Understanding Fibroadenomas: Risks, Monitoring, and Age Concerns
Fibroadenoma Hello, Doctor. I have a few questions: 1. Is phyllodes tumor common, and is it related to breast cancer? Does one's constitution particularly lead to future risks? 2. An imaging report shows a BI-RADS 4B lesion measuring 0.9 cm, and the biopsy results are beni...
Dr. Yuan Tianmin Reply:
A 35-year-old with a fibroma is not uncommon, and multiple fibromas are also considered a common condition. If the 4B lesion remains unchanged after one year, it is advisable to perform another biopsy for further evaluation.[Read More] Understanding Fibroadenomas: Risks, Monitoring, and Age Concerns
Understanding Thyroid Report: Diffuse Goiter and Autoimmune Thyroiditis Explained
Interpretation of Thyroid Reports Hello Dr. Yuan, the thyroid report from the day before yesterday has come out with the following results. Could you please explain it? Thank you. DIFFUSE GOITER WITH HETEROGENOUS HYPOECHOGENICITY AND HIGH VASCULARITY, BILATERAL RIGHT/LEFT: 2.65/...
Dr. Yuan Tianmin Reply:
I think the thyroid report should be returned to your original physician for interpretation, as she understands your condition better.[Read More] Understanding Thyroid Report: Diffuse Goiter and Autoimmune Thyroiditis Explained
Can Other Doctors Prescribe Menopause Shots and Medications After Approval?
Menopausal injection and menopausal medication? Hello, I would like to inquire whether once menopause injections and medications are requested by one doctor, other doctors are unable to prescribe them. I have undergone a total mastectomy for breast cancer, and my doctor suggested...
Dr. Yuan Tianmin Reply:
The menopause injection requires prior evaluation, so you should go to the hospital where the doctor who applied for it is located to have them prescribe it for you. If you really need to transfer to another hospital, you can also have a physician from the relevant department ass...[Read More] Can Other Doctors Prescribe Menopause Shots and Medications After Approval?
Understanding Microinvasive Breast Cancer: Risks and Treatment Options
Breast cancer issues? Hello Doctor: The core needle biopsy report indicated in situ carcinoma, and after undergoing a total mastectomy, the pathology report summary is as follows: DX: ----microinvasive carcinoma, NBR grade 2, pT1miN0(sn), margin negative----ductal carcinoma in si...
Dr. Yuan Tianmin Reply:
Oral hormonal medications are not suitable for this type of breast cancer; however, if HER2 is strongly positive, it is recommended to use targeted therapy, which may require out-of-pocket expenses. You should discuss the specifics of the treatment with your physician.[Read More] Understanding Microinvasive Breast Cancer: Risks and Treatment Options
Understanding Breast Calcifications: When to Consider Biopsy and Follow-Up
Breast calcification Hello, in July 2022, a mammogram revealed calcifications in my left breast. I underwent a breast magnification mammogram, and the report indicated a BI-RADS category 3, recommending follow-up every six months. However, the doctor mentioned that the magnified ...
Dr. Yuan Tianmin Reply:
I believe that if there are no other concerns, it is best to follow the physician's recommendation for a targeted excision. I have also had a diagnosis from a radiologist indicating a grade three, but ultimately there was still the presence of carcinoma in situ.[Read More] Understanding Breast Calcifications: When to Consider Biopsy and Follow-Up
Understanding Breast Nodule: When to Seek Medical Attention
Chest issues A sudden lump on the right breast areola that feels like a pimple, with slight tenderness when pressed but not very painful, could be indicative of several conditions, such as a sebaceous cyst, folliculitis, or a benign breast condition. It is advisable to monitor th...
