Understanding Breast Calcifications: What You Need to Know and Do
Breast calcifications issue? (1) I am 47 years old and regularly undergo mammography and ultrasound follow-ups at a teaching hospital. About a year ago, calcifications were found in both breasts, and two doctors I consulted said that monitoring was sufficient (the calcifications ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Annie: 1. The assessment of calcifications depends on their distribution, density, and whether they are unilateral or bilateral. If they are bilateral, scattered, and without localized clustering, they are mostly benign changes and can be monitored. It is recommended to ha...[Read More] Understanding Breast Calcifications: What You Need to Know and Do
Understanding White-Yellow Discharge from Nipples: Causes and Solutions
There is a secretion of white or yellowish paste-like substance from the nipple? Hello, doctor. I have never been pregnant, but I have been experiencing a discharge from both of my nipples that is white and yellowish in color. It is not liquid, and it continues to accumulate and ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Anonymous: The skin glands of the nipples can produce secretions, and there may also be discharge from the milk ducts. It is important to regularly clean the areola and nipples with plain water and keep the area clean and dry to prevent accumulation. If the symptoms persist,...[Read More] Understanding White-Yellow Discharge from Nipples: Causes and Solutions
Understanding Fibroadenomas: Should You Consider Surgery?
Fibroadenoma Two months ago, I discovered a round, movable lump in my chest. I consulted a surgeon who performed an ultrasound and diagnosed it as a fibroadenoma. The doctor mentioned it is quite large, measuring 2.3 cm, and suggested considering removal. I would like to know if ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Kiki: Fibroadenoma is the most common benign tumor in women aged 20 to 30. If it enlarges, it usually grows to about 2-3 centimeters and then stops growing. Surgical intervention is an option, but not always necessary. However, if there is continuous growth or if symptoms (i...[Read More] Understanding Fibroadenomas: Should You Consider Surgery?
Understanding Itchy Nipples: When to See a Specialist
Itchy nipples and areolas? Hello Doctor: About 1 to 2 months ago, I noticed itching in my nipple area. I couldn't resist scratching, which led to redness and even breaking the skin, causing bleeding. I thought it was eczema, so I bought some over-the-counter cream and applie...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Katie: The itching is generally caused by the accumulation of ductal secretions (which are not visible) and may sometimes be related to hormonal imbalances. It is recommended to keep the nipples clean and dry (using non-irritating cleansers), and to pay attention to the fabr...[Read More] Understanding Itchy Nipples: When to See a Specialist
Understanding Itchy Breasts: Causes and Concerns for Women
Chest itching I would like to ask why I only experience itching on one side, usually around the areola or the head. What could be the possible causes of these symptoms?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Lin: It may be caused by the accumulation of secretions from the invisible skin glands. Cleanse with water and keep the area dry; sometimes an anti-itch ointment may be needed. However, if symptoms persist or if there are changes in the skin of the areola or nipple, a biopsy...[Read More] Understanding Itchy Breasts: Causes and Concerns for Women
Understanding Hyperthyroidism During Pregnancy: Key Insights and Next Steps
Is it hyperthyroidism? Hello, Director Zhou: I had my blood drawn at the obstetrics and gynecology department when I was 10 weeks pregnant, and my results were FT4 1.59 and TSH 0.016. The obstetrician did not explain the results, only advising me to be cautious with my diet and t...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Twin Mom: 1. No. 2. Currently, it is not necessary.[Read More] Understanding Hyperthyroidism During Pregnancy: Key Insights and Next Steps
Understanding Flat Chest Issues: Causes and Recommended Tests for Young Women
Breast size I would like to ask, at 23 years old, my breasts are flat like a male's, and I don't even have an A cup. However, my menstrual cycle is normal, and the women in my family have relatively large breasts. When I was younger, I experienced a severe impact to my ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ah-Ling: Sometimes, the mammary ducts may enlarge and proliferate independently of hormonal influence, and this is not related to trauma. As for examinations, there are no specific tests that need to be conducted. If the appearance is a significant concern, breast reconstruc...[Read More] Understanding Flat Chest Issues: Causes and Recommended Tests for Young Women
Is It Normal for a Breast Cyst to Remain Swollen After Aspiration?
