Understanding Montgomery Glands: When to Consult a Dermatologist
Peri-nipple papules Hello, there are small bumps around the nipple that appear to be Montgomery glands. If I need to have them removed, can I make an appointment with a dermatologist?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Jing: You can schedule an appointment with either the surgery department or the dermatology department.[Read More] Understanding Montgomery Glands: When to Consult a Dermatologist
Understanding Breast Nodules: What to Do When You Find a Lump
There is a lump beneath the left areola? Hello Dr. Zhou, My name is Ah Xiang. Last night while showering, I noticed a lump under the left areola that is about the size of the entire areola. It is slightly painful when pressed. I also have a vague memory of noticing a lump in the...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ah Xiang: 1. More cases of gynecomastia in small males. 2. Observe for no enlargement. 3. If there is enlargement or symptoms (pain, hardness, discharge, etc.), it is recommended to seek outpatient examination.[Read More] Understanding Breast Nodules: What to Do When You Find a Lump
Understanding Painful Breast Lumps and Nipple Changes: Causes and Concerns
There is a painful lump in the left breast? There is a lump about 0.5 cm above the left breast that resembles an acne lesion, but it is painful to touch and feels hard. What could be the reason for this? Additionally, there is an indentation in the right nipple; is there a cause ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Chi: 1. Most lumps are caused by the obstruction of skin glands, which may sometimes be painful. Please monitor for any increase in size, as well as any signs of redness, swelling, or heat, which may indicate inflammation. If any of these symptoms occur, it is advisable to s...[Read More] Understanding Painful Breast Lumps and Nipple Changes: Causes and Concerns
Understanding Breast Discharge and Thyroid Issues: What You Need to Know
Breast issues Hello doctor, during my previous visit to the obstetrics and gynecology department, I mentioned to the doctor that my breasts secrete a white, milk-like fluid when squeezed, but it's only a drop or two. I am not pregnant. The doctor suspected I might have a thy...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Xiao Jie: 1. White discharge from the nipple is mostly caused by hyperplasia of the mammary ducts, typically occurring bilaterally. You should perform self-examinations to check for any lumps and follow up with regular outpatient visits. Pay attention to your diet and livi...[Read More] Understanding Breast Discharge and Thyroid Issues: What You Need to Know
Understanding Breast Concerns: Inverted Nipples and Lumps in Teens
Breast indentation and hard lumps around the breast? I am a 14-year-old middle school student, and I have a retracted nipple on one side. Both breasts have lumps, and I didn't notice when they started. I am very scared that this could be breast cancer, but I am still very yo...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Student Chen: 1. A young woman has lumps on both sides, mostly benign fibroadenomas; however, if they increase in size or present symptoms, an outpatient examination is recommended. 2. Nipple inversion can sometimes be a constitutional issue; just monitor for any enlarging l...[Read More] Understanding Breast Concerns: Inverted Nipples and Lumps in Teens
Understanding Breast Concerns in Adolescents: Hard Lumps and Inverted Nipples
Breast issues Hello, Dr. Chou. I would like to ask you, I am currently 12 years old and I have a hard lump in my breast. Is this normal? Also, one of my nipples is inverted; is this normal?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Qi Qi: 1. If there is a lump, it is recommended to have an outpatient examination, as it is mostly a fibroadenoma. If it increases in size or presents symptoms, surgery may sometimes be necessary. 2. Inverted nipples are mostly congenital; you should monitor for any discharg...[Read More] Understanding Breast Concerns in Adolescents: Hard Lumps and Inverted Nipples
Understanding Breast Lumps: When to See a Doctor for Painful Symptoms
Breast lump Doctor, I found a painful lump next to my nipple that hurts even without touching it. The surface looks similar to a bruise. What could this be? Should I see a doctor for an examination?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Cindy: Most lumps are caused by the obstruction of skin glands and may sometimes be painful. Please monitor for any increase in size, redness, swelling, or warmth. If any of these symptoms occur, it is advisable to seek an outpatient examination.[Read More] Understanding Breast Lumps: When to See a Doctor for Painful Symptoms
