Dr. Li Zhonghuai reply Surgery Question - Page 20

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Is Hormonal Therapy Necessary After Lumpectomy for DCIS?

Is it necessary to take hormone therapy after surgery for breast carcinoma in situ? Hello! I previously found a hard lump in my breast that was painful. After a biopsy, I was diagnosed with ductal carcinoma in situ (DCIS). Additionally, there were more than ten microcalcification...


Dr. Li Zhonghuai reply Surgery
Hello! You need to take the medication for 5 years and be closely monitored. Take care! Changhua Hospital is concerned about you!

[Read More] Is Hormonal Therapy Necessary After Lumpectomy for DCIS?


Persistent Hematoma in Right Thigh: What to Do Next?

Large hematoma in the right thigh after a car accident on May 9th? It's been almost a month since May 9th to today, June 3rd, and the hematoma on my right thigh has not significantly reduced in size. I went to a large hospital and had two tubes of fluid drained. The doctor s...


Dr. Li Zhonghuai reply Surgery
Hello! In principle, conservative treatment allows for natural absorption. If the blood clot has not absorbed after several months of follow-up, surgical debridement is recommended. Take care! Changhua Hospital cares about you!

[Read More] Persistent Hematoma in Right Thigh: What to Do Next?


Is It Normal to Have Blood from the Nipple After Breast Biopsy?

Breast issues I would like to ask if it is normal to see a small amount of blood discharge from the nipple a few days after undergoing a breast biopsy for a breast lump, even though the wound appears to be healing well.


Dr. Li Zhonghuai reply Surgery
Hello! Traditional biopsy? Complete tumor removal? Coarse needle? Fine needle localization? Was there nipple bleeding before the biopsy was performed, or was it overlooked? Post-surgery, bleeding may also occur if the tumor is located close to the nipple. Take care! Changhua Hosp...

[Read More] Is It Normal to Have Blood from the Nipple After Breast Biopsy?


Managing Knee Injuries After a Motorcycle Accident: Treatment Options

Multiple abrasions and contusions all over the body from a fall-related accident? Hello Doctor: I had a motorcycle accident on May 20, 2017, where my motorcycle fell and crushed the front right side of my left knee. It swelled up completely, and there were bruises on the left sid...


Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to see an orthopedic specialist to evaluate whether surgery is necessary. Take care! Changhua Hospital cares about you!

[Read More] Managing Knee Injuries After a Motorcycle Accident: Treatment Options


Understanding Pain in Healed Wounds: Is It Normal?

After a wound has healed, it may still hurt if it is bumped? Hello, I would like to ask about a knee injury caused by a car accident a year ago. The wound was small, and while it was healing, it was repeatedly bumped against chairs, causing bleeding. Now, the wound has healed for...


Dr. Li Zhonghuai reply Surgery
Hello! It may be hypertrophic scars or keloids; a physical examination is necessary to determine. Take care! Changhua Hospital cares about you!

[Read More] Understanding Pain in Healed Wounds: Is It Normal?


Understanding Hard Lumps Near the Buttocks: When to Seek Medical Advice

There is a hard lump next to the buttocks? I noticed something after the New Year, but I was hesitant to tell my family, so I’ve waited until now. Recently, I feel like I should take care of it, so I’m asking about it. It’s located on the side of my buttocks where there is the mo...


Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to see a general surgeon, as a physical examination on-site is more accurate. Take care! Changhua Hospital cares about you.

[Read More] Understanding Hard Lumps Near the Buttocks: When to Seek Medical Advice


Managing Wound Healing After a Car Accident: Tips and Insights

Traumatic injuries from a car accident? Hello, I would like to ask a question. I had a car accident last month, and I have a wound on my calf that hasn't healed. The day after the accident, I noticed the wound was black and felt hard to the touch. I later changed the dressin...


Dr. Li Zhonghuai reply Surgery
Hello! Please do not apply artificial skin, use Neomycin ointment and cover with gauze, and avoid contact with tap water. Wishing you well! Changhua Hospital cares about you!

