Understanding Fine Needle Aspiration Results: Next Steps for Cyst Management
Fine Needle Aspiration Biopsy (FNAB) Hello Dr. Chen, I have a cyst (it appears as an oval, dark structure on the ultrasound). I feel that it has been growing, so I asked the doctor to aspirate it. The result was "Breast, aspiration, atypia. Sample adequate for interpretation...
Dr. Chen Jiaming Reply:
Simple cystic lesions are generally aspirated only for decompression to alleviate symptoms, and further cytological examination often lacks practical clinical significance. Only in the case of complex cysts is aspiration followed by pathological cytological examination recommende...[Read More] Understanding Fine Needle Aspiration Results: Next Steps for Cyst Management
Post-Surgery Concerns: Understanding Swelling and Bruising After Breast Cancer Surgery
Postoperative issues? Hello Doctor, I am a stage II breast cancer patient who just underwent surgery on December 20th to remove the tumor and sentinel lymph nodes. The surgical site has been healing well, but I am currently experiencing swelling in my breast and armpit areas, wit...
Dr. Chen Bingze Reply:
Hello, some patients may experience hematoma at the surgical site after the procedure. Generally, it can be monitored, and during your next follow-up appointment, your physician should check for any accumulation of blood or fluid.[Read More] Post-Surgery Concerns: Understanding Swelling and Bruising After Breast Cancer Surgery
Understanding Ductal Enlargement and Fibroadenomas in Menopausal Women
Ductal enlargement and fibroadenoma? Hello Dr. Tang, my mother is 52 years old and experiencing menopausal discomfort. She had an ultrasound on December 1st and another one on December 8th, which revealed enlarged ducts on both sides, with the right side being abnormally enlarged...
Dr. Tang Yuxiong Reply:
Regarding the above issues: 1. If mammography is not suitable, breast MRI can be used to detect tumors, although it requires out-of-pocket payment. 2. Hormonal medications may stimulate breast fibroadenomas, potentially accelerating their proliferation. For uterine fibroids, reco...[Read More] Understanding Ductal Enlargement and Fibroadenomas in Menopausal Women
Understanding Fibrocystic Changes: When to Consider Surgical Intervention
Fibrocystic changes Hello, doctor. I have a predisposition to fibrocystic changes (cysts) and have been experiencing this since middle school. There is no family history of breast cancer, and I have been undergoing regular check-ups every six months. On October 21, I discovered m...
Dr. Chen Bingze Reply:
It is advisable to conduct a tissue biopsy for safety when rapid growth occurs in a short period of time, as no one can guarantee that everything is fine without proper testing.[Read More] Understanding Fibrocystic Changes: When to Consider Surgical Intervention
Concerns About Breast Lumps After Fibroadenoma Surgery: What to Know
Breast issues Hello, Doctor. Earlier this year, I underwent minimally invasive excision of a 1.2 cm benign fibroadenoma in my right breast. Since I tend to develop cysts in both breasts, I have regular check-ups every six months. A few days before my menstrual period this month, ...
Dr. Chen Bingze Reply:
I understand your anxiety, but if you're concerned, it's important to monitor it closely for six months. If there are any doubts or if it increases in size, then surgical removal should be considered.[Read More] Concerns About Breast Lumps After Fibroadenoma Surgery: What to Know
Understanding Stroke and Spinal Cord Injury in ICU Patients
Currently in the intensive care unit, experiencing a stroke affecting the right side of the body, with spinal cord injury? Hello, currently in the intensive care unit, the patient has suffered a stroke affecting the right side of the body, with right pupil dilation and cerebellar...
Dr. Lai Zhaokang Reply:
Hello: If a malignant tumor has invaded the brain, including the cerebrum and cerebellum, and there is unilateral pupil dilation, along with a craniotomy for decompression already performed... the patient's condition is actually quite pessimistic, and the chances of recovery...[Read More] Understanding Stroke and Spinal Cord Injury in ICU Patients
Can Birth Control Pills Be Safely Taken with Fibroadenomas?
Is it suitable for someone with a fibrocystic adenoma to take oral contraceptives? Hello, doctor. Two years ago, I was diagnosed with a fibroadenoma in my right breast, which is currently being monitored (it is now 2.8 cm). I would like to ask if it is appropriate for me to take ...
