Dr. Zhou Jiazhen reply Breast and Thyroid Question - Page 15

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Understanding Hard Lump Behind Right Nipple: Causes and When to Seek Help

There is a hard lump on the right nipple? Hello Dr. Chou, I have a hard lump behind my right nipple that sometimes causes mild pain. When I press on it, I can feel that the lump behind the nipple is round, and it is painful when I squeeze it. What could this condition be? Do I ...


Dr. Zhou Jiazhen reply Breast and Thyroid
Hello: 1. Symptoms similar to gynecomastia. 2. It is caused by an increase in female hormones in the body, similar to breast tenderness experienced during a woman's menstrual period; it can sometimes be painful. It is recommended to consult a specialist in breast surgery for...

[Read More] Understanding Hard Lump Behind Right Nipple: Causes and When to Seek Help


Managing Post-Surgery Pain and Side Effects After Breast Cancer Surgery

Post-operative complications after breast cancer surgery? Hello Doctor: My mother has undergone surgery for breast cancer, and since the operation, she has been experiencing sharp pain at the surgical site, which seems to be nerve-related. This pain occurs intermittently and has ...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Daisy, Postoperative pain is a common complication following breast cancer surgery, particularly in patients who have undergone axillary lymph node dissection. The pain is typically located in the axilla, upper arm, and chest area, with some patients experiencing severe sho...

[Read More] Managing Post-Surgery Pain and Side Effects After Breast Cancer Surgery


Persistent Pain in Armpit and Breast: What Could It Mean?

Pain upon palpation of the axilla? There is pain when pressing on the junction between the left armpit and the outer upper side of the breast. An ultrasound was performed at the hospital, and the doctor did not find any issues. However, the symptoms have persisted for the past tw...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Nini, Hello. You should consider whether there is an issue with accessory breast tissue. During embryonic development, breast tissue is distributed from the axilla to the lower abdomen. If there is incomplete regression, residual breast tissue may remain, most commonly in t...

[Read More] Persistent Pain in Armpit and Breast: What Could It Mean?


Understanding Male Breast Pain: A Guide to Diagnosis and Treatment

Male breast swelling and pain? Hello Dr. Zhou, I went to the hospital and saw a general surgeon who performed an ultrasound. The tissue around my nipple is swollen, forming a hard area about 3-4 cm square. Sometimes the nipple experiences sharp pain. The doctor advised observatio...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ah Xiang, 1. The most common cause of breast swelling and pain in males is "gynecomastia," which is caused by an imbalance of female hormones in the body. It is often seen in adolescent males and patients with liver disease. Some cases are attributed to medication...

[Read More] Understanding Male Breast Pain: A Guide to Diagnosis and Treatment


Understanding Male Nipple Pain: Causes and When to Seek Help

The male has experienced some swelling and pain in the nipple over the past few days? Hello, I am a 40-year-old male. For the past 2-3 days, I have been experiencing some swelling and pain in my nipples, which has not improved. They feel swollen and painful, and there is no sensa...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ah Xiang, Hello, excessive use of the muscle fascia and neuropathic pain are common causes of male breast pain. If the pain is localized only to the nipple, the likelihood of gynecomastia is higher, which may be caused by hyperplasia of the mammary ducts. This condition can...

[Read More] Understanding Male Nipple Pain: Causes and When to Seek Help


Understanding Breast Lumps: Are They Signs of Breast Cancer?

Breast lump There are small raised bumps on the areola, and sometimes the nipple has small yellowish hard lumps. When palpating the breast, there are noticeable hard lumps. Should I be concerned that this could be breast cancer?


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Xiao Jiu, Hello. For the preliminary assessment of whether a lump is benign or malignant, consider whether the lump is smooth and movable, any changes in size, and its relation to the menstrual cycle. At the age of 20, a fibrocystic tumor is most likely, but it is still rec...

[Read More] Understanding Breast Lumps: Are They Signs of Breast Cancer?


Can I Get a Breast Ultrasound While Breastfeeding?

Is it safe to perform a breast ultrasound during breastfeeding? Hello Doctor: I previously had a fibrocystic breast condition (benign) and need to have regular follow-up examinations. I am currently breastfeeding; can I continue with the follow-up? If I wait until after breastfee...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ms. Kuo, Hello. It may be beneficial to monitor with ultrasound, and you can also perform self-examinations regularly. Wishing you safety and health. Sincerely, Dr. Chou Chia-Cheng Director of Surgery Taoyuan General Hospital, Department of Health

[Read More] Can I Get a Breast Ultrasound While Breastfeeding?


