Understanding Breast Lipomas: Pain, Imaging, and Follow-Up Care
Breast lipoma Hello Doctor, I would like to ask: In April, I felt a hard lump that was painful. The next day, I went for a breast ultrasound, and the doctor said it looked like a lipoma. However, the ultrasound could not determine if there was any calcification inside, so the doc...
Dr. Yuan Tianmin Reply:
Mammography does not enhance your ability to detect breast tumors through palpation; however, it is still advisable for you to seek a second opinion at a breast surgery clinic.[Read More] Understanding Breast Lipomas: Pain, Imaging, and Follow-Up Care
Understanding Fibrosclerosis in Breast Surgery: A Case Report
Case Report of Breast Surgery Clinical Diagnosis: Fibrosclerosis of unspecified breast Organ: Right breast, 3/1 Surgical Procedure: VABB Procedure Code: FPABS4 Procedure Name: Level IV Surgical Pathology Clinical and Surgical Findings: Right breast tumor 3/1 --------...
Dr. Yuan Tianmin Reply:
This report indicates a benign tumor, so there is no need to worry too much.[Read More] Understanding Fibrosclerosis in Breast Surgery: A Case Report
Can Oral A-Retinoids Be Safely Used with Fibroadenomas?
Is it safe to take oral retinoids if I have a fibroepithelial tumor? I have a fibrocystic tumor that I am regularly monitoring (in my left breast), but I am also troubled by acne and pimples... Topical treatments have been ineffective and have left me with pitted scars, so I am c...
Dr. Yuan Tianmin Reply:
Currently, there is no evidence that retinoic acid has any effect on breast tumors.[Read More] Can Oral A-Retinoids Be Safely Used with Fibroadenomas?
Understanding Itchy and Red Areolas: Causes and Concerns
Itchy and red areolas? I would like to ask the doctor: About a month ago, I noticed itching around my areola, and I accidentally scratched it. Since then, the itching has been intermittent, and there has been a light yellow discharge (which leaves a residue on my underwear) that ...
Dr. Yuan Tianmin Reply:
Based on your description, this does not seem to be a malignant breast tumor; it appears to be more like a case of eczema affecting the skin itself.[Read More] Understanding Itchy and Red Areolas: Causes and Concerns
Understanding Breast Ultrasound Core Biopsy Reports: What You Need to Know
Breast Cancer Ultrasound Fine Needle Aspiration Report Hello Doctor, I would like to ask if my wife's biopsy report indicates "malignant tumor" or if further confirmation is needed? The doctor mentioned scheduling surgery. Please help clarify, thank you! Clinical...
Dr. Yuan Tianmin Reply:
This report pertains to malignant breast tumors. As for the next steps, since we do not have your wife's information, you should discuss any questions or concerns directly with your attending physician.[Read More] Understanding Breast Ultrasound Core Biopsy Reports: What You Need to Know
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 Tumors: What to Expect After a BI-RADS 4A Diagnosis
Breast tumor I recently had an ultrasound at the hospital that revealed a tumor measuring 0.5 x 0.8 cm, classified as BI-RADS 4A. I immediately underwent four core needle biopsies, and next week I will return to review the report. The doctor mentioned that it is benign. Additiona...
Dr. Yuan Tianmin Reply:
The area targeted for ultrasound biopsy may not necessarily correspond to the area seen on a mammogram. For lesions identified on a mammogram, there are two approaches: one is to perform a biopsy, and the other is to excise the entire lesion. Both options are available, and you c...[Read More] Understanding Breast Tumors: What to Expect After a BI-RADS 4A Diagnosis
Understanding Breast Lumps: What You Need to Know About Your Diagnosis
Breast lump Hello, doctor. Recently, I found a hard lump in my breast that feels firm and immobile. After an ultrasound, the doctor indicated that given my age, it is unlikely to be malignant, and immediately arranged for a mammogram. I would like to ask: 1. Is the likelihood of ...