Dr. Yuan Tianmin Reply:
You can observe for a week, and if there are still no changes after a week, you can go to a breast specialty clinic for an examination.[Read More] Understanding Breast Nodule: When to Seek Medical Attention
Understanding Hard Lumps Near the Areola: What You Need to Know
Hard lump on the areola? Hello doctor, I discovered a lump on the right areola (next to the nipple) three days ago. It doesn't hurt when I press it, and it's not very noticeable when viewed from the front, but the surface has some peeling. What could this be a symptom o...
Dr. Yuan Tianmin Reply:
There are many gland openings on the areola, so it is possible that the hard lump you feel is simply due to inflammation of these openings. If you are concerned, it is advisable to visit a breast specialist for an examination.[Read More] Understanding Hard Lumps Near the Areola: What You Need to Know
Understanding Breast Issues: What to Do About Unexplained Bumps
Breast issues Hello Dr. Yuan, I have a question on behalf of my mother. She has a small, red bump on the lower edge of her right breast that looks like a mosquito bite. It is not painful, and there is no noticeable swelling when touched. What could this be? Is it caused by a mosq...
Dr. Yuan Tianmin Reply:
If there are no lumps and no pain, it usually isn't a major issue, but it's still a good idea to have a breast specialist examine it.[Read More] Understanding Breast Issues: What to Do About Unexplained Bumps
Understanding Areola Changes: When to Seek Medical Advice
Areola issues Hello Doctor: I have noticed white patches on my areola that resemble Montgomery glands but are not the size of a grain of rice. They extend from around the nipple to the areola, but there are no other abnormalities, no itching, or any other symptoms. However, when ...
Dr. Yuan Tianmin Reply:
I think the issue is not serious, but it's still a good idea to have it checked by a breast specialist.[Read More] Understanding Areola Changes: When to Seek Medical Advice
Understanding Tamoxifen Effects After Breast Cancer Surgery: Your Questions Answered
Medication issues? Hello Dr. Yuan! I underwent a right mastectomy for breast cancer on November 5th last year, and the postoperative pathology report indicated a 0.1 cm infiltrating carcinoma with no lymph node metastasis. Therefore, chemotherapy and radiation therapy were not ne...
Dr. Yuan Tianmin Reply:
After breast cancer surgery, regular follow-up examinations are typically conducted. The timing of these checks depends on when your previous examinations were performed and whether further tests are necessary. Additionally, the use of tamoxifen is common in such cases, and its s...[Read More] Understanding Tamoxifen Effects After Breast Cancer Surgery: Your Questions Answered
Understanding Unusual Bumps on the Areola: When to Seek Help
There is a noticeable protrusion near the areola? I know that it's normal for the areola to have some small bumps, and sometimes they can expel a type of acne. However, there is a more prominent bump on my areola (more noticeable than the surrounding bumps), and when I touch...
Dr. Yuan Tianmin Reply:
Those pimples are likely openings of glands in the areola. You can start with an ultrasound examination, and if everything is fine, there's no need to worry too much.[Read More] Understanding Unusual Bumps on the Areola: When to Seek Help
Understanding Breast Calcifications: What You Need to Know
Breast calcifications examination Hello Doctor: I have been regularly undergoing breast ultrasounds every six months and mammograms every two years. The ultrasound revealed a 1.8 cm adenoma in my left breast and 2-3 fibrocystic lesions measuring 0.3-0.5 cm in my right breast. The...
Dr. Yuan Tianmin Reply:
This mammography report should be referred back to the breast specialty clinic, where they will arrange for a magnified imaging examination. As for the subsequent management, your outpatient physician will explain the next steps to you.[Read More] Understanding Breast Calcifications: What You Need to Know
Understanding Swelling in the Armpit: Causes and When to Seek Help
Swollen underarm? Hello Doctor: For the past couple of days, I've noticed that my left armpit feels swollen compared to my right armpit. There is no pain when I press on it, and there are no lumps. Occasionally, I experience brief pain, which lasts only a few seconds, and it...