Understanding Fibroadenomas and Papillomas: Impacts on Breast Health and Pregnancy

The impact of sebaceous cysts and papillomas? Hello doctor, I have a 1.6 cm sebaceous cyst and a 0.8 cm papilloma in my right breast, along with a 0.4 cm tumor that has not yet been biopsied. I would like to know what causes sebaceous cysts and papillomas. Additionally, I sometim...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ms. Liu, Hello, a sebaceous cyst is caused by the obstruction of skin glands, while a papilloma is due to the proliferation of the milk ducts. Neither condition will affect pregnancy, nor will they impact breastfeeding. Wishing you health and safety. Sincerely, Dr. Chou...

[Read More] Understanding Fibroadenomas and Papillomas: Impacts on Breast Health and Pregnancy


Understanding Right Chest Nipple Lumps: Causes, Concerns, and Treatments

There is a lump on the right nipple, accompanied by discomfort and slight pain? This issue has been troubling me for many years, starting from middle school, which has been almost 10 years now. It has been intermittent, with periods of improvement and worsening. Recently, the dis...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Carlos, Hello. The curative method can be surgical excision. Whether liposuction is an option should be discussed with a plastic surgeon. There are very few cases of breast cancer that are referred to as gynecomastia in men, but this is generally associated with older age. ...

[Read More] Understanding Right Chest Nipple Lumps: Causes, Concerns, and Treatments


Understanding Armpit Pain Before Menstruation: When to See a Doctor

Is it normal to experience some pain in the armpit a week before menstruation? I have never experienced armpit pain before my period, but this time, a week before my period, I felt some pain when pressing on my left armpit, and there is a slight swelling. My breasts feel full but...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Jojo, Hello. The stimulation of ovarian hormones before or during menstruation can lead to the proliferation of breast tissue, causing swelling and even discomfort or pain. The swelling and tenderness in the armpit may be due to accessory breast tissue. If the symptoms pers...

[Read More] Understanding Armpit Pain Before Menstruation: When to See a Doctor


Understanding Adenoma in Breast: Surgery, Recovery, and Causes Explained

Discovery of a pleomorphic adenoma? Hello Dr. Zhou, I apologize for disturbing your valuable time. I had a breast ultrasound examination and was diagnosed with a phyllodes tumor. I first noticed a small lump during my pregnancy, and now that I am at full term, it has grown signi...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ms. Liao, Hello, in response to your questions: 1. Approximately 3-4 days, depending on the removal time if a drainage tube is placed. 2. About 1-2 weeks. 3. It is relatively unrelated to diet and daily living activities. Wishing you peace and health. Sincerely, Dr. Ch...

[Read More] Understanding Adenoma in Breast: Surgery, Recovery, and Causes Explained


Understanding Nipple Pain: Causes and When to Seek Medical Help

Nipple pain..? Today, while taking a shower, I felt pain when touching my nipple. Later, I pressed on it and expelled a lot of yellowish-white liquid, but it wasn't very watery. I kept pressing until it felt like a soft comedone, and towards the end, it turned into a clear l...


Dr. Zhou Jiazhen reply Breast and Thyroid
Hello, based on your description, 1. it could possibly be a skin cyst of the nipple, caused by blockage of the skin glands. 2. It may also be an issue related to the mammary ducts. I recommend visiting a breast surgery clinic for further examination by a specialist. Wishing you s...

[Read More] Understanding Nipple Pain: Causes and When to Seek Medical Help


Understanding Hashimoto's Thyroiditis: Symptoms, Diet, and Management

Hashimoto's thyroiditis Hello Doctor, I was diagnosed with Hashimoto's thyroiditis in 2010, and at that time, my TSH levels were normal. My recent lab report shows: Anti-microsomal Ab: 1:25600 and TSH: 6.48. I have the following questions: 1. Does the level of Anti-micr...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Cherry, In response to your questions, please find the answers below: 1. Yes. 2. Cruciferous vegetables can interfere with iodine utilization and may lead to hypothyroidism. Patients with hypothyroidism should avoid their consumption. 3. It is advisable to minimize intake....

