Thyroid, Breast and Thyroid FAQ

Understanding Nipple Discharge After Ductal Tumor Removal: Causes and Concerns

Nipple issues This year, during my breast examination, I found a ductal papilloma in my left nipple, and there was a small amount of clear, light yellow discharge when pressed. The quantity was minimal, just a little bit. I underwent excision in February, but I still have dischar...

Dr. Wu Jianting Reply:
After surgery, due to scar tissue formation, there may be secretions when pressure is applied. It is recommended to return to the original surgeon for follow-up to rule out any other possibilities. The secretions are generally not significantly related to menopause. Thank you for...

Understanding Thyroid Issues and Breast Development in Women

Hypothyroidism with breast development? Hello doctor, I discovered I had a thyroid nodule when I was in the third grade of elementary school. After monitoring it for a while, it turned into a malignant tumor and was surgically removed. However, I didn't develop breast tissue...

Dr. Yuan Tianmin Reply:
The hyperfunction or hypofunction of the thyroid gland does not seem to have a significant relationship with breast development.

Understanding Thyroid Nodules: Key Questions and Insights

Thyroid nodule issues? Hello, doctor. I have a few questions regarding thyroid nodules that I would like to ask, thank you! Due to the thyroid nodules, I went to the hospital for an ultrasound, and the doctor mentioned that I have multiple nodules, which is quite rare for someone...

Dr. Yuan Tianmin Reply:
1. These two terms refer to different pathologies, but both are benign tumors. 2. They arise from the follicular tissue of the thyroid gland. 3. They should be distinguished between benign tumors and malignant tissues.

Managing Post-Surgery Redness and Swelling in Breast Thyroid Procedures

Postoperative redness and swelling? Two days ago, I underwent endoscopic surgery at the hospital to remove two fibrocystic lesions. The incision site does not hurt much, but the area of the breast where the cysts were removed is slightly red, swollen, and painful. What is the bes...

Dr. Wu Jianting Reply:
If you experience discomfort at the surgical site after the procedure, you can apply ice packs. If you have redness, swelling, heat, or pain, it is recommended that you return to the clinic of the surgeon who performed your operation for a follow-up examination of the wound. Than...

Understanding Fatigue: Thyroid Issues and Their Impact on Daily Life

Recently, I have been feeling fatigued frequently? I have thyroid atrophy and have regular follow-up appointments. Last month, my check-up went well, but for the past week and a half, I have been feeling increasingly fatigued. I usually go to bed around 9 PM and wake up at 5:30 A...

Dr. Zhou Jiazhen Reply:
Dear Huihui: I'm not sure if there are any issues related to emotional stress. Hypothyroidism can present similar symptoms, but it's rare to encounter the situations mentioned above. I'm wondering if there are other factors, such as stress, that could be affecting ...

Managing Hyperthyroidism: Do I Still Need Heart Medication?

Hyperthyroidism Dear Dr. Zhou, I visited the emergency department in early March due to severe palpitations and arrhythmia, initially thinking it was a heart issue. After being referred to cardiology, my blood tests indicated that hyperthyroidism was the cause of these symptoms ...

Dr. Zhou Jiazhen Reply:
Dear Mimi: 1. You should see an endocrinologist, as the thyroid is part of the internal medicine specialty of endocrinology. 2. If you have hyperthyroidism, medication adjustments can be made based on thyroid function tests and clinical presentation. Do not stop the medication...

Does Thyroid Nodule Removal Affect Fertility?

Will thyroid nodule removal affect fertility? Last August, the left thyroid gland was removed due to a nodule approximately 4 centimeters in size. During a check-up in March of this year, a suspected nodule measuring 1.3 centimeters was found on the right side. There are concerns...

Dr. Zhou Jiazhen Reply:
Dear Xiaomi: Generally, it is not common, but long-term medication management is necessary. If you wish to become pregnant, you should work closely with an endocrinologist and an obstetrician-gynecologist.

Understanding Hyperthyroidism: Symptoms, Diagnosis, and Treatment Options

Hyperthyroidism Hello doctor, a few months ago, due to some issues at home, I experienced emotional anxiety, along with symptoms such as palpitations, muscle twitching, and mild insomnia. However, I do not have obvious signs such as a swollen neck, bulging eyes, increased appetit...

Dr. Zhou Jiazhen Reply:
Dear Yin Ming: 1. If there are changes in emotions or stress, it is recommended to seek assistance from psychosomatic medicine for treatment. Of course, integrating traditional Chinese medicine for adjustment is also an option, but the primary focus should be on emotional regulat...

Understanding Hypothyroidism: When to Consider Fine Needle Aspiration

Hypothyroidism Several years ago, a fine needle aspiration was performed and found to be benign. For convenience, I transferred to a small clinic for follow-up and medication. Besides the initial consultation and an ultrasound, the clinic does not offer fine needle aspiration. Re...