Will a chest seroma swell again for several days after fluid is drained? Hello, I discovered a large movable lump in my left chest. I had an examination last Saturday, and the results showed it is a benign cyst (approximately 5 centimeters). The doctor mentioned it is benign and ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Chen: After aspiration of the cyst, there may still be some swelling. Sometimes it is due to incomplete drainage, and other times it may be inflammation. Generally, we will monitor the situation. If it continues to enlarge, we may consider aspiration again, or in some cases,...[Read More] Is It Normal for a Breast Cyst to Remain Swollen After Aspiration?
Understanding Breast Cysts and Adenomas: When to Seek Surgery?
Blister? Breast adenoma? Hello, I would like to ask about a situation where I found a lump in my breast and went for an ultrasound examination. After the examination, the doctor told me it was a cyst, which might either grow larger or disappear, but did not specify its size and a...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Wei: 1. Principles for managing swelling and pain: (1) Determine if there is any increase in size. (2) Assess for symptoms such as pain or itching that may affect daily living. In either of these situations, intervention is recommended, which may include biopsy or excision...[Read More] Understanding Breast Cysts and Adenomas: When to Seek Surgery?
Can Essential Oil Massage Help Reduce Fibrocystic Breast Changes?
Fibrocystic changes Hello, I have seen other questions regarding whether essential oil massage can help reduce fibrocystic breast changes. I noticed that it is advised against for tumors, so I would like to know if the same applies to fibrocystic changes. Many beauty therapists h...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Jing: There is no clinical evidence to support the use of massage for the regression of fibrocystic changes.[Read More] Can Essential Oil Massage Help Reduce Fibrocystic Breast Changes?
Understanding Breast Lumps: What You Need to Know About Fibrocystic Changes
Breast lump Hello Doctor: I have had a hard lump in my right breast since puberty, and it is still present now that I am 25 years old. It does not hurt unless I press on it. I am not sure what is going on. If it is a fibrocystic lump, what should I do at the hospital?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Susan: If there is no enlargement and no symptoms, observation is sufficient. It is recommended to have a check-up at the outpatient clinic for those over 30 years old.[Read More] Understanding Breast Lumps: What You Need to Know About Fibrocystic Changes
Can Thyroid Nodules Cause Hypothyroidism Symptoms? Key Tests to Consider
Can thyroid nodules lead to hypothyroidism? About two years ago, I was diagnosed with 2-3 thyroid nodules, but recently I have been experiencing symptoms that resemble hypothyroidism. I'm not sure what tests I should undergo. What blood tests should I request? Thank you.
Dr. Zhou Jiazhen reply Breast and Thyroid
Hello: Thyroid nodules do not necessarily affect thyroid function, and most are non-functional thyroid nodules. If there is hypothyroidism, it is generally necessary to test thyroid function, including free T4, T3, and TSH, and possibly conduct some nuclear medicine examinations....[Read More] Can Thyroid Nodules Cause Hypothyroidism Symptoms? Key Tests to Consider
Understanding Hardness in the Upper Left Breast: Causes and Concerns
There is a hard area on the left side of the chest? There is a hard area in the upper part of my left breast. What could be the cause?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Xiang: The firmness can feel different for each person. Clinically, it is often seen as hyperplasia of the breast ducts, or prominent ribs, or the presence of a mass. It is advisable to consult a breast surgeon for examination.[Read More] Understanding Hardness in the Upper Left Breast: Causes and Concerns
Understanding Breast Lumps: Should You Be Concerned?