Understanding Lymph Nodes in Breast Ultrasound: What You Need to Know
The presence of lymph nodes observed in a breast ultrasound indicates that the lymphatic system in that area is being evaluated. This could suggest a normal finding, as lymph nodes are part of the immune system, or it may warrant further investigation to rule out any potential is...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Miss Lin: Everyone has lymph nodes under their armpits, which vary in size. If there are no malignant changes, regular monitoring is sufficient, but it is recommended to perform a self-examination every month.[Read More] Understanding Lymph Nodes in Breast Ultrasound: What You Need to Know
Understanding Thyroid Inflammation: Symptoms and Lymph Node Concerns
Thyroiditis Hello, doctor. During a laryngoscopy, it was found that my left vocal cord moves more slowly, but the closure is complete. A chest X-ray was normal, and an MRI of the brain and brainstem was also normal. A neck ultrasound revealed diffuse enlargement of the thyroid gl...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear kk: Lymph nodes do not necessarily swell or become painful, and they do not affect the vocal cords. You can visit an otolaryngologist for further examination.[Read More] Understanding Thyroid Inflammation: Symptoms and Lymph Node Concerns
Understanding Breast Pain and Lumps: When to See a Doctor
Chest mass pain? I have been experiencing chest pain for an unknown duration. I'm not sure if it's due to wearing the wrong bra, as I have tried many different ones and the issue persists. When I check by pushing, I feel hard lumps above both breasts. Could this be a tu...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Www: The lumps on both sides are mostly benign changes. You can perform regular self-examinations, and if any lump increases in size, you should visit a breast surgery clinic for evaluation.[Read More] Understanding Breast Pain and Lumps: When to See a Doctor
Breast Biopsy During Breastfeeding: What You Need to Know
Breast biopsy during lactation? Hello, Dr. Chou: I am currently breastfeeding and have been doing so for eight months. I went to the hospital for a breast ultrasound and found a 1.9 cm mass in my left breast. The doctor recommended a core needle biopsy, but I am concerned about w...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear June: 1. Generally, observe the wound from the core needle biopsy for any signs of drainage, and after the biopsy, apply pressure to the wound and the biopsy site for more than 10 minutes to reduce hematoma formation in the breast. 2. The nipple discharge should be exami...[Read More] Breast Biopsy During Breastfeeding: What You Need to Know
Understanding Painful Nipple Discharge: Causes and Concerns
The nipples may secrete white, grainy substances? Hello, doctor. I would like to ask you: My nipples are painful, and they hurt when touched. There is also a discharge of small white lumps. Squeezing them causes pain as well. Is this a normal condition?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Cherry Wang: 1. The outer layer of the nipple skin may also have a skin cyst. 2. It may cause inflammatory infection (redness, swelling, heat, pain). 3. There may sometimes be discharge; as long as it is not persistent, observation is sufficient. 4. Nipple pain may i...[Read More] Understanding Painful Nipple Discharge: Causes and Concerns
Understanding White Discharge and Hardness in the Right Nipple During Puberty
Breast Consultation Hello, doctor. I have a white discharge from my right nipple, and when I press on it, it feels hard and does not move. Is this something that is normal during puberty?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Student: If the nipple is hard, it is important to observe for any enlargement, and to check for any discharge, particularly for the presence of blood-stained or foul-smelling discharge. If either of these two conditions is present, a clinic examination is necessary.[Read More] Understanding White Discharge and Hardness in the Right Nipple During Puberty
Understanding Blood Discharge from the Nipple: A Teen's Guide
Nipple discharge with blood? I am 15 years old, and I have white, pimple-like discharge from my left nipple that only appears when squeezed. Once, after squeezing, there was blood. The left nipple feels harder than the right, and there is a sensation of a breast lump.