Dr. Yuan Tianmin Reply:
You can get a breast ultrasound examination. I'm considering that it might be the accessory breast tissue in both armpits that is causing the pain.[Read More] Understanding Swelling in the Armpit: Causes and When to Seek Help
Concerns About Breast Lumps During Pregnancy: What You Need to Know
Breast issues I am currently 31 weeks pregnant. A few days ago, while self-examining my breasts, I suddenly felt a pea-sized hard lump at the 6 o'clock position of my right breast. Looking back at my ultrasound from last October, there were indeed cysts at the 6 and 7 o'...
Dr. Yuan Tianmin Reply:
I don't understand why I have to wait a month or a week to get an ultrasound. Currently, most outpatient clinics in hospitals allow you to walk in and get it done at any time for your reference.[Read More] Concerns About Breast Lumps During Pregnancy: What You Need to Know
Understanding Hard Lumps in the Armpit: When to See a Specialist
There is a hard lump in the armpit? Hello, Doctor: I have had hard lumps in my armpit for a long time, and there are several of them, but they are not painful or itchy! I previously had an ultrasound done, and they said to just monitor it, but recently I feel like there are more ...
Dr. Yuan Tianmin Reply:
If you haven't had a breast ultrasound in over six months, it is recommended that you schedule a breast ultrasound examination.[Read More] Understanding Hard Lumps in the Armpit: When to See a Specialist
Is It Normal for Accessory Breasts to Be Uneven?
The sizes of the accessory breasts are different on each side? Is it normal for the accessory breasts to be different on both sides? They are not painful (I just happen to be on my period and I usually don't wear a bra at home). Thank you!
Dr. Yuan Tianmin Reply:
Most patients have asymmetrical sizes on both sides.[Read More] Is It Normal for Accessory Breasts to Be Uneven?
Understanding Small Growths on the Nipple: Causes and Concerns
There are granulations on the nipple? Doctor, I have inverted nipples, and when I try to push them out, I notice that the center of the nipple (that's what it's called, right?) has small, raised lesions. I remember feeling them a long time ago, but they are not painful ...
Dr. Yuan Tianmin Reply:
I recommend that you visit a breast specialist for a thorough examination to determine if surgical intervention is necessary.[Read More] Understanding Small Growths on the Nipple: Causes and Concerns
Concerns About Breast Lumps During Pregnancy: What You Need to Know
Breast issues I am currently 31 weeks pregnant. A few days ago, while self-examining my breasts, I suddenly felt a pea-sized hard lump at the 6 o'clock position on my right breast. Looking back at my ultrasound from last October, there were indeed cysts at the 6 and 7 o'...
Dr. Yuan Tianmin Reply:
It is reasonable to have a breast ultrasound done again after 10 months, so I recommend that you go for an ultrasound for follow-up.[Read More] Concerns About Breast Lumps During Pregnancy: What You Need to Know
Pregnancy While on Antithyroid Medication: What You Need to Know
Pregnancy during the use of antithyroid medications? Early stage: I have been taking anti-arrhythmic medication for 8 months, one tablet daily. Recently, I have also been taking Levothyroxine and anti-allergic medication, one tablet each per day for 2 months, along with gastroint...
Dr. Yuan Tianmin Reply:
There are specific medications for hyperthyroidism that are safe for use during pregnancy, so if you have discussed your pregnancy concerns with your attending physician, they should make the necessary adjustments for you.[Read More] Pregnancy While on Antithyroid Medication: What You Need to Know
Understanding Sharp Pain in the Right Breast and Armpit Area
Pain in the lateral aspect of the right breast? Hello, doctor. Previously, I experienced sharp pain in the outer area of my right breast when I touched the right armpit, especially before my menstrual period while taking oral contraceptives. However, there are no lumps present. I...
Dr. Yuan Tianmin Reply:
First, undergo a breast ultrasound to confirm that there are no suspicious images in the breast; then the pain can be attributed to the onset of menstruation.[Read More] Understanding Sharp Pain in the Right Breast and Armpit Area