Understanding Breast Pain: Causes, Symptoms, and When to Seek Help
Breast pain Doctor, I have been experiencing pain in the upper right side of my chest for ten days before my period since the beginning of the year. It hurts more when I press on it, and any vibrations from running or walking cause pain, which lasts until one or two days before m...
Dr. Yuan Tianmin Reply:
Based on your description, it is unlikely to be a breast cancer issue. Breast pain is mostly related to the menstrual cycle, so you can manage it as you would with menstrual cramps. Of course, this is contingent upon first having a complete breast ultrasound for diagnosis.[Read More] Understanding Breast Pain: Causes, Symptoms, and When to Seek Help
Understanding Breast Fold Lines: Should You Worry About Breast Cancer?
Folds beneath the areola? Hello Doctor: In the past two days, I have noticed a fold line under each areola. The fold on the left side is more pronounced due to the asymmetry in breast size. The folds are visible when standing or sitting, but less noticeable when lying down. I hav...
Dr. Yuan Tianmin Reply:
Based on your description of the breast cancer risk, it should not be a concern for breast cancer. Some of these issues may even be related to lymphatic circulation swelling.[Read More] Understanding Breast Fold Lines: Should You Worry About Breast Cancer?
Understanding Male Gynecomastia and Inverted Nipple Concerns
Gynecomastia and inverted nipple issues? Hello Doctor, I am a male. Actually, about 15 years ago, when I was in the 9th grade, I discovered a small oval hard lump in my left breast. At that time, since there was no discomfort or visible difference, and being young, I didn't ...
Dr. Yuan Tianmin Reply:
Based on your description, it doesn't seem to resemble breast cancer; it appears more aligned with the phenomenon known as gynecomastia. If there is not a significant difference between the two nipples, observation should be sufficient.[Read More] Understanding Male Gynecomastia and Inverted Nipple Concerns
How Long Should Letrozole Be Taken for Hormonal Breast Cancer Treatment?
The duration of tamoxifen treatment for hormone receptor-positive breast cancer can vary depending on individual circumstances, but it is generally recommended to take it for 5 to 10 years. Always consult with your oncologist for personalized advice? Hello Doctor, my mother has s...
Dr. Yuan Tianmin Reply:
The standard treatment for oral anti-hormonal therapy is five years. However, if you are wondering why it is no longer necessary to continue after a year and a half of treatment, it would be best to consult your mother's attending physician for a more detailed understanding ...[Read More] How Long Should Letrozole Be Taken for Hormonal Breast Cancer Treatment?
Understanding Concerns About A1 Stage Breast Cancer Follow-Up Findings
Annual examination for Stage A1 ductal carcinoma in situ (DCIS) reveals issues? Hello, doctor. My wife was diagnosed with Stage A1 tubular carcinoma in April 2023, with a size of 1.8 cm, ER/PR both at 90%, FISH negative, no lymph node involvement, and a Ki-67 of 8. The malignancy...
Dr. Yuan Tianmin Reply:
The primary physician of your wife is the one who understands her condition best, so it would be more beneficial to discuss these questions with him for accurate answers. If you wish to have another consultation, it may be necessary to bring your wife's complete medical reco...[Read More] Understanding Concerns About A1 Stage Breast Cancer Follow-Up Findings
Understanding Axillary Lumps: Post-Breast Cancer Concerns and Insights
Axillary lump Hello, doctor. I would like to inquire about a lump in my armpit. About a year ago, I underwent a mastectomy and reconstruction due to stage I breast cancer, and I have been under regular follow-up. However, I have experienced fluid accumulation in my armpit. The fi...
Dr. Yuan Tianmin Reply:
Post-operative issues are generally addressed based on the responses from your attending surgeon.[Read More] Understanding Axillary Lumps: Post-Breast Cancer Concerns and Insights
Understanding Nipple Pain and Inversion After Breast Surgery
Pain after breast cancer lumpectomy? Hello, doctor! I underwent a lumpectomy for breast cancer at the end of December last year, and it has been two months since the surgery. My nipple has been consistently painful, and there is a retraction of the nipple. Is this normal?