Dr. Yuan Tianmin Reply:
Young individuals are generally not ideal candidates for mammography, as it may not effectively identify any specific abnormalities. However, if there are concerns, it is advisable to arrange for a biopsy to better understand the nature of any breast tumors.[Read More] Understanding Breast Lumps: What You Need to Know About Your Diagnosis
Understanding Breast Issues: What to Do About a Painful Lump
Chest issues? Two days ago, before taking a shower, I took off my bra in front of the mirror and suddenly noticed a small red area about 1 centimeter in size at the lower edge of my right breast. When I touched it, I felt a round, hard lump inside, with clearly defined edges. It ...
Dr. Yuan Tianmin Reply:
Based on your description, it seems that he may have a benign tumor, which could possibly be a simple breast tumor or an infection. It is advisable to visit a specialized breast clinic for further examination.[Read More] Understanding Breast Issues: What to Do About a Painful Lump
Understanding Breast Tumors: What You Need to Know About Diagnosis and Treatment
What are the issues related to breast tumors? I am 42 years old. When I was 17, I had a fibroma in my left breast, approximately 2-3 cm in size, resembling a bird egg. During a routine check-up at age 26, a biopsy was performed, and it was determined to be benign. After that, I d...
Dr. Yuan Tianmin Reply:
I agree with using minimally invasive surgery; however, a biopsy should be performed beforehand to confirm that it is benign, as minimally invasive surgery is applied to the removal of benign tumors.[Read More] Understanding Breast Tumors: What You Need to Know About Diagnosis and Treatment
Managing Unexplained Pain in Left Breast Tumor: Should You Consider Surgery?
Recent unexplained pain in a tumor in the left breast; I'm unsure how to proceed? Hello, doctor! I discovered tumors on both the left and right sides during an ultrasound examination in 2009. I have undergone examinations and follow-ups at a major hospital until 2017, when t...
Dr. Yuan Tianmin Reply:
My personal recommendation is that if the biopsy of the left breast is benign, then a minimally invasive surgery to remove it would be appropriate. As for your pain frequently shifting locations, it is likely not caused by any growth in the breast but rather influenced more signi...[Read More] Managing Unexplained Pain in Left Breast Tumor: Should You Consider Surgery?
Should You Consider Surgery for a Fibroadenoma in Your Breast?
Surgical treatment for fibroepithelial tumors? In May of this year, a small lump was discovered in the right breast. An ultrasound was performed, revealing a 1.2 cm fibroadenoma. The physician recommended a follow-up appointment in six months. Since there are occasional pain sens...
Dr. Yuan Tianmin Reply:
If it is confirmed to be a benign tumor, it can be monitored or treated with minimally invasive breast tumor excision surgery.[Read More] Should You Consider Surgery for a Fibroadenoma in Your Breast?
Can Breast Enhancement Products Be Safe After Fibroadenoma Surgery?
Fibroadenoma breast augmentation Hello, doctor. Two years ago, I was diagnosed with two benign fibromas, and the larger one has already been surgically removed. I have follow-up appointments every six months, and the other one has remained at 1 cm. I would like to know if it is s...
Dr. Yuan Tianmin Reply:
Breast enhancement products can easily increase breast volume, which may also lead to the enlargement of any residual breast tumors.[Read More] Can Breast Enhancement Products Be Safe After Fibroadenoma Surgery?
Managing Recurring Breast Tumors: Treatment Options and Lifestyle Changes
Recurrent breast tumor? Hello Doctor, I discovered a tumor in my left breast when I was around 20 years old. A biopsy at that time indicated it was benign, so I opted for surgical removal. The pathology report confirmed it was indeed benign. However, less than a year later, it re...
Dr. Yuan Tianmin Reply:
Liposarcoma is inherently a disease that tends to recur, and it is generally recommended to have a larger and wider margin of excision. Therefore, if a re-excision is desired, it may result in the sacrifice of more breast tissue. Even with such excision, it does not guarantee tha...[Read More] Managing Recurring Breast Tumors: Treatment Options and Lifestyle Changes
Exploring Minimally Invasive Surgery Options for Breast Tumors
Limitations of Minimally Invasive Surgery Hello, Doctor. I previously had a benign phyllodes tumor that was approximately 4 cm in size, which was surgically removed from my left breast. Unfortunately, it has recurred, and upon examination, the current size is about 5 to 6 cm (ult...
