Understanding Breast Lump Diagnosis: Benign vs. Malignant Confusion
Breast lump benign or malignant? Hello Dr. Li, Recently, my mother (56 years old) discovered a 1.2 cm lump in her right breast. After a biopsy, the doctor indicated that it is malignant and recommended a whole-body bone scan and CT scan to determine the surgical approach. Howeve...
Dr. Li Zhonghuai Reply:
Hello! Currently, core needle biopsy is the primary method for sampling, while fine needle aspiration is not a diagnostic criterion. However, even with core needle biopsies, malignant tumors may sometimes sample less aggressive areas, so breast cancer biopsies may reveal ductal c...[Read More] Understanding Breast Lump Diagnosis: Benign vs. Malignant Confusion
Understanding Rectal Bleeding: Causes and When to Seek Help
Bowel movement and rectal bleeding issues? For the past few months, after bowel movements, I have repeatedly noticed blood on the toilet paper, although it is not a large amount—at most the size of a thumbnail, and most of the time just small dots, about the size of sesame seeds....
Dr. Chen Mingzhi Reply:
Hello: Your symptoms seem more like an anal fissure, so there is no need to worry too much. It is recommended to consult a colorectal specialist for an anoscopy, which can provide an immediate diagnosis of the underlying cause![Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Breast Issues: Causes and Treatment Options for Women
Breast issues Hello, Dr. Yu. I am a 24-year-old female. For the past couple of days, I have noticed a lump on the edge of my areola that protrudes. When I squeeze it, a significant amount of pus comes out, but I haven't continued to squeeze it because it hurts. After squeezi...
Dr. Yu Mingchang Reply:
Hello: Please come to the clinic for an examination, and if necessary, we will perform a biopsy for diagnosis.[Read More] Understanding Breast Issues: Causes and Treatment Options for Women
Understanding Hepatic Hemangiomas: What Breast Cancer Patients Should Know
Hepatic hemangioma Hello, Doctor: I am a breast cancer patient (stage I). Last week, my breast surgeon arranged for a follow-up abdominal ultrasound. Out of curiosity, I checked the report on the National Health Insurance app and found that it mentioned a 0.9 cm hyperechoic lesio...
Dr. Chen Jiaming Reply:
Hepatic hemangiomas are common benign tumors of the liver that typically only require monitoring (if they remain stable after a few follow-ups, further monitoring may not be necessary). Generally, further intervention is only needed if they continue to grow. Since you are a breas...[Read More] Understanding Hepatic Hemangiomas: What Breast Cancer Patients Should Know
Understanding Nipple Issues: Causes, Concerns, and When to Seek Help
Nipple issues Recently, I experienced itching in my right breast, which improved significantly after applying a topical ointment prescribed by a dermatologist. However, the size of my right nipple is still slightly larger than the left, and it appears uneven with several indentat...
Dr. Tang Yuxiong Reply:
Hello: Male breast cancer is generally less common. Based on the description, it may be a localized skin issue. It is recommended to follow up with a dermatologist for evaluation and treatment of the condition. Abnormal nipple changes include unusual discharge, retraction, or pal...[Read More] Understanding Nipple Issues: Causes, Concerns, and When to Seek Help
Understanding Breast Cysts: When to Seek Further Medical Advice
Breast issues Hello, Doctor. On November 10, I experienced pain when pressing on the right side of my right breast, so I went to the hospital for a breast examination. The doctor told me it was a cyst, with a little bit present in both breasts, and there seemed to be some calcifi...
Dr. Chen Jiaming Reply:
Women in their 20s to 30s often experience breast tenderness associated with their menstrual cycle due to increased ovarian hormone secretion. During this time, ultrasound examinations typically reveal what is known as fibrocystic changes, which are imaging alterations caused by ...[Read More] Understanding Breast Cysts: When to Seek Further Medical Advice
Does Using Antiperspirants Increase Breast Cancer Risk?
Chest issues Hello, I have been dealing with the issue of body odor for a long time, so I have developed a habit of applying antiperspirant daily. I would like to ask if using antiperspirants poses a risk of breast cancer. Thank you.
Dr. Li Zhonghuai Reply:
Hello! Many people have this question. The lymph nodes located under the armpit have not been found to have any correlation with breast cancer according to research up to 2016, so you can use them with peace of mind. Take care! Changhua Hospital cares about you![Read More] Does Using Antiperspirants Increase Breast Cancer Risk?
Understanding Diminished Responses in Brain Injury Patients
The mother's reactions are becoming increasingly diminished? My mother, who is 58 years old, was diagnosed with breast cancer metastasis to the brain at the end of April this year. On November 13, she fell at home, hitting the left side of her head, resulting in a wound with...
Dr. Zhang Junwei Reply:
Based solely on your description and without seeing the brain CT scan, I cannot answer your question![Read More] Understanding Diminished Responses in Brain Injury Patients
Understanding Breast Pain: Causes, Cysts, and Endometriosis Effects
Chest issues Hello, I am 26 years old. Recently, for the past few months, I have been experiencing breast swelling and pain starting about a week after my menstrual period, lasting until a few days before my next period, which is approximately two weeks. I also feel lumps in my b...
Dr. Li Zhonghuai Reply:
Hello! Exemestane may cause breast discomfort in less than 7% of patients. As for whether it increases the risk of breast cancer, the literature suggests that it should be avoided in patients with a history of breast cancer or those who have had breast cancer. I recommend ultraso...[Read More] Understanding Breast Pain: Causes, Cysts, and Endometriosis Effects
Post-Surgery Treatment Considerations for HER2-Positive Breast Cancer Patients
The appropriateness of postoperative treatment for breast cancer? 1. The patient has stage I breast cancer (Estrogen receptor: negative / Progesterone receptor: negative / HER2: positive / Ki-67: 60%). The postoperative treatment recommendation is to undergo six cycles of chemoth...