[Read More] Managing Wound Healing After a Car Accident: Tips and Insights


Understanding Painful Lumps in the Armpit: When to See a Doctor

There is a hard lump in the armpit? A month ago, I noticed a painful area in my armpit that appeared red and swollen, and there was a firm lump when I touched it. Initially, I thought it was a bug bite, so I applied a topical ointment. The redness subsided, but when I raise my ar...


Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to see a general surgeon. Wishing you safety! Changhua Hospital cares about you!

[Read More] Understanding Painful Lumps in the Armpit: When to See a Doctor


Is It Normal for Finger Joint Pain After a Cut? Expert Insights

Finger joints Doctor, I have a cut on the joint of my finger, and I didn't see a doctor. Is it normal for it to hurt a little when I bend my finger joint?


Dr. Li Zhonghuai reply Surgery
Hello! Doctor, I have a cut on the joint of my finger, and I didn't go to see a doctor. Is it normal for it to hurt a little when I bend my finger joint? Is the wound healed? Even if the wound is healed, it can still hurt for a while. Take care! Changhua Hospital cares about...

[Read More] Is It Normal for Finger Joint Pain After a Cut? Expert Insights


Understanding the Anaerobic Environment in Tetanus-Infected Wounds

The reasons for the formation of anaerobic environments in tetanus wounds? Dr. Li: Hello! I apologize for bothering you with a medical question that has been troubling me, and I hope you can provide some guidance. As far as I know, a wound caused by a rusty nail can potentially b...


Dr. Li Zhonghuai reply Surgery
Hello! This question should be directed to a microbiology expert. In clinical practice, whenever there is a wound that has come into contact with soil, dust, animals, or rusty instruments, we administer a tetanus shot directly in the emergency department. Deep wounds themselves p...

[Read More] Understanding the Anaerobic Environment in Tetanus-Infected Wounds


Understanding Post-Surgery Pain and Complications from Hernia Repair

Hernia issues? Hello, Doctor. A year ago, I was diagnosed with a hernia and required surgery, resulting in a roughly 3 cm incision in the right groin area. During the procedure, a mesh was placed, and sutures were used. However, within a year post-surgery, I have been experiencin...


Dr. Li Zhonghuai reply Surgery
Hello! It is indeed unrelated to hernias. Traditional surgical wounds are generally larger, and the superficial nerves will gradually heal. As for the swelling you mentioned, it can only be assessed in person. There are specialized abdominal binders available for hernias. Take ca...

[Read More] Understanding Post-Surgery Pain and Complications from Hernia Repair


Understanding Scalp Sarcoma: Symptoms, Concerns, and Treatment Options

Scalp sarcoma Hello doctor, I have a soft, red tumor on my head. I am currently 26 years old and I remember noticing it in middle school, but I have ignored it since it hasn't been painful. Recently, I feel that it has slightly increased in size, approximately 0.6 cm in diam...


Dr. Li Zhonghuai reply Surgery
Hello! It's been over a decade, and it has grown larger. We will address any symptoms as they arise. Take care! Changhua Hospital cares about you!

[Read More] Understanding Scalp Sarcoma: Symptoms, Concerns, and Treatment Options


Understanding Tetanus Risks After a Cut: Symptoms and Concerns

Tetanus Issues Last week, I cut my right finger with a metal object. There was bleeding at the time, and I immediately disinfected it with iodine. I thought it was fine and didn't go to the hospital for a tetanus shot. The wound has been gradually healing, but in the past fe...


Dr. Li Zhonghuai reply Surgery
Hello! If you haven't taken the medication for more than a day, you don't need to take it anymore, but it's not worth taking that risk. Please have your original physician monitor your personal routine. Changhua Hospital cares about you!

[Read More] Understanding Tetanus Risks After a Cut: Symptoms and Concerns


Understanding Subcutaneous Cysts: Causes and Symptoms

Subcutaneous cyst Recently, a small round lump was found subcutaneously on the anterior aspect of the left calf. It is not visible externally, but there is slight pain upon palpation, and it can be slightly moved when pressed. The size is approximately 0.5 centimeters. What could...