Dr. Yuan Tianmin Reply:
Regarding postoperative issues, your attending surgeon is the most knowledgeable.[Read More] Understanding Nipple Pain and Inversion After Breast Surgery
Understanding Breast Cancer Tumor Size Discrepancies and Treatment Options
Breast cancer size Hello Doctor: I was diagnosed with breast cancer a month ago during a breast ultrasound at a clinic, where the doctor found "irregular breast calcifications." The ultrasound estimated the tumor size to be 1.3 cm, while the mammogram at the medical cen...
Dr. Yuan Tianmin Reply:
The first point regarding the size of the breast cancer tumor is that I am unclear whether a breast ultrasound was performed before surgery to confirm the size, given that you underwent hormonal therapy for one month prior to the operation. If another ultrasound was not conducted...[Read More] Understanding Breast Cancer Tumor Size Discrepancies and Treatment Options
Managing Early-Stage Breast Cancer: Tamoxifen and Menopause Considerations
Breast cancer follow-up Hello, Doctor. I would like to ask you: 1. For a patient with Stage 1 invasive ductal carcinoma who has been found to have multiple foci of ductal carcinoma in situ during surgery, currently undergoing postoperative radiotherapy and taking oral Tamoxifen...
Dr. Yuan Tianmin Reply:
Currently, the use of menopause injections combined with tamoxifen is an appropriate method for managing postmenopausal women, as it is beneficial for handling stage I breast cancer. Health insurance covers tamoxifen for stage I, while for stage II, switching to fulvestrant may b...[Read More] Managing Early-Stage Breast Cancer: Tamoxifen and Menopause Considerations
Understanding Family Breast Cancer: Key Questions and Insights
Family history of breast cancer? Dear Doctor, Family's medical condition description: My mother had a mammogram and fine needle aspiration at a clinic last year, where the doctor noted an abnormal area (Tumor 1). At that time, there was suspicion of ductal carcinoma in situ...
Dr. Yuan Tianmin Reply:
The pathology report from your biopsy is quite rare for me, so it may be necessary to discuss the results in conjunction with the final postoperative pathology report with your physician and the pathologist. I also have limited experience with tumors of this type, so I cannot pro...[Read More] Understanding Family Breast Cancer: Key Questions and Insights
Understanding Breast Cysts: Risks and Surgical Considerations
Breast cyst Hello, doctor. There is a family history of breast cancer on my mother's side, with two or more relatives diagnosed before the age of 45 (such as my mother and aunt). Today, at 28 years old, an ultrasound revealed multiple breast cysts, and there is one on the ou...
Dr. Yuan Tianmin Reply:
Based on your age, the likelihood of benign tumors is higher; however, if there is any suspicion regarding the tumor, it is advisable to perform a biopsy.[Read More] Understanding Breast Cysts: Risks and Surgical Considerations
Post-Surgery Consultation for Breast Cancer: Understanding Margins and Recurrence Risks
Consultation on Postoperative Report for Breast Cancer Hello, I would like to ask about my wife's situation after her breast cancer surgery. The doctor explained that she has hormone receptor-positive breast cancer (ER PR 95+), FISH negative, Ki67 9%, Luminal A, Grade 1, and...
Dr. Yuan Tianmin Reply:
The breast cancer treatment process you described is accurate. Based on your wife's condition, the 5-year survival rate can be greater than 90%. Regarding the issue of tumor margins, it depends on the discussion results with the original physician. My personal opinion is tha...[Read More] Post-Surgery Consultation for Breast Cancer: Understanding Margins and Recurrence Risks
Understanding Nipple Pain: Causes and When to Seek Further Evaluation
Nipple pain About a month ago, I had a suspected sexual encounter that resulted in an injury to my left nipple. I had an ultrasound performed by a breast surgeon, who said there was nothing concerning seen on the scan and that I shouldn't worry about the pain. I had a miscar...
Dr. Yuan Tianmin Reply:
As long as menstruation is still present, there is a possibility of experiencing breast and nipple pain. Based on your description, there should be no concern regarding the risk of breast cancer at this time. It is advisable to follow your physician's recommendation for regu...[Read More] Understanding Nipple Pain: Causes and When to Seek Further Evaluation
Managing Hormonal Therapy and Liver Health in Breast Cancer Patients
Medication Consultation I apologize for the inconvenience. I would like to ask the doctor about a patient with stage I breast cancer who is hormone receptor-positive (ER and PR positive) and HER2-negative. The patient underwent surgery in December last year and has been receiving...
