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 Breast and Thyroid
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 Breast and Thyroid
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 Breast and Thyroid
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 Breast and Thyroid
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 Breast and Thyroid
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 Breast and Thyroid
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
Understanding Hard Lumps Near the Nipple: Should You Worry?
Nipple lump Hello, I have noticed a hard lump in my nipple. It is not painful, and when I press it to the side, the lump becomes more noticeable. Could this possibly be breast cancer? If I need to go to the hospital for an examination, which department should I see if there is no...
Dr. Zhou Jiazhen reply Breast and Thyroid
Hello: If there is mobility, it could be an adenoma or a cyst. Please schedule an appointment with a breast surgeon or a general surgeon for examination. Wishing you safety and health. Sincerely, Dr. Chou Chia-Cheng, Director of Surgery, Taoyuan Hospital, Ministry of Health and W...[Read More] Understanding Hard Lumps Near the Nipple: Should You Worry?
Understanding Subclinical Hypothyroidism: Impact on Fertility and Pregnancy
Hypothyroidism Last month, I had a health check-up, and the results of my thyroid examination showed that my Thyroid Stimulating Hormone (TSH) level is 5.150. The Free Thyroxine (Free T4) level is 1.36. The report mentioned potential primary hypothyroidism. Could you please tell ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Hello: Regular outpatient follow-up is sufficient and will have less impact on fertility. Wishing you safety and health. Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare, Dr. Chou Chia-Cheng.[Read More] Understanding Subclinical Hypothyroidism: Impact on Fertility and Pregnancy
Understanding Nipple Peeling: Causes, Concerns, and Treatments
Nipple peeling Hello doctor, about six months ago, I suddenly experienced intense itching in my left nipple, which led to skin breakdown after scratching. Since then, I have had intermittent itching, and for the past two months, I have been seeing doctors and applying medication....
Dr. Zhou Jiazhen reply Breast and Thyroid
Hello: 1. Most cases are due to eczema caused by allergies. Pay attention to the material of undergarments, and keep the nipples clean and dry. Start with medication treatment and then observe the condition. 2. Monitor for any eczema-like changes in the nipples and areolas, a...[Read More] Understanding Nipple Peeling: Causes, Concerns, and Treatments
Understanding Yellow Breast Discharge: Causes and Treatment Insights
Unilateral breast yellow discharge? Dear Dr. Chou, I would like to ask you about my family member who is 33 years old and has not yet become pregnant. Recently, we discovered that she has a large uterine fibroid. She has been undergoing treatment for two months, initially taking...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Xiao Xiao, Hello, 1. Lurasidone is a central nervous system depressant that can cause side effects similar to those of menopause syndrome, such as hot flashes, palpitations, irritability, and insomnia. 2. Breast discharge is related to hormonal changes in the mammary du...[Read More] Understanding Yellow Breast Discharge: Causes and Treatment Insights
Understanding the Link Between Abortion and Breast Cancer Risk
The association between abortion and breast cancer? Hello Doctor, I have recently seen several articles indicating that induced abortion may increase the risk of breast cancer (especially before the age of 18), but I have also come across some studies showing no association. I ha...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Dongdong, Hello. 1. There is currently no definitive conclusion regarding whether induced abortion increases the risk of breast cancer; however, large studies conducted in Europe and the United States indicate that induced abortion does not increase the risk of breast can...[Read More] Understanding the Link Between Abortion and Breast Cancer Risk
Understanding Clustered Calcifications: Follow-Up and Risks in Breast Health
Clustered calcification Last year, a mammogram revealed clustered microcalcifications, which were surgically removed. However, there are still a few calcification spots visible. I would like to ask: 1. How often should follow-up examinations be done? 2. Is there a possibility tha...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Zhou Zhuzhu, 1. Annual mammography screening. 2. If malignant, there may be metastasis; conversely, if it is benign calcification, appropriate follow-up is necessary. Wishing you peace and health. Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare Zho...[Read More] Understanding Clustered Calcifications: Follow-Up and Risks in Breast Health
Understanding Recurrent Hard Lumps on the Areola: Causes and Concerns
A hard lump has developed on the areola? Doctor, I have a hard lump on my areola. It started as a single lump, which later became painful and swollen, but after a while, it shrank and stopped hurting. However, it started again after some time! This cycle of swelling and pain has ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Team Chen, Hello. Symptoms resembling those caused by glandular obstruction and infection can sometimes lead to the accumulation of pus. If this occurs repeatedly, surgical removal is often recommended, although recurrence is common. Wishing you peace and health. Sincere...[Read More] Understanding Recurrent Hard Lumps on the Areola: Causes and Concerns
Understanding Right Armpit Pain: Possible Causes and When to Seek Help
Right axilla? Hello doctor, I woke up the day before yesterday and suddenly felt a lot of pain in my right armpit. There’s no pain when I touch the surface, and I don’t feel any swelling, but when I press hard, I can feel a lump that moves. It doesn’t hurt when I raise my arm, bu...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Shanshan, Hello, it may be due to lymphadenopathy. You can first visit a family medicine clinic for an examination, and based on the results, you can then see a specialist if needed. If a biopsy or excision is required, you can consult a general surgeon. Wishing you safet...[Read More] Understanding Right Armpit Pain: Possible Causes and When to Seek Help
Concerns About a Bump on the Right Areola: When to See a Doctor?