Dr. Li Zhonghuai reply Surgery
Hello! It is most likely a lipoma or an epidermoid cyst, but it can only be confirmed through an in-person examination. Take care! Changhua Hospital cares about you.

[Read More] Understanding Subcutaneous Cysts: Causes and Symptoms


Effective Treatments for Painful Nail Bed Infections: What You Need to Know

The issue of paronychia? I have developed small granulation tissue in the webbing of my toes, and it is very painful. What medication (for example, specific drug names) should I apply to help it heal? I have been using the medication prescribed by my doctor, but my symptoms are s...


Dr. Li Zhonghuai reply Surgery
Hello! Surgery is recommended for nail bed reconstruction. If you choose not to undergo surgery, you can consider aesthetic nail reconstruction, but it can be quite costly. Wishing you well! Changhua Hospital cares about you!

[Read More] Effective Treatments for Painful Nail Bed Infections: What You Need to Know


Understanding Fibrocystic Breast Surgery: What You Need to Know

Breast Fibrocystic Cyst Excision Surgery Doctor: Hello, I would like to ask a question. Six years ago, I discovered a fibrocystic lesion beneath my right nipple. Due to its larger size and irregular shape, although it has been confirmed as benign, I have been monitored annually. ...


Dr. Li Zhonghuai reply Surgery
Hello! Since you haven't had a follow-up in two years, the doctor recommends changing it to every six months. Generally, fibrocystic changes do not undergo malignant transformation unless they continue to enlarge or if ultrasound or mammography raises concerns about malignan...

[Read More] Understanding Fibrocystic Breast Surgery: What You Need to Know


Understanding Pain and Hard Lumps Near the Areola: Causes and Concerns

There is a small lump near the areola? In the past two days, I have noticed pain in the area of my right areola upon waking up in the morning. When I press on it, there is some pain, and I can feel a small hard lump. It doesn't hurt when it rubs against clothing or bedding, ...


Dr. Li Zhonghuai reply Surgery
Hello! It is most likely gynecomastia. It is recommended to consult a general surgeon. Take care! Changhua Hospital cares about you!

[Read More] Understanding Pain and Hard Lumps Near the Areola: Causes and Concerns


Recovering from a Car Accident: Addressing Uneven Breast Size and Pain

Due to a car accident, I was in a coma, which caused my left hand to press against my left chest. When I regained consciousness and went to buy a bra, I discovered that the sizes were uneven? I was in a car accident on May 13, 2016, and was in a coma for 17 days before I was move...


Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to address the lumbar spine issues first before dealing with the breast concerns. Without knowing the size difference of both breasts prior to the injury, I cannot provide a comment. Take care! Changhua Hospital is concerned about you!

[Read More] Recovering from a Car Accident: Addressing Uneven Breast Size and Pain


Understanding the Need for Surgery in Subcutaneous Breast Infections

Breast lump I have recently been visiting the hospital frequently because I have a hard lump near my nipple and areola that has become infected. The examination results indicated that it is a subcutaneous tissue infection, and I had pus drained. However, after three weeks, there ...


Dr. Li Zhonghuai reply Surgery
Hello! This is mastitis complicated by an abscess, which is often associated with smoking, including secondhand smoke, particularly in cases of mastitis occurring below or near the areola. For this type of mastitis, it is recommended to surgically drain the abscess. Hospitalizati...

[Read More] Understanding the Need for Surgery in Subcutaneous Breast Infections


Understanding Nail Wound Healing: Is Your Recovery Normal?

Nail wound issues? Hello Doctor, a few days ago I had about one-fifth of my nail removed. It has been 10 days now, and currently, I do not feel any pain when walking or applying pressure. However, the area near the nail where it is growing back (it looks like the nail bed) has no...


Dr. Li Zhonghuai reply Surgery
Hello! Avoid contact with water, which refers to tap water; you should only use sterile saline solution for cleaning. You can continue with the current dressing change. Take care! Changhua Hospital cares about you!

[Read More] Understanding Nail Wound Healing: Is Your Recovery Normal?


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