Dr. Yuan Tianmin Reply:
Your doctor recommends that you stop the medication and monitor your liver function before making any adjustments to the treatment. You should feel reassured, as you have just undergone surgery for stage I breast cancer, and it is unlikely to recur in such a short period of time.[Read More] Managing Hormonal Therapy and Liver Health in Breast Cancer Patients
Understanding Breast Ultrasound Reports: Key Insights for Patients
Breast Ultrasound Examination Report Dear Doctor, my mother is a breast cancer patient. Below are her latest examination results. Are there any issues with this report? She has regular follow-ups at Chang Gung Memorial Hospital. Findings: Right axilla: Several benign-appearing l...
Dr. Yuan Tianmin Reply:
Your mother has been under long-term follow-up at Hsin-Chu Hospital, and the report should have been explained to you. If you still have questions, you can ask your original attending physician to explain it to you again. We, as outsiders, will not comment on your discussions wit...[Read More] Understanding Breast Ultrasound Reports: Key Insights for Patients
Understanding Gynecomastia: Common Questions and Concerns for Men
Consultation on Gynecomastia in Males Dear Dr. Yuan, I have several questions regarding "gynecomastia" as follows: Q1. Several years ago, I suddenly experienced slight swelling and pain in my left breast, and there seemed to be a hard lump and tenderness when I presse...
Dr. Yuan Tianmin Reply:
Male breast cancer does not significantly differ from female breast cancer in terms of the sides affected; any statistical variations are minor and there is no specific evidence indicating a preference for one side over the other. Gynecomastia in males is primarily related to fem...[Read More] Understanding Gynecomastia: Common Questions and Concerns for Men
Understanding Post-Surgery Changes: Hard Lumps After Breast Cancer Treatment
After surgery and radiation therapy for breast cancer, a hard lump has been felt? Hello Doctor, I was diagnosed with ductal carcinoma in situ in April this year, underwent a partial mastectomy in May, and completed 16 sessions of radiation therapy by July. However, after the trea...
Dr. Yuan Tianmin Reply:
The likelihood of recurrence in such a short time is generally low; however, it is still advisable to recommend an ultrasound examination.[Read More] Understanding Post-Surgery Changes: Hard Lumps After Breast Cancer Treatment
Understanding HER2 Testing in Ductal Carcinoma In Situ: What You Need to Know
Invasive Lobular Carcinoma HER2 Hello, Doctor. I was diagnosed with breast cancer on July 28, 2022, through a core needle biopsy, and I underwent a partial mastectomy with sentinel lymph node surgery on August 19. The subsequent pathology report indicated that it is ductal carcin...
Dr. Yuan Tianmin Reply:
The HER-2 or Ki-67 expression in in situ carcinoma does not serve as a reference for treatment, which is why some hospitals may not test for these markers. However, this should not affect your subsequent treatment.[Read More] Understanding HER2 Testing in Ductal Carcinoma In Situ: What You Need to Know
Understanding Fibroadenomas: Risks, Monitoring, and Age Concerns
Fibroadenoma Hello, Doctor. I have a few questions: 1. Is phyllodes tumor common, and is it related to breast cancer? Does one's constitution particularly lead to future risks? 2. An imaging report shows a BI-RADS 4B lesion measuring 0.9 cm, and the biopsy results are beni...
Dr. Yuan Tianmin Reply:
A 35-year-old with a fibroma is not uncommon, and multiple fibromas are also considered a common condition. If the 4B lesion remains unchanged after one year, it is advisable to perform another biopsy for further evaluation.[Read More] Understanding Fibroadenomas: Risks, Monitoring, and Age Concerns
Can Other Doctors Prescribe Menopause Shots and Medications After Approval?
Menopausal injection and menopausal medication? Hello, I would like to inquire whether once menopause injections and medications are requested by one doctor, other doctors are unable to prescribe them. I have undergone a total mastectomy for breast cancer, and my doctor suggested...
Dr. Yuan Tianmin Reply:
The menopause injection requires prior evaluation, so you should go to the hospital where the doctor who applied for it is located to have them prescribe it for you. If you really need to transfer to another hospital, you can also have a physician from the relevant department ass...[Read More] Can Other Doctors Prescribe Menopause Shots and Medications After Approval?