Post-Surgery Care for Stage 4 Breast Cancer: Managing Wound Healing Issues
Post-mastectomy care for breast cancer? My mother underwent breast cancer surgery (stage 4) at Chi Mei Hospital in September of this year. Since the surgery, she has had six rounds of chemotherapy, and everything has been going well. However, there is a small wound at the surgica...
Dr. Zhang Zhenxiang reply Surgery
Dear Judy, If it is stage IV breast cancer, it is very difficult to completely remove the tumor with surgery alone. Therefore, if the postoperative wound condition is not good, it is sometimes necessary to differentiate between cancer cell recurrence and a simple wound infection...[Read More] Post-Surgery Care for Stage 4 Breast Cancer: Managing Wound Healing Issues
Understanding Areola Size Changes After Pregnancy: What’s Normal?
Areola size Dear Dr. Chang: I would like to ask about a concern I have. After giving birth to my first child nearly three years ago, I have noticed that my areolas have been continuously expanding, measuring about 8 centimeters. I am unsure if this is a normal occurrence or if ...
Dr. Zhang Zhenxiang reply Surgery
The Department of Surgery at Tainan Hospital replies: Hello, due to the lack of detailed information regarding your inquiry, for your health considerations, please visit the outpatient clinic for a more comprehensive physical assessment by a qualified physician. Thank you. Tainan...[Read More] Understanding Areola Size Changes After Pregnancy: What’s Normal?
Understanding Nipple Injury and Breast Lumps: When to Seek Medical Advice
Breast issues Hello, under normal circumstances, is it common for a person's nipples to be easily injured? My right nipple often cracks with slight pressure. This situation has persisted for some time, and I have also discovered a hard lump on the right side of my right brea...
Dr. Zhang Zhenxiang reply Surgery
In general, if the nipples are easily injured, it is best to have them checked by a breast specialist to rule out any issues. As for breast lumps accompanied by pain (especially during menstruation), they may be indicative of fibrocystic breast disease, which is mostly benign. Yo...[Read More] Understanding Nipple Injury and Breast Lumps: When to Seek Medical Advice
Understanding Rectovaginal Fistula: Treatment Options and Care Tips
Rectovaginal fistula Could you please provide information regarding the treatment methods for rectovaginal fistula, the duration of medical care, and any precautions that should be taken? Thank you!
Dr. Zhang Zhenxiang reply Surgery
Rectovaginal fistula is a complex condition with diverse causes, sizes, and locations, as well as various treatment options ranging from conservative natural healing to aggressive surgical interventions involving resection of the vagina or rectum. It is difficult to summarize in ...[Read More] Understanding Rectovaginal Fistula: Treatment Options and Care Tips
Post-Surgery Recovery: Understanding Subcutaneous Tumor Removal and Healing Time
Subcutaneous tumor Dr. Chang, I have developed a subcutaneous tumor near my left ankle, which was surgically removed after a doctor's diagnosis. It has been four weeks since the surgery, but: 1) The area around the incision is still swollen, although it is better than before...
Dr. Zhang Zhenxiang reply Surgery
After surgery, the wound generally remains a bit swollen after the stitches are removed. If the wound is dry and shows no signs of inflammation, the symptoms will typically improve over time. Wounds near the ankle usually have poorer venous circulation, especially in patients wit...[Read More] Post-Surgery Recovery: Understanding Subcutaneous Tumor Removal and Healing Time
Understanding Unwanted Hair Growth Around Breasts: Causes and Solutions
Annoying chest issues? I have a close friend who recently told me that she has hair growing around her breast areolas and her navel, which is causing her a lot of distress because there are many hairs. She doesn't know what to do. May I ask: 1. Is it normal for women to have...
Dr. Zhang Zhenxiang reply Surgery
Excessive hair growth on the chest should be monitored for any hormonal changes in the body, particularly an increase in androgens. These conditions can be triggered by medications or dietary factors. It is unclear how old this individual is, but some women with certain genetic p...[Read More] Understanding Unwanted Hair Growth Around Breasts: Causes and Solutions
Understanding Asymmetrical Breasts: Is It Normal and What to Know?
Uneven breast size? Hello, Doctor: Although you have answered related questions before, I still want to ask why it is normal for one breast to be larger than the other. I feel that there is quite a significant difference between my left and right sides, and sometimes the flatter ...