[Read More] Understanding Hashimoto's Thyroiditis: Symptoms, Diet, and Management


Can Hyperthyroid Patients Use Povidone-Iodine for Wounds?

What medication can be applied for trauma in patients with hyperthyroidism? Doctor, can hyperthyroid patients use Betadine on external wounds?


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Leonard: For patients with hyperthyroidism, topical application of iodinated povidone is permissible in case of trauma. Wishing you safety and health. Sincerely, Dr. Chou Chia-Cheng, Director of Surgery, Taoyuan General Hospital, Department of Health.

[Read More] Can Hyperthyroid Patients Use Povidone-Iodine for Wounds?


Understanding Breast Development: Concerns and Myths for Teens

My breasts have not grown since I was in the first year of junior high school! During middle school, which is typically a period of development, I started wearing a student-style bra from the first year of junior high. I even wore it to sleep! Later on, I noticed that my breasts ...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Han, Hello. The development of breasts is related to the stimulation of female hormones in the body. If there is insufficient secretion of female hormones, it can affect breast development. Wearing a bra too early does not hinder breast development. Furthermore, there is no...

[Read More] Understanding Breast Development: Concerns and Myths for Teens


Understanding Nipple Discharge: Causes and When to Seek Help

Nipple discharge? Hello Dr. Zhou, I would like to ask about a condition I have been experiencing. When I squeeze both of my nipples, I notice a milky white discharge (sometimes slightly transparent) that is quite abundant, with the left side producing more (occasionally in a jet...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Jay: Bilateral milk secretion in women is mostly classified as galactorrhea, which is primarily caused by improper regulation of prolactin hormones. Most cases are due to medication, while a smaller portion may be related to pituitary disorders. It is recommended to follow u...

[Read More] Understanding Nipple Discharge: Causes and When to Seek Help


Understanding Nipple Discharge: Causes and Concerns in Breast Health

Nipple discharge At the beginning of the year, I noticed that when I pressed around my left breast, a yellowish transparent sticky discharge would appear from the same area of the nipple, with varying amounts. Sometimes, a similar discharge would also appear when I pressed on the...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Patty, Hello, you have yellowish transparent sticky discharge from your nipple, and after examination, the doctor noted a higher likelihood of a fibrocystic cyst. This is still a benign change, but you should follow up at the breast surgery outpatient clinic every six month...

[Read More] Understanding Nipple Discharge: Causes and Concerns in Breast Health


Causes and Management of Skin Necrosis After Breast Surgery: A Case Study

The causes and management of progressively expanding skin necrosis following breast surgery? A patient with stage II breast cancer [without lymph node involvement] underwent total mastectomy and the day after surgery, approximately 0.4 cm of hematoma was observed at both incision...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Anthony, 1. One of the postoperative complications of total mastectomy is flap necrosis, which can occur due to excessive wound tension (often seen when the tumor is large, more skin is excised, or when the breast is smaller) or due to inadequate circulation from a flap tha...

[Read More] Causes and Management of Skin Necrosis After Breast Surgery: A Case Study


Breast Pain and Lumps in a 14-Year-Old: When to Seek Medical Advice

Breast pain with a lump? Hello, doctor. My daughter is 14 years old. She sometimes experiences pain below her left breast, and there are hard lumps in the center of both breasts. Should I take her for a check-up? If so, should I schedule an appointment with a pediatrician (since ...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Kaka: 1. Breast pain can sometimes be caused by hormonal stimulation leading to hyperplasia of the breast tissue and ducts; regular self-examinations are recommended. 2. A hard lump in the center of the breast may be normal breast tissue. During palpation, observe whethe...

[Read More] Breast Pain and Lumps in a 14-Year-Old: When to Seek Medical Advice


Understanding Hard Lumps Under Male Nipples: When to Seek Medical Advice

A hard lump under the male nipple? I am a 22-year-old male, and recently while showering, I discovered a hard lump under my right nipple. It is somewhat painful, but the pain subsides after a few days, although the lump remains (it hurts a bit when pressed). I would like to know ...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Felix, Hello. The hard lumps in the nipples during puberty are mostly manifestations of gynecomastia. In most cases, self-monitoring is sufficient. However, if there is an increase in size or if symptoms persist, it is advisable to visit a breast surgery clinic for an exami...

[Read More] Understanding Hard Lumps Under Male Nipples: When to Seek Medical Advice


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