There seems to be a lump in the breast? Hello, doctor. I am 25 years old, and my child is 4 years old (breastfed for two years). Since my student days, I have felt a lump in my breast, and recently I have noticed that the lump has become more pronounced. It is a movable lump that...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Xiaoyu: It may be a fibroadenoma (most commonly seen in women aged 20-30), but if the tumor is larger than 5 centimeters, it is recommended to have an outpatient examination.[Read More] Understanding Breast Lumps: Should You Be Concerned?
Understanding Breast Pain and Hard Lumps: Is It Mastitis?
Redness and hard lumps in the breast? Hello Doctor, I have been experiencing breast pain and lumps since I was 18 years old. Initially, the lumps were movable, and my chest would sometimes turn completely red. I am now 22 years old, and the lumps have become fixed but still painf...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ms. A: 1. It is rarely mastitis, but it cannot be ruled out. 2. Generally, painful lumps are mostly benign cysts, and some may be fibroadenomas; however, changes in the skin can be more difficult to explain. It is recommended to have an examination at a breast surgery clinic...[Read More] Understanding Breast Pain and Hard Lumps: Is It Mastitis?
Are Skin Changes on Breasts Linked to Thyroid Issues?
Is there any lesion? Doctor, I have developed a rash in my chest area that is not itchy, and there are small white bumps on the areola and just below the nipple that also do not itch. Could this be related to any pathological changes? I have never had these before.
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear 123: 1. Skin cysts can also occur on the chest, presenting with a rash-like appearance. These are usually benign and only require surgical intervention if they enlarge or become symptomatic. 2. A lesion on the areola is often caused by skin glands as well, and similar to ...[Read More] Are Skin Changes on Breasts Linked to Thyroid Issues?
How to Reduce Enlarged Male Breasts: Tips for Confidence
Gynecomastia in males? Since elementary school, my chest has been larger than other boys'. By the second grade, I was already a size A cup. I'm on the heavier side, but other classmates who are heavier than me have smaller chests, which makes me feel very insecure. Is t...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Xiao Hao: 1. Obesity can lead to higher hormone levels in the body, resulting in increased breast tissue and breast enlargement; therefore, it is recommended to lose weight first. 2. Maintain a balanced diet and a regular lifestyle (avoid staying up late, insomnia, and be mi...[Read More] How to Reduce Enlarged Male Breasts: Tips for Confidence
Understanding Chest Edge Pain: Causes and Concerns for Women
Pain at the edge of the chest? Hello doctor, I have been experiencing sharp pain along the edges of my chest, and I can feel my ribs when I press down. My menstrual period is also coming to an end. I haven't had this issue before, and I would like to know what might be causi...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ning Ning: Chest pain or breast pain can sometimes be difficult to differentiate. The most common cause is engorgement of the mammary ducts, while other causes may include muscle pain or nerve pain. If the pain is severe, it is advisable to take analgesics for symptomatic re...[Read More] Understanding Chest Edge Pain: Causes and Concerns for Women
Understanding Breast Pain and Lumps: When to Seek Medical Advice
Chest tightness or chest pain? Hello Dr. Zhou: Before my menstrual period starts, I always experience breast tenderness and can feel lumps on both sides. After my period ends, the tenderness and lumps go away. However, this time after my period ended, the breast tenderness (which...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Lily: 1. It's relatively normal; most of the issues are related to hormonal imbalances in the body. Just be mindful of any continuously enlarging lumps. It is recommended to have an annual check-up starting at age 40 (mammography and ultrasound can be alternated for scr...[Read More] Understanding Breast Pain and Lumps: When to Seek Medical Advice
Understanding Treatment Decisions After Conflicting Breast Cancer Diagnoses
Diagnostic results Dear Doctor: A 1 cm tumor in the breast was evaluated with ultrasound-guided core needle biopsy, which resulted in a diagnosis of carcinoma in situ. However, the surgical report after the operation indicated a benign finding. Should the subsequent treatment be ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ms. Li: Based on the pathological report following the surgical resection, if the final pathological report of the entire tumor is benign, then follow-up is sufficient.[Read More] Understanding Treatment Decisions After Conflicting Breast Cancer Diagnoses