Breast Ultrasound vs. Mammogram: Pain Levels and Key Differences
Breast ultrasound What is the difference between breast ultrasound and mammography? Will it be very painful?
Dr. Zhou Jiazhen Reply:
Dear Yide, Breast ultrasound: There is no issue with radiation exposure, and it is not very painful. It requires careful manual operation and can be performed on all age groups. However, the resolution is poorer for breasts with more abundant fatty tissue; conversely, it has bet...[Read More] Breast Ultrasound vs. Mammogram: Pain Levels and Key Differences
Understanding Chest Acne and Hair Growth: When to Seek Medical Advice
Acne and longer hair on the chest? Hello Doctor: Recently, I have been experiencing pimples and longer hair around my chest and areola, along with itching. What could be the cause of this? Should I see a doctor? Should I consult a dermatologist or a gynecologist? Thank you, Docto...
Dr. Zhou Jiazhen Reply:
Dear Wenwen, Hello. Generally, changes in hormones within the body are related to various factors, which can affect endocrine balance, including lifestyle, diet, and medication use. Maintaining a normal lifestyle, keeping the nipple and areola clean, choosing appropriate underga...[Read More] Understanding Chest Acne and Hair Growth: When to Seek Medical Advice
Understanding Potential Breast Cancer Recurrence and Bone Metastasis
Does breast cancer recur and metastasize? Dear Director Zhou, My mother was diagnosed with stage III breast cancer in August 2008. She underwent surgery to remove her breast and axillary lymph nodes, followed by six rounds of chemotherapy and 35 sessions of radiation therapy. Ac...
Dr. Zhou Jiazhen Reply:
Dear Shin, 1. Bone metastases from breast cancer primarily occur in the so-called axial skeleton, which includes the skull, cervical, thoracic, and lumbar vertebrae, the ribs, pelvis, and hip joints. 2. If there is unfortunate metastasis to the skull, the current treatment rema...[Read More] Understanding Potential Breast Cancer Recurrence and Bone Metastasis
Understanding Underarm Lumps: Causes and Treatments for Breast Issues
Axillary lump nipple care I initially had a yellow-sized lump under my armpit that appeared to be an allergic reaction, but it eventually resolved. However, a lump the size of a silkworm cocoon developed under the same armpit (growing larger within two days) and is extremely itch...
Dr. Zhou Jiazhen Reply:
Dear Abu, Hello, the lumps in the armpit are mostly skin cysts, but they are usually not itchy. If there is swelling in both the armpit and the vulva accompanied by significant itching, it may be related to an allergic or immunological issue. It is recommended to consult with an...[Read More] Understanding Underarm Lumps: Causes and Treatments for Breast Issues
Can Hypothyroidism Medication Delay Your Menstrual Cycle?
Hypothyroidism Hello, I have just started treatment for hypothyroidism and have been taking medication for over two weeks. My menstrual period has been delayed by more than a week this month. Could the medication be causing the delay in my menstrual cycle?
Dr. Zhou Jiazhen Reply:
Dear Miyako, Hello. Medications that lower thyroid function can cause abnormalities in the pituitary gland, which may sometimes affect your menstrual cycle. It is advisable to monitor the situation over time and then discuss the medication with your attending physician. Wishin...[Read More] Can Hypothyroidism Medication Delay Your Menstrual Cycle?
Understanding Breast Lumps: What You Need to Know About Symptoms and Concerns
Breast lump? Hello doctor, four years ago I experienced sharp pain in both breasts and consulted a physician who performed an ultrasound, which was normal. I would like to ask about the hard areas I feel when I lie down and palpate my breasts in a clockwise direction; they feel q...
Dr. Zhou Jiazhen Reply:
Dear Xiao Bu, 1. Lymph nodes are generally not palpable; those that can be felt are mostly due to infections. However, if there are lymph nodes in the axillary and groin regions, it is advisable to seek further examination at an outpatient clinic to rule out any lymphatic tumors...[Read More] Understanding Breast Lumps: What You Need to Know About Symptoms and Concerns
Understanding Pain After Core Needle Biopsy: Is It Normal?
Pain after a fine needle aspiration? Hello Doctor, I suddenly discovered a hard lump under my right breast in mid-September. After undergoing a core needle biopsy last week, it has been a week now, and I occasionally experience pain that comes and goes randomly. Is this a normal ...