Dr. Zhang Zhenxiang reply Surgery
If you are truly concerned, I recommend visiting a breast surgery clinic for further examination by a physician. As for the difference in size between the two breasts, as long as the examination shows no issues, you should be able to feel reassured.[Read More] Understanding Asymmetrical Breasts: Is It Normal and What to Know?
Understanding Breast Lumps in Males: Causes and Concerns
Breast lump Hello. I am a male. Currently, the area around my nipples is noticeably swollen, and the areolas are very sensitive and painful to touch. (I noticed this three years ago when the areolas suddenly became very sensitive. Over time, the swelling has gradually increased i...
Dr. Zhang Zhenxiang reply Surgery
Puberty hormones can cause breast swelling; however, it is still recommended that you consult a breast specialist for further evaluation, including possible hormone testing.[Read More] Understanding Breast Lumps in Males: Causes and Concerns
Understanding Lung Metastasis in Breast Cancer: Key Questions Answered
Breast cancer with rule out lung metastasis? Hello Dr. Chang, I am the brother of your patient, Liu Huijuan. I work in obstetrics and gynecology and am currently employed in Taipei. Recently, I was very anxious when my sister was found to have a lung mass. As her brother, being f...
Dr. Zhang Zhenxiang reply Surgery
Director Zhang from the Surgery Department has responded via mobile phone.[Read More] Understanding Lung Metastasis in Breast Cancer: Key Questions Answered
Understanding Discrepancies in Lump Diagnosis: Seeking Clarity in Medical Imaging
Lump Hello, Doctor; I had an X-ray performed at a clinic two years ago, and the diagnosis indicated a mass, but the physician said it was benign and advised regular check-ups. However, six months later, I had an ultrasound at Taichung Veterans General Hospital, and the results sh...
Dr. Zhang Zhenxiang reply Surgery
Director Lin has responded. If you have any further questions, please contact the Breast Cancer Consultation Hotline at 06-2249896. Thank you.[Read More] Understanding Discrepancies in Lump Diagnosis: Seeking Clarity in Medical Imaging
Understanding Varicocele: Symptoms, Risks, and Treatment Options
Varicocele During my enlistment medical examination, the examining doctor told me that I have a varicocele. I didn't have time to ask him, so could you please tell me what I should do, what potential complications or symptoms I might experience, and how it can be treated? Th...
Dr. Zhang Zhenxiang reply Surgery
Varicocele occurs in about 1 in 5 young males, often discovered during school or military entrance examinations, so there is no need for immediate concern. This condition primarily results from poor venous return in the internal spermatic vein, leading to blood pooling on the pos...[Read More] Understanding Varicocele: Symptoms, Risks, and Treatment Options
Understanding Painful Breast Lumps: Causes and Management Tips
Breast lump There is a hard lump beneath the breast. After undergoing ultrasound and X-ray imaging, the doctor stated it is benign and requires only regular monitoring. However, it causes slight pain upon touch. What could be the reason for this?
Dr. Zhang Zhenxiang reply Surgery
Your breast condition is likely causing pain due to a fibrocystic change. It is generally recommended to (1) reduce the intake of caffeinated beverages such as coffee, strong tea, and cola, and (2) take oral vitamin E. Some patients find that these measures can alleviate their sy...[Read More] Understanding Painful Breast Lumps: Causes and Management Tips
Understanding Asymmetrical Breasts: Causes, Solutions, and Surgery Options
Uneven breast size? Hello, my breasts have been uneven since birth. My mother mentioned that one side had hair growth. When I was 10-12 years old, she took me to see a doctor, but I was too young to understand the results. Now, at 24 years old, my breasts are still uneven (one la...
Dr. Zhang Zhenxiang reply Surgery
Hello, it's normal for one breast to be larger than the other. I recommend visiting a breast surgeon for a diagnosis to alleviate any concerns. As for breast augmentation surgery, the costs vary depending on the surgical method used. You can discuss the surgical options and ...[Read More] Understanding Asymmetrical Breasts: Causes, Solutions, and Surgery Options
Is Red Dragon Fruit Causing Red Urine? Health Concerns Explained
Dragon fruit Hello, recently many of my colleagues in the company have experienced red-colored stools after consuming dragon fruit, and particularly, their urine is very red (similar to blood). Is this abnormal, and could it be harmful? Thank you. Linda
Dr. Zhang Zhenxiang reply Surgery
The nutritional composition of dragon fruit is unclear. If there are concerns about abnormal urine, it is best to visit a hospital for a urinalysis to determine if there are any issues.[Read More] Is Red Dragon Fruit Causing Red Urine? Health Concerns Explained