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ying: 1. There is discharge from all milk ducts; when expressing, do not apply too much pressure, as it may sometimes cause bleeding. If bleeding occurs frequently, it is advisable to follow up at the outpatient clinic. 2. The skin of the nipple may also have skin cysts and ...[Read More] Understanding Blood Discharge from the Nipple: A Teen's Guide
Understanding Breast Lumps: Causes, Concerns, and Massage Techniques
Breast lump I have hard lumps on both sides of my chest, and when I pinch them, I can feel a round hard lump that is painful. These lumps have been present since puberty and have not gone away for almost four years. Could this be breast cancer, or can it be resolved through massa...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Kiu: 1. No need for massage. 2. Since there is a tumor, you should still go for an outpatient examination. Given your situation, it could be a fibroma or a fibrocystic lesion.[Read More] Understanding Breast Lumps: Causes, Concerns, and Massage Techniques
Understanding DCIS: Treatment Options and Controversies for Early-Stage Breast Cancer
Stage 0 breast cancer Hello, this year during a mammogram, some calcifications were found in the right breast. After undergoing breast ultrasound and biopsy, it was determined to be DCIS (Ductal Carcinoma In Situ). Since the lesion is smaller than 1 cm and has not invaded beyond ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Hommie: 1. Ductal Carcinoma In Situ (DCIS) is classified as a non-invasive breast cancer, with statistics indicating that approximately 30% may progress to invasive breast cancer within 5 to 10 years. 2. Knowing that one has DCIS and the associated risk of malignant prog...[Read More] Understanding DCIS: Treatment Options and Controversies for Early-Stage Breast Cancer
Post-Surgery Recovery: Understanding Breast Lump Removal Complications
Postoperative condition after breast tumor surgery? Hello Doctor: I underwent minimally invasive surgery to remove a breast adenoma at the beginning of October. The lump in my left breast was smaller, so the bruising has resolved since the surgery. However, I am concerned that th...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Huang: Bilateral breast tumors? The right side is larger, and there is some indentation of the right nipple post-surgery. It is uncertain whether the tumor is more superficial or larger (over 2-3 cm), as either could cause the indentation. Postoperative bruising is quite com...[Read More] Post-Surgery Recovery: Understanding Breast Lump Removal Complications
Understanding Growths Near the Nipple: Should You Be Concerned?
Nipple granuloma? Hello Doctor: My left nipple is inverted, but this year I developed a protruding growth next to the nipple that looks like a granuloma. Is this normal, or can it be treated? It looks quite unusual visually! Thank you!
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Miss Lin: This is mostly due to polyps or skin tags. If there is any enlargement or symptoms, surgical removal is recommended.[Read More] Understanding Growths Near the Nipple: Should You Be Concerned?
Understanding Unusual Bumps on the Nipple: When to Seek Help
Nipple issues Hello doctor, I have some strange small bumps on my right nipple that look a bit like pimples, but they are not painful or itchy, and there are no hard lumps around them. Is this normal?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Patient: Sometimes skin changes occur; please pay attention to whether there is any enlargement or symptoms (such as pain...). If you notice any of these conditions, please visit the outpatient clinic for an examination.[Read More] Understanding Unusual Bumps on the Nipple: When to Seek Help
Understanding Breast Tumors: What You Need to Know After Your Mammogram
Breast tumor Hello, I recently had a mammogram that revealed a tumor on the right side. The doctor then performed a breast ultrasound and a physical examination. During the examination, the doctor mentioned that they did not feel a lump and indicated that the absence of a hard ma...
Dr. Zhou Jiazhen reply Breast and Thyroid
1. All examinations can only provide possible diagnoses and cannot confirm a diagnosis. For instance, mammography can only suggest suspicion, and its sensitivity is not good, being below 40%, which leads to a higher misdiagnosis rate. It is generally not recommended for women wit...[Read More] Understanding Breast Tumors: What You Need to Know After Your Mammogram