Dr. Yuan Tianmin Reply:
The issue I am currently considering is not whether minimally invasive surgery can be performed, but rather that the tumor has recurred and grown larger. After this excision, there is a possibility of recurrence again, which would render reconstruction surgery meaningless. Theref...[Read More] Exploring Minimally Invasive Surgery Options for Breast Tumors
Post-Surgery Concerns: Arm Tightness and Pain After Sarcoma Removal
[Postoperative Issue] Postoperative stretching of the surgical side arm, with slight tightness on the surgical side? Hello, doctor. I underwent a resection surgery for a phyllodes tumor about three weeks ago, almost a month now, and I have a few questions I would like to ask you:...
Dr. Yuan Tianmin Reply:
After the local excision of a breast tumor, the wound may feel firm for a period of time due to an inflammatory response. There is no need to worry too much, but it is important to ensure regular follow-up appointments for monitoring and check-ups.[Read More] Post-Surgery Concerns: Arm Tightness and Pain After Sarcoma Removal
Understanding Breast Ultrasound Reports: Insights from Two Hospitals
I can't understand the results of the examination reports from two hospitals? Hello, doctor! Good morning! This is the report from the ultrasound breast examination conducted at National Taiwan University and Chang Gung Memorial Hospital two to three months ago. I would like...
Dr. Yuan Tianmin Reply:
1. The BI-RADS system is used to assess the malignancy of breast tumors based on imaging. BI-RADS-1 indicates no abnormalities, BI-RADS-2 indicates benign tumors, BI-RADS-3 suggests a probably benign tumor that requires short-term follow-up, and BI-RADS-4 and 5 indicate a high li...[Read More] Understanding Breast Ultrasound Reports: Insights from Two Hospitals
Impact of Birth Control Pills on Fibroadenomas: What You Need to Know
The impact of contraceptive pills on fibrocystic breast disease? Hello Doctor: I am considering starting to take oral contraceptives (such as Yaz or Yasmin) and would like to ask if these contraceptives have any adverse effects on fibrocystic breast disease. Last year, during a b...
Dr. Yuan Tianmin Reply:
If a patient is confirmed to have breast cancer, they should avoid using contraceptives. Other individuals using contraceptives should undergo regular breast examinations.[Read More] Impact of Birth Control Pills on Fibroadenomas: What You Need to Know
Understanding Your Pathology Report: Treatment Options for Breast Tumors
Pathology Report Dear Doctor: My tumor measures 0.6 cm and has recurred. It has been completely excised, and the sentinel lymph nodes showed no infection. The pathology report indicates ER: POSITIVE <ABOUT 90%>, PR: POSITIVE <ABOUT 60%>, HER2/NEU: 0/3. What kind of tr...
Dr. Wu Jianting Reply:
Based on the content of the letter, please note that the definitive treatment should be determined by your attending physician. According to the pathology report, your tumor is hormone receptor positive, which means you can undergo hormone therapy and do not require targeted ther...[Read More] Understanding Your Pathology Report: Treatment Options for Breast Tumors
Understanding Fibroadenomas: Diagnosis, Treatment, and Follow-Up Care
Fibroadenoma Hello Doctor: At the end of 2015, I had a mammogram that showed microcalcifications (but no clustered calcifications were detected). Following that, I underwent a breast ultrasound, which revealed a mass with calcifications on the right side (this mass was normal whe...
Dr. Zhou Jiazhen Reply:
Dear Open Mind: 1. Sclerosing adenosis is a benign proliferation of the ductal epithelium of the breast, which is one of the changes associated with fibrocystic changes. Stromal sclerosis refers to the fibrosis of the tissue surrounding the ducts and glands of the breast. 2. ...[Read More] Understanding Fibroadenomas: Diagnosis, Treatment, and Follow-Up Care