Dr. Zhou Jiazhen Reply:
Dear Zhenzhen: 1. Normal. 2. It may not necessarily be related to the coarse needle puncture; it could be influenced by hormonal changes in the body. 3. Depending on the location of the tumor, the needle insertion is generally not very deep, and there are no dietary restrictions...[Read More] Understanding Pain After Core Needle Biopsy: Is It Normal?
Understanding Breast Lumps: Fatty Tissue or Something More?
Breast lump I have noticed that there are similar hard lumps inside both of my breasts, and they are quite large, almost slightly smaller than the breasts themselves. They don't hurt when I squeeze them. Are these lumps fat, hard masses, or something else? I've had them...
Dr. Zhou Jiazhen Reply:
Dear Xiao V, Hello. 1. It should refer to the "glandular tissue of the breast," so when performing breast self-examinations, do not pinch; instead, use a rolling motion to check for any actual lumps or protrusions. 2. You may visit a breast surgery outpatient clini...[Read More] Understanding Breast Lumps: Fatty Tissue or Something More?
Understanding Breast and Thyroid Lumps: Causes, Concerns, and Care
Breast "lumps" and "nodules" felt in the thyroid gland? Hello, I discovered a small hard lump under my right breast in mid-September, which was slightly painful to the touch. At the same time, I also found a hard mass on the right side of my neck, and the simu...
Dr. Zhou Jiazhen Reply:
Dear Xiao Cai, 1. There should be no problem. 2. Regarding the breast lump: (1) You can perform self-examinations to monitor any changes in the lump; if it increases in size or if you experience symptoms, you should seek medical attention immediately. (2) The breasts can be affe...[Read More] Understanding Breast and Thyroid Lumps: Causes, Concerns, and Care
Managing Hyperthyroidism Symptoms During Menopause: A Patient's Dilemma
Menopause with hyperthyroidism? I officially reached menopause last month and have been experiencing palpitations, dry and rough skin, and hair loss. Blood tests indicate that my hormone levels are low, but I have mild hyperthyroidism. The doctor prescribed medication for hyperth...
Dr. Zhou Jiazhen Reply:
Dear Koko, Hello. The thyroid and ovaries are both endocrine organs and may have mutual influences. During menopause, hormonal changes are significant and can have a wide-ranging impact. Given the prevalence of similar conditions, I recommend maintaining a regular lifestyle and ...[Read More] Managing Hyperthyroidism Symptoms During Menopause: A Patient's Dilemma
Managing Hyperthyroidism: Medication Concerns and Longevity Myths
Medication for hyperthyroidism? Hello doctor, I have hyperthyroidism. I've been on medication for two years and stopped for a year, but I've relapsed and am continuing the medication. However, I heard from a nurse friend that taking medication for hyperthyroidism can sh...
Dr. Zhou Jiazhen Reply:
Hello, there is no issue of short lifespan. If symptoms persist, medication treatment is still necessary. If there are recurrent relapses, other options such as radioactive iodine therapy or surgical treatment may be considered. Wishing you peace and health. Sincerely, Dr. Chou C...[Read More] Managing Hyperthyroidism: Medication Concerns and Longevity Myths
Understanding Breast Cysts and Calcifications: What You Need to Know
Breast blisters and calcification issues? My mother had a mammogram during a community health check last month, and the report suggested that she should go to a major hospital for further examination, mentioning the presence of calcifications. Therefore, we went to Chang Gung Mem...
Dr. Zhou Jiazhen Reply:
Dear Xiao Jun, Hello, 1. The manifestations of fibrocystic changes are quite diverse, including pain, nipple discharge, and changes such as cysts and calcifications. However, calcifications are often not visible on ultrasound. 2. The management of cysts typically involves as...[Read More] Understanding Breast Cysts and Calcifications: What You Need to Know
Understanding Breast Inflammation: When to Seek Further Medical Advice
Mastitis Hello Doctor: After my menstrual period started, I noticed that only my right breast has reduced swelling, while my left breast remains swollen and painful. (There is no fever, and there is no redness or heat.) I visited a breast surgeon on Monday, and after a physical e...
Dr. Zhou Jiazhen Reply:
Hello, the symptoms are mostly caused by hormonal imbalances in the body. If there is no fever and no redness or swelling in the breasts, symptomatic treatment is sufficient (pain relievers and anti-inflammatory medications). In addition to medication, it is important to pay atte...[Read More] Understanding Breast Inflammation: When to Seek Further Medical Advice
Thyroid Surgery: Understanding Pathology During Thyroidectomy
Thyroid surgery? Hello, doctor. I have a question. I previously had a thyroid enlargement and underwent fine needle aspiration ultrasound at two large hospitals. The results indicated that no malignant cells were found. However, due to tracheal compression, surgery was recommende...