Dr. Zhou Jiazhen Reply:
Dear Huang Xiaomin: Regular check-ups, blood tests, and ultrasounds are necessary. If there are changes in the nodules, surgical treatment may sometimes be required.

Understanding Breast Issues: Painful Lumps and Thyroid Concerns

Chest issues Hello doctor, my chest has been hard since I started developing. The hard areas are painful to touch and are slightly smaller than the rest of my breast. Sometimes, after my period ends, the hardness decreases a bit. The two weeks before my period are the most painfu...

Dr. Zhou Jiazhen Reply:
Dear Qi: This is caused by hormonal changes in the body, so there is no need to worry too much. Just perform self-examinations every month. Pay attention to maintaining a normal daily routine, avoid insomnia and staying up late, manage your emotions and stress, reduce fried and h...

Thyroid Blood Test Normal, But Throat Pain Persists: What Should I Do?

Thyroid blood tests are normal, but I have a sore throat. Should I get tested again? Two years ago, I was diagnosed with hyperthyroidism and an ultrasound revealed several cysts on both sides of my thyroid (of varying sizes). After taking medication for two months, my blood tests...

Dr. Zhou Jiazhen Reply:
Dear Cao: If there is an increase in size or symptoms, it is advisable to take action. If the cyst has enlarged, aspiration for testing can be performed to reduce its size. If it continues to enlarge repeatedly, surgical intervention is recommended.

Understanding Breast Lumps: What You Need to Know About Thyroid Issues

Breast lump Recently, I discovered a hard lump shaped like a strip below my chest, but I can't feel it when lying down.

Dr. Zhou Jiazhen Reply:
Dear Fish: Sometimes it is lymphadenopathy; please monitor for any increase in size or number, and seek outpatient evaluation if necessary.

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:
Dear Twin Mom: 1. No. 2. Currently, it is not necessary.

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:
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....

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:
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 ...

Can Thyroid Issues Cause Irregular Menstrual Cycles?

Can thyroid factors affect menstrual cycle irregularities? Hello, my menstrual cycle has changed to once every two months since June of last year, whereas it used to be regular. I went to a gynecologist for blood tests, and only my androgen levels were slightly elevated (0.74, wi...

Dr. Zhou Jiazhen Reply:
Dear Joyce: Thyroid abnormalities can sometimes lead to psychological and emotional changes, which may affect daily life. Additionally, they can occasionally influence hormonal changes in the body, but generally speaking, the impact is not significant.

Do Thyroid Nodules Require Further Testing? Insights from an Ultrasound Exam

Thyroid nodule Hello Director Zhou: During the physical examination, an ultrasound revealed three nodules on the right thyroid gland, each measuring 0.4 cm in diameter. Is there a need for further fine-needle aspiration biopsy? Thank you! Best regards.

Dr. Zhou Jiazhen Reply:
Dear Mr. Yang: If there is no calcification and no enlargement, sometimes observation is sufficient.

Understanding Right Chest Discomfort: Thyroid Cancer Survivor's Concerns

There is sometimes a feeling of tightness or pain in the right chest during breathing? Since I discovered thyroid antibodies at the age of 18, I have been undergoing treatment without interruption. In 2011, I was diagnosed with a malignant papillary thyroid carcinoma after findin...

Dr. Zhou Jiazhen Reply:
Dear WINI: The abnormal sensation in breathing does not seem to be related to the hard mass in the right pleura. Thyroid cancer can potentially metastasize to the lungs, and further examination can be conducted at the thyroid outpatient clinic. As for the hard mass in the right c...

Do I Need Surgery for a 4cm Thyroid Cyst?

A 4-centimeter cyst on the thyroid gland? A 4 cm thyroid cyst, does it require surgery?

Dr. Zhou Jiazhen Reply:
Dear Lingling: 1. It is common for the thyroid gland to have cysts or nodules, and if they enlarge, aspiration may be performed for testing. 2. If there are recurrent occurrences (after aspiration) or if they continue to enlarge, surgical treatment may be necessary.

Understanding Breast Discomfort: Itchy Nipples and Thyroid Concerns

Breast discomfort? The nipples are very itchy and I have the urge to scratch them. I applied anti-itch cream, but it was ineffective. The nipples are not inverted, and there are no small lumps or eczema upon examination of the breasts. There is also no discharge. After scratching...

Dr. Zhou Jiazhen Reply:
Dear Yang: There is some discharge from the nipples, which is mostly unnoticed. The accumulation of these substances can lead to issues similar to allergies or dermatitis. It is important to maintain good hygiene, keeping the area clean and dry. If symptoms persist, it is advisab...

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