Dr. Chen Ronghong Reply:
Hello, a fibroadenoma is a benign tumor, and it is possible to take contraceptive pills. However, long-term use of contraceptive pills may increase the risk of breast cancer. If you have a family history of breast cancer (meaning that relatives related by blood have had breast ca...[Read More] Can Birth Control Pills Be Safely Taken with Fibroadenomas?
Understanding Breast Lumps: Should You Worry About Cancer?
Breast lump Hello Doctor, in recent days (during my menstrual period), I suddenly noticed a hard lump in my left breast, approximately 1.5 centimeters in diameter. It has well-defined edges and is movable, and there is no pain when I press on it. I would like to understand if thi...
Dr. Tang Yuxiong Reply:
Hello Ms. Kk: Based on your description, the probability of breast cancer is less than 2%. However, it is still recommended that if you have any concerns, you should undergo an ultrasound examination at a breast surgery clinic after your menstrual period ends.[Read More] Understanding Breast Lumps: Should You Worry About Cancer?
Understanding Breast Tumor Biopsy Results: What You Need to Know
Breast tumor biopsy issues? Hello Doctor, I am 27 years old and have no family history of breast cancer. Last week, I went for a breast surgery consultation and found a 1 cm tumor. The doctor suggested a biopsy and believed the likelihood of malignancy was low, so it was a precau...
Dr. Chen Jiaming Reply:
The biopsy results of the breast tumor show squamous metaplasia. The clinician recommends complete excision of the tumor due to concerns that it may be metaplastic squamous cell carcinoma (SCC). Generally, the likelihood of such malignant tumors occurring in the breast is very lo...[Read More] Understanding Breast Tumor Biopsy Results: What You Need to Know
Understanding Breast Pain and Fibroadenomas: What You Need to Know
Breast tenderness & fibrocystic adenoma Hello Doctor, I am 20 years old and around 2021, I discovered a hard lump in my right breast. I went to the hospital for an examination and was diagnosed with a fibroadenoma (which is movable and not painful), measuring approximately 2....
Dr. Chen Jiaming Reply:
Given your age, the likelihood of developing breast cancer is very low. As for breast tenderness, at 20 years old, it can be influenced by factors such as development, diet, and other variables that may contribute to the sensation of tenderness.[Read More] Understanding Breast Pain and Fibroadenomas: What You Need to Know
Post-Surgery Concerns for Stage II Breast Cancer Patients
Post-operative issues after breast cancer surgery? Hello, doctor. I am a stage II breast cancer patient who underwent a total mastectomy on December 23, 2022. It has been nearly two months since the surgery, and I have completed my first round of chemotherapy. I am experiencing a...
Dr. Tang Yuxiong Reply:
Hello Ms. Vicky: Pain after a mastectomy is mostly a normal response, which may be due to the nerves still undergoing repair or internal adhesions. It is generally tolerable, but if the condition is more severe, you may consider consulting a rehabilitation specialist for physical...[Read More] Post-Surgery Concerns for Stage II Breast Cancer Patients
Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors
Choice between Open Surgery and Da Vinci Surgery Hello, Doctor. My mother is 65 years old and has been diagnosed with a malignant tumor in the ampulla. She will need to undergo resection and reconstruction of some nearby organs early next year. We are currently struggling with th...
Dr. Chen Ronghong Reply:
Hello, let me clarify that my expertise is not in pancreatic surgery, and I have not participated in Da Vinci pancreatic cancer surgeries. Therefore, the following responses are based on my understanding. 1. Is the blood loss during Da Vinci surgery less than that of open surge...[Read More] Choosing Between Open Surgery and Da Vinci Surgery for Pancreatic Tumors
Understanding Fibrocystic Breast Changes: What You Need to Know
Fibrocystic changes 1. Hello, my menstrual period started on October 9th. On October 24th, I noticed some slight pain in my left breast and found a lump upon touching it. I immediately went to the hospital for an ultrasound examination. The doctor assessed that it might be a cyst...
Dr. Chen Bingze Reply:
Benign fibrocystic changes are indeed the most common breast tumors. They can be monitored for changes over a short period, or a biopsy can be performed for testing, or even surgical excision for examination (if you feel more comfortable having it removed). The primary concern, o...[Read More] Understanding Fibrocystic Breast Changes: What You Need to Know
Understanding Fibroadenomas: Common Concerns and Follow-Up Care
Fibroadenoma Hello, Doctor. I would like to ask you some related questions: 1. Is it common for a 36-year-old to have multiple fibroadenomas? 2. Do breast cancer patients generally have fibroadenomas, or are the two conditions not significantly related? 3. Is it normal to follo...
