Understanding Microinvasive Breast Cancer: Risks and Treatment Options
Breast cancer issues? Hello Doctor: The core needle biopsy report indicated in situ carcinoma, and after undergoing a total mastectomy, the pathology report summary is as follows: DX: ----microinvasive carcinoma, NBR grade 2, pT1miN0(sn), margin negative----ductal carcinoma in si...
Dr. Yuan Tianmin Reply:
Oral hormonal medications are not suitable for this type of breast cancer; however, if HER2 is strongly positive, it is recommended to use targeted therapy, which may require out-of-pocket expenses. You should discuss the specifics of the treatment with your physician.[Read More] Understanding Microinvasive Breast Cancer: Risks and Treatment Options
Understanding Tamoxifen Effects After Breast Cancer Surgery: Your Questions Answered
Medication issues? Hello Dr. Yuan! I underwent a right mastectomy for breast cancer on November 5th last year, and the postoperative pathology report indicated a 0.1 cm infiltrating carcinoma with no lymph node metastasis. Therefore, chemotherapy and radiation therapy were not ne...
Dr. Yuan Tianmin Reply:
After breast cancer surgery, regular follow-up examinations are typically conducted. The timing of these checks depends on when your previous examinations were performed and whether further tests are necessary. Additionally, the use of tamoxifen is common in such cases, and its s...[Read More] Understanding Tamoxifen Effects After Breast Cancer Surgery: Your Questions Answered
Concerns About Breast Lumps During Pregnancy: What You Need to Know
Breast issues I am currently 31 weeks pregnant. A few days ago, while self-examining my breasts, I suddenly felt a pea-sized hard lump at the 6 o'clock position of my right breast. Looking back at my ultrasound from last October, there were indeed cysts at the 6 and 7 o'...
Dr. Yuan Tianmin Reply:
I don't understand why I have to wait a month or a week to get an ultrasound. Currently, most outpatient clinics in hospitals allow you to walk in and get it done at any time for your reference.[Read More] Concerns About Breast Lumps During Pregnancy: What You Need to Know
Concerns About Breast Lumps During Pregnancy: What You Need to Know
Breast issues I am currently 31 weeks pregnant. A few days ago, while self-examining my breasts, I suddenly felt a pea-sized hard lump at the 6 o'clock position on my right breast. Looking back at my ultrasound from last October, there were indeed cysts at the 6 and 7 o'...
Dr. Yuan Tianmin Reply:
It is reasonable to have a breast ultrasound done again after 10 months, so I recommend that you go for an ultrasound for follow-up.[Read More] Concerns About Breast Lumps During Pregnancy: What You Need to Know
Understanding Breast Ultrasound Findings: Should You Worry About Cancer?
Breast examination On April 20th of this year, a breast ultrasound revealed a 0.6 cm black spot. The doctor advised against a biopsy for now and suggested a follow-up ultrasound in three months to monitor the spot's status. On July 20th, a follow-up ultrasound showed that th...
Dr. Yuan Tianmin Reply:
I believe your attending physician has been monitoring the changes in the ultrasound, so if you are willing to trust him, you can follow up in three months or seek a second opinion.[Read More] Understanding Breast Ultrasound Findings: Should You Worry About Cancer?
Understanding Dark Pigmentation Around the Areola: Causes and Concerns
Issues with pigmentation on the outer areola? Hello Doctor, I have been struggling with eczema on both sides of my chest, and I often feel itchy and can't help but scratch (both sides itch and I scratch them). However, in the past few months, I have noticed that there is a r...
Dr. Yuan Tianmin Reply:
Based on your description, it doesn't seem like it is breast cancer, but it's still advisable to go for a breast specialty consultation and have an ultrasound examination.[Read More] Understanding Dark Pigmentation Around the Areola: Causes and Concerns
Understanding the Risks: Fibroadenoma and Lymph Node Concerns
Worsening of breast fibroadenoma? Hello Doctor, in November 2019, I had a breast ultrasound that revealed a 2.1 x 0.7 cm mass. At that time, a core needle biopsy was performed, and it was diagnosed as a fibroadenoma. The doctor said it was benign and recommended follow-up examina...