Dr. Zhou Jiazhen Reply:
Hello, 1. Is the thyroid enlargement bilateral? 2. If malignancy is suspected, a pathological biopsy will be performed immediately to determine whether both sides of the thyroid should be removed. Wishing you peace and health, Director of Surgery, Taoyuan Hospital, Departm...[Read More] Thyroid Surgery: Understanding Pathology During Thyroidectomy
Understanding Breast Cysts and Fibroadenomas: Pregnancy Concerns Explained
Breast cysts, fibromas, pregnancy issues? Hello Dr. Zhou, I am 32 years old and have recently been preparing for pregnancy and considering breastfeeding in the future. However, I have been experiencing chest pain frequently over the past six months, which led me to undergo a bre...
Dr. Zhou Jiazhen Reply:
Hello, 1. For palpable breast tumors: the diagnostic rate can reach 90%. For non-palpable tumors, the diagnostic rate may be less than 50-60%. 2. A definitive diagnosis requires a pathological examination report; therefore, physicians cannot make a 100% diagnosis based solely ...[Read More] Understanding Breast Cysts and Fibroadenomas: Pregnancy Concerns Explained
Understanding Gynecomastia: Seeking Help and Treatment Options in Taiwan
Gynecomastia Hello, doctor. I have several questions regarding gynecomastia. I have read the articles on this condition, and it has caused me significant distress, leading to feelings of inferiority and severely impacting my social life. A few days ago, I visited a general surger...
Dr. Zhou Jiazhen Reply:
Hello, 1. Breast surgery or general surgery, plastic surgery is also an option. 2. I am not very familiar with Tainan. 3. Depending on the symptoms, if they affect physical or psychological conditions, surgical removal may be indicated, and it is covered by health insurance...[Read More] Understanding Gynecomastia: Seeking Help and Treatment Options in Taiwan
Understanding Gynecomastia: Seeking Help and Treatment Options in Taiwan
Gynecomastia in males, the previous article may have been incorrect? I apologize for the confusion regarding the previous response about thyroid issues. However, I have questions regarding gynecomastia. Doctor, I have several concerns about this condition, which has caused me sig...
Dr. Zhou Jiazhen Reply:
Hello, 1. Breast surgery or general surgery, plastic surgery is also an option. 2. I am not very familiar with Tainan. 3. Depending on the symptoms, if they affect physiological or psychological conditions, surgical removal may be indicated, and it is covered by health insura...[Read More] Understanding Gynecomastia: Seeking Help and Treatment Options in Taiwan
Persistent Breast Pain After Menstruation: Fibroadenoma Concerns Explained
Breast pain has persisted for nearly a month, with a history of surgery for a fibroma? I experienced breast tenderness before my menstrual period this month, initially thinking it was just normal premenstrual discomfort that would improve after menstruation. However, this time my...
Dr. Zhou Jiazhen Reply:
Dear SS: 1. It may be caused by abnormalities in female hormones within the body. Any factors that affect ovarian function can lead to this, such as emotional stress, sleep issues (insomnia, staying up late), and fatigue. In terms of diet, it is advisable to reduce high-fat foo...[Read More] Persistent Breast Pain After Menstruation: Fibroadenoma Concerns Explained
Understanding Hyperthyroidism: Recurrence Risks and Fertility Concerns
Hyperthyroidism issues? Hello, Doctor. I have been diagnosed with hyperthyroidism and have been on medication for two years. After treatment, my levels returned to normal, and I stopped taking medication a year ago. During this time, I have been regularly going to the outpatient ...
Dr. Zhou Jiazhen Reply:
Hello, 1. About half of the patients may experience a recurrence. 2. If treated with radioactive iodine, it may actually lead to permanent hypothyroidism. 1. It does not affect fertility; in fact, women with hypothyroidism may have more difficulty conceiving. 2. In principl...[Read More] Understanding Hyperthyroidism: Recurrence Risks and Fertility Concerns
Can Hyperthyroidism Cause Dizziness? Understanding the Connection
Hyperthyroidism Does hyperthyroidism cause dizziness?
Dr. Zhou Jiazhen Reply:
Dear ESWA: Hello, there are relatively few cases, mostly symptoms such as palpitations, anxiety, emotional instability, insomnia, nervousness, and fatigue that lead to similar dizziness issues. Wishing you peace and health. Director of Surgery, Taoyuan General Hospital, Health De...[Read More] Can Hyperthyroidism Cause Dizziness? Understanding the Connection