Dr. Chen Ronghong Reply:
Hello, 1. Fibroadenomas are quite common in women of this age. 2. The two are unrelated; fibroadenomas do not carry a risk of malignant transformation. The reason for monitoring is that fibroadenomas can grow, and a diagnosis made solely through ultrasound without biopsy is not 1...[Read More] Understanding Fibroadenomas: Common Concerns and Follow-Up Care
Common Concerns for Stage II Breast Cancer Patients Post-Surgery
Some issues faced by breast cancer patients? Hello, doctor. I am a stage II breast cancer patient. I have undergone a right partial mastectomy and axillary lymph node dissection. I have completed my second round of chemotherapy, and it has been over a month since the surgery. The...
Dr. Tang Yuxiong Reply:
After surgery, scar tissue may cause the local skin to feel firmer to the touch. If there are concerns, an ultrasound evaluation can be performed. Additionally, since you are currently undergoing chemotherapy, some chemotherapy agents may lead to skin pigmentation issues. This ca...[Read More] Common Concerns for Stage II Breast Cancer Patients Post-Surgery
Persistent Yellow Discharge After Papilloma Surgery: What to Expect?
Post-operative discharge from the papilloma surgery has not ceased? After a papilloma surgery, will the yellow discharge stop? It has been about five months since the surgery, and the discharge has not improved. Are there any conditions that could cause this?
Dr. Tang Yuxiong Reply:
You can first go to the hospital to test the discharge for the presence of breast cancer tumor cells. If necessary, a ductography can be arranged for further examination to rule out hidden breast tumors. Blood tests can also be conducted to check prolactin levels, as elevated lev...[Read More] Persistent Yellow Discharge After Papilloma Surgery: What to Expect?
Post-Chemotherapy Management for Stage IIB Breast Cancer Patients
Post-Chemotherapy Management Right breast cancer, with complete mastectomy and axillary lymph node dissection performed. The pathology report is as follows: Stage: IIB, Tumor size: 2.4 cm, Lymph nodes: metastasis present (2, 11), Distant metastasis: none. Tumor type: IDC ER: 90%,...
Dr. Chen Ronghong Reply:
Hello, Pang Pang. Currently, in Taiwan, the indications for Atezolizumab are limited to pancreatic cancer, gastric cancer, colorectal cancer, and lung cancer. In Japan, it can be used for unresectable or recurrent breast cancer, but that is different from your situation. Therefor...[Read More] Post-Chemotherapy Management for Stage IIB Breast Cancer Patients
Understanding Drug Interactions: Impact on Cancer Treatment and Surgery
Drug interactions I am currently undergoing adjuvant therapy for breast cancer and have just started taking Tamoxifen, which I need to take for five years. Due to dental implant surgery, I need to take anti-inflammatory medication (two tablets at a time) and pain relievers (one t...
Dr. Li Zhonghuai Reply:
Hello! Xiao Tai continues to eat without any issues. Stay safe! Changhua Hospital cares about you![Read More] Understanding Drug Interactions: Impact on Cancer Treatment and Surgery
Understanding Post-Surgery Drainage After Breast Cancer Surgery
Concerns about drainage from the surgical wound after breast cancer surgery? Hello, Director Tang. I would like to ask you a question. My mother previously underwent surgery for breast cancer and was readmitted due to inflammation that caused a large amount of yellow fluid to dra...
Dr. Tang Yuxiong Reply:
Hello, Miss Xiao Zi. Based on your description, it appears to be normal tissue fluid. It is advisable to simply observe the situation, keeping the wound clean and monitoring for any signs of redness, swelling, heat, or pain. If any abnormalities occur, you should return for a fol...[Read More] Understanding Post-Surgery Drainage After Breast Cancer Surgery
Understanding Pathology Reports: What Cancer Cells Dead Means After Chemotherapy
Chemotherapy followed by lumpectomy for breast cancer... Regarding the question about the "pathology report stating" that cancer cells are dead, what related issues should be considered? Hello, the relevant tests and biopsy indicated "triple-negative, 4 cm." A...
Dr. Chen Ronghong Reply:
Hello, Xiaowen. Based on your description, it seems that your tumor has responded very well to neoadjuvant chemotherapy, achieving "complete remission." In this situation, the resected tissue shows no cancer cells under the microscope, which is why the doctor would tell...[Read More] Understanding Pathology Reports: What Cancer Cells Dead Means After Chemotherapy