Dr. Yuan Tianmin Reply:
If you are truly concerned about a breast lesion, it would be better to undergo a biopsy for a more accurate diagnosis.[Read More] Understanding the Risks: Fibroadenoma and Lymph Node Concerns
Understanding Breast Health: Concerns About Lumps and Changes
Breast issues My sister is a breast cancer patient. In September 2020, a right breast ultrasound revealed a 0.3 cm hypoechoic lesion. In March 2021, follow-up showed that the lesion had increased to 0.6 cm. There are stretch mark-like lines on the right breast, and there is a dim...
Dr. Yuan Tianmin Reply:
I think it's more accurate to have regular follow-ups with your doctor.[Read More] Understanding Breast Health: Concerns About Lumps and Changes
Understanding Normal Breast Self-Examination Findings at Age 27
Regarding self-examination of the breasts? Hello, Dr. Yuan. I am 27 years old and recently started learning how to perform self-examinations of my breasts. I noticed that on my right breast, near the lower edge of the areola, sometimes when I gently press that area, it feels like...
Dr. Yuan Tianmin Reply:
You don't need to be too anxious; just go to a breast specialty clinic for a breast ultrasound, and it will provide clarity.[Read More] Understanding Normal Breast Self-Examination Findings at Age 27
Understanding Breast Changes During Ovulation: What You Need to Know
Chest problems Hello Doctor, in the past two days during my ovulation period, I suddenly noticed a significant difference in the size of my left and right breasts. There are no hard lumps upon touch, and this is the first time I have encountered such a situation. I am worried abo...
Dr. Yuan Tianmin Reply:
If you are concerned about breast cancer, it is advisable to visit a specialized breast clinic for a breast ultrasound.[Read More] Understanding Breast Changes During Ovulation: What You Need to Know
Breast Tissue Pain: Is It a Sign of Breast Cancer?
Pressing on the tissue inside the breast may cause sharp pain? Hello doctor, I have noticed that the tissue in my right breast is painful when pressed, and even without pressure, I occasionally experience sharp pain. Additionally, it seems that the lymph nodes near the edge of my...
Dr. Yuan Tianmin Reply:
My suggestion is to get a breast ultrasound. If the ultrasound does not reveal any issues, it is likely due to pain caused by the menstrual cycle.[Read More] Breast Tissue Pain: Is It a Sign of Breast Cancer?
Understanding Phyllodes Tumors: What You Need to Know About Breast Health
Lobular adenoma Hello Dr. Yuan: I am 39 years old and have never been pregnant. Last week, I went for a breast examination due to a hard lump on the inner side of my right breast. After an ultrasound examination, the doctor informed me that it is a benign "phyllodes tumor,&q...
Dr. Yuan Tianmin Reply:
Phyllodes tumors of the breast are actually referred to by the same name as adenomas; the difference lies in the translation used by different physicians. These tumors can be classified as benign or malignant, and a definitive diagnosis often requires surgical removal for evaluat...[Read More] Understanding Phyllodes Tumors: What You Need to Know About Breast Health
Can Breast Cancer Survivors Safely Take Cranberry Probiotics?
Nutritional Supplements for Breast Cancer Patients Hello, I was diagnosed with breast cancer in 2015 and I am currently undergoing regular follow-ups. I would like to ask if I can supplement with cranberry probiotics. The ingredients are: cranberry extract (cranberry, maltodextri...
Dr. Yuan Tianmin Reply:
Based on your description, young women with breast cancer need to pay close attention to the possibility of recurrence and metastasis. As for these so-called health supplements, I always tell my patients that it's sufficient to consume whole foods without adding these produc...[Read More] Can Breast Cancer Survivors Safely Take Cranberry Probiotics?
Understanding Numbness in Breasts: Is It Linked to Breast Cancer?
Loss of sensation in the breast? I would like to ask the doctor, my wife has said that since childhood, her breasts, areolas, and nipples have been devoid of sensation; they feel like two lumps of fat on her chest, and her nipples have no sensitivity at all. Since my mother-in-la...