Right breast areola I recently noticed a small area on the areola of my right breast that feels like there is something underneath it, along with a slight bump. It feels just beneath the surface, while my left breast does not have this issue. What could this be, doctor? Is it nec...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Weuk: Hello, it may be caused by the blockage of the glands in the areola skin, resulting in a sensation similar to a lump, which is relatively superficial. You can monitor it yourself, but if it continues to enlarge or if you experience any symptoms, it is advisable to seek...[Read More] Concerns About a Bump on the Right Areola: When to See a Doctor?
Understanding Breast Pain: When to Seek Medical Advice
Spontaneous anticipation of breast tenderness upon palpation? Hello, I have noticed since the second grade that when classmates push me and it hits my chest, it causes pain. I have mentioned this to adults, and they all said it was due to breast development. However, I am now 30 ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Niu Niu, Hello, everyone has a different sensitivity to pain. If you only experience pain without feeling a lump, there is generally less cause for concern. However, since you are 30 years old, it would be advisable to visit a breast surgery clinic for an examination, which...[Read More] Understanding Breast Pain: When to Seek Medical Advice
Understanding Breast Lumps: When to Seek Medical Advice
Breast lump I started developing breast tissue in the fourth grade, and I got my first period in the first year of junior high. Now I am 17 years old. I noticed a hard lump in my breast back in fourth grade, and it would hurt a lot if I accidentally bumped it. As I grew older, th...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Zhang San, Hello, it is very normal. Wishing you peace and good health. Sincerely, Zhou Jiazhen Director of Surgery Taoyuan Hospital, Ministry of Health and Welfare[Read More] Understanding Breast Lumps: When to Seek Medical Advice
Understanding Abnormal Mammogram Results: Next Steps and Concerns
Abnormal mammography results? Hello Dr. Zhou, I recently had a mammogram, and the results showed a shadow the size of a one-dollar coin. Following the doctor's recommendation, I was referred to a breast specialty clinic for an ultrasound examination. However, the ultrasound ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Xiaowen, Hello. 1. During the menstrual cycle, hormonal fluctuations may cause hyperplasia of the mammary ducts or breast pain, which can sometimes affect imaging and ultrasound procedures, leading to some discrepancies. 2. What is the report from the imaging? If the ul...[Read More] Understanding Abnormal Mammogram Results: Next Steps and Concerns
Am I Experiencing Gynecomastia or Just Weight Gain? Understanding My Concerns
I am unsure whether I have gynecomastia or obesity, which makes me very concerned? I am approximately 178 cm tall and weigh 77 kg. However, among my peers of the same age with similar height and weight, my chest is larger and more prominent, which makes me hesitant to stand tall ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Hello: Weight loss generally leads to improvement, but the extent of improvement varies for each individual. If there is no improvement, you may visit the outpatient clinic for examination and evaluation. Wishing you peace and health. Director of Surgery, Taoyuan General Hospital...[Read More] Am I Experiencing Gynecomastia or Just Weight Gain? Understanding My Concerns
Understanding Gynecomastia: Surgical Options and Considerations for Men
Gynecomastia Hello doctor, I have a few questions regarding gynecomastia. 1. I have a lean physique with little fat in my upper body, but I have a hard lump beneath my nipple and the nipple is protruding. Can this be treated with just surgical excision without liposuction? 2. ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Hello, regarding your questions, here are the responses: 1. Yes, it is possible. 2. Both options are available; the effectiveness will vary depending on the condition of gynecomastia, and the scarring will also differ. 3. If covered by health insurance, both general surgery a...[Read More] Understanding Gynecomastia: Surgical Options and Considerations for Men