progress? Hello doctor, I recently discovered that pressing on the center of my chest and nipple area doesn't hurt as much as it used to, and I don...
Dr. Zhou Jiazhen Reply:
Dear Qi, Hello, there is no such statement. Pain is related to the proliferation of glands or ducts, and the proliferation of glands or ducts is associated with hormonal changes in the body. These hormonal changes and balance are influenced by daily activities, emotions, stress,...[Read More] Does Reduced Breast Pain Mean Growth Has Stopped?
Understanding Itchy Nipples: Causes and When to Seek Medical Advice
Itchy nipples followed by squeezing them? Hello, Dr. Zhou! Sometimes I suddenly feel an itch in my nipple, and when I squeeze it, a small amount of milky white and slightly transparent fluid comes out, similar to squeezing a pimple. After I squeeze until there is no more discharg...
Dr. Zhou Jiazhen Reply:
Hello, regarding the secretion of the skin around the nipples, there may be a blockage causing this condition. It is also related to the balance of internal hormones, as well as lifestyle and diet. If the symptoms persist, it is recommended to seek an outpatient examination. Wish...[Read More] Understanding Itchy Nipples: Causes and When to Seek Medical Advice
Understanding Ductal Carcinoma In Situ: Diagnosis, Treatment, and Monitoring
Ductal Carcinoma In Situ (DCIS) Hello Dr. Chou, At the end of last year, I discovered a hard lump in my breast. I went to Shin Kong Wu Ho-Su Memorial Hospital for examination and biopsy, and the report indicated it was benign. The doctor advised me not to undergo surgery and to ...
Dr. Zhou Jiazhen Reply:
Dear Candy, 1. Ultrasound has a higher diagnostic rate for palpable lumps. If there is suspicion, a core needle biopsy is recommended. If the result is benign, surgical removal of the tumor or short-term follow-up is suggested (if there is suspicion from ultrasound or physical e...[Read More] Understanding Ductal Carcinoma In Situ: Diagnosis, Treatment, and Monitoring