Dr. Yuan Tianmin Reply:
Your wife's mother is a breast cancer patient, so your wife should regularly visit a breast surgeon for check-ups.[Read More] Understanding Numbness in Breasts: Is It Linked to Breast Cancer?
Understanding Breast Pain: Causes, Fibrocystic Changes, and Cancer Concerns
Chest tightness or chest pain? Hello, I often experience breast tenderness and swelling before my menstrual period, sometimes starting more than 10 days prior, lasting for over two weeks. The pain is particularly noticeable when pressing on the lower edge of the breast. Two years...
Dr. Yuan Tianmin Reply:
In women who menstruate, breast tenderness is mostly related to the menstrual cycle. Therefore, if you are regularly undergoing breast ultrasound examinations, there is generally no need to worry too much.[Read More] Understanding Breast Pain: Causes, Fibrocystic Changes, and Cancer Concerns
Understanding Breast Lumps: Benign or Malignant? Key Insights for Women
Breast lump I have had a lump in my breast for several years. I started menstruating in the fifth grade. There is a family history of breast cancer; my grandmother and aunt have both been diagnosed with it. The lump is movable and occasionally painful (though infrequently, but it...
Dr. Yuan Tianmin Reply:
To determine whether it is a tumor or a cyst, an ultrasound examination of the breast is necessary for analysis.[Read More] Understanding Breast Lumps: Benign or Malignant? Key Insights for Women
Understanding Breast Cancer Treatment Options: Key Questions Answered
Breast cancer treatment issues? I apologize for the inconvenience, but I would like to ask the doctor about my mother's breast cancer pathology report. The report indicates the following: ER: positive (90%), PR: positive (90%), HER-2-neu (polyclonal): negative (1+), Ki-67 (M...
Dr. Yuan Tianmin Reply:
In general, for breast cancer treatment, we try to avoid intervening in the treatment plan established with your primary physician. However, considering your mother's condition, chemotherapy may not be necessary. Regarding the issue of tumor margins, in addition to surgical ...[Read More] Understanding Breast Cancer Treatment Options: Key Questions Answered
Understanding the Impact of Delayed Breast Cancer Treatment After Colorectal Surgery
Ductal Carcinoma In Situ (DCIS) Dear Doctor, My mother was diagnosed with stage III colon cancer three weeks ago and has undergone a right hemicolectomy. In early February, she also had surgery to remove a tumor and sentinel lymph nodes due to ductal carcinoma in situ of the bre...
Dr. Yuan Tianmin Reply:
The subsequent treatment for breast carcinoma in situ is primarily hormone therapy; however, the priority should be given to chemotherapy for colorectal cancer. I believe it should be acceptable to start hormone therapy for the breast after the completion of chemotherapy.[Read More] Understanding the Impact of Delayed Breast Cancer Treatment After Colorectal Surgery
Understanding Breast Pain: Causes, Fibrocystic Changes, and Cancer Concerns
Chest tightness or chest pain? Hello, I often experience breast tenderness and swelling before my menstrual period, sometimes starting more than 10 days prior and lasting for over two weeks. The pain is particularly noticeable when pressing on the lower part of my breasts. Two ye...
Dr. Yuan Tianmin Reply:
In general, breast pain is not strongly associated with breast cancer; however, it is still recommended to have a breast ultrasound examination once a year.[Read More] Understanding Breast Pain: Causes, Fibrocystic Changes, and Cancer Concerns
Understanding Painful Right Nipple: Possible Causes and Concerns
Right nipple swelling with pain upon pressure? Hello, doctor. About two weeks ago, I experienced mild pain when I touched my right nipple while showering. The pain becomes more noticeable when I press on it, but I don't feel anything when I'm not touching it. I've ...
Dr. Yuan Tianmin Reply:
I don't think your symptoms resemble gynecomastia very much, but your current symptoms have improved. If the symptoms recur, you may want to consult a breast surgeon.[Read More] Understanding Painful Right Nipple: Possible Causes and Concerns