Dr. Chen Jiaming Reply:
If there are concerns regarding the treatment in a clinical situation, it is advisable to discuss them with the attending physician, as online consultation information is insufficient to determine the appropriateness of treatment. The imaging reports prior to chemotherapy and the...[Read More] Post-Surgery Treatment Considerations for HER2-Positive Breast Cancer Patients
Postpartum Breast Health: How to Check for Milk Cysts Safely
Breast examination Hello, I would like to ask about my current situation. I have just given birth and am breastfeeding. There is a history of breast cancer in my family, and because I did not wean properly after my first child, I currently have residual milk lumps in my breasts. ...
Dr. Li Zhonghuai Reply:
Hello! Please visit the breast surgery department for an ultrasound examination. Take care! Changhua Hospital cares about you![Read More] Postpartum Breast Health: How to Check for Milk Cysts Safely
Blood on Toilet Paper: Understanding Possible Causes and Next Steps
Stool issues, blood on toilet paper? Hello Doctor, I would like to inquire about the following information: @Symptoms: Occasionally (1-2 times a month, noticed for about 4 months), I notice blood when having a bowel movement, but it only appears on the toilet paper and not on t...
Dr. Yu Mingchang Reply:
Hello, please schedule a colonoscopy at the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare. We care about your health.[Read More] Blood on Toilet Paper: Understanding Possible Causes and Next Steps
Understanding Gynecomastia: Causes, Symptoms, and Treatment Options
Gynecomastia Hello, doctor. Recently, I've been researching a lot about gynecomastia and still have some uncertainties. I found a hard lump under my right nipple and went to a surgical clinic for an examination. The doctor said it is likely gynecomastia, and it appears to be...
Dr. Li Zhonghuai Reply:
Hello! The likelihood of breast cancer in young males is extremely low. The management of gynecomastia in males primarily involves three concerns: aesthetic issues, pain, and suspicion of malignancy. Monitoring changes in size is advisable, and if there is an increase in size or ...[Read More] Understanding Gynecomastia: Causes, Symptoms, and Treatment Options
Understanding Post-Surgery Complications After Breast Cancer Surgery
Breast issues Hello doctor, I had surgery for stage 1 breast cancer one month ago. The day after the surgery, I noticed large bruises around the surgical area, and by the fourth day, the bruised areas developed blisters. My attending physician mentioned that this might be due to ...
Dr. Li Zhonghuai Reply:
Hello! After surgery, there will be swelling for a period of time. As for the causes of blisters, there are many factors. The skin of the breast is inherently very sensitive, and there are many individuals who are allergic to dressings, povidone-iodine, alcohol, ointments, beauty...[Read More] Understanding Post-Surgery Complications After Breast Cancer Surgery
Understanding Hard Lumps Under the Armpit After Breast Cancer Treatment
There is a lump under my mother's armpit? I would like to ask the doctor, my mother previously had breast cancer and has been treated successfully, but recently she has noticed a hard lump in her armpit that can only be felt when she raises her arm; it is not painful and can...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to visit the breast surgery outpatient clinic. If it has been a long time since your last follow-up examination, further tests are necessary. This includes breast and abdominal ultrasound, mammography, chest X-ray, and tumor markers. Take care! Changhua H...[Read More] Understanding Hard Lumps Under the Armpit After Breast Cancer Treatment
Can You Skip Mammograms During Free Health Checks for Implants?
How to perform a health check for breast implants? Due to congenital developmental issues, I underwent saline breast implant surgery 20 years ago. Now, in my 40s, I want to get a free health check-up, but I hesitate because one of the tests is a mammogram. I would like to ask the...
Dr. Chen Jiaming Reply:
The "free adult health check" program provided by the National Health Service includes screenings for individuals aged 40-64 every three years, but it does not include mammography. Some hospitals may combine "free cancer screening mammography" with this progra...[Read More] Can You Skip Mammograms During Free Health Checks for Implants?
Understanding Breast Lumps: What You Need to Know at 24
Breast lump Hello Doctor: I am 24 years old and have felt a movable lump to the left of my right nipple. It is not painful, and I can hardly feel it when I raise my arm or lie down, but I can feel it when my arm is down. What could this be? If it were breast cancer, would a hard ...
Dr. Chen Jiaming Reply:
Breast lumps cannot be accurately assessed through online consultations; a physical examination by a breast specialist (primarily using ultrasound) is necessary for a definitive diagnosis and clinical recommendations. In younger women, common conditions include fibroadenomas and ...[Read More] Understanding Breast Lumps: What You Need to Know at 24
Understanding Breast Lumps: When to Seek Medical Attention
Nipple lump Hello doctor, I have been experiencing significant pain in my left breast 15 days before my menstrual period, and I noticed that a lump in my breast has increased in size. I initially thought it was a sign that my period was approaching, so I didn't think much of...
Dr. Li Zhonghuai Reply:
Hello! "It has been over three weeks, and I'm unsure whether to continue monitoring or see a doctor. I've noticed a slight difference in size between my breasts when I look in the mirror. Could this be breast cancer?" It is recommended to get an ultrasound. If...[Read More] Understanding Breast Lumps: When to Seek Medical Attention
Post-Weight Loss Breast Sagging: Is It a Sign of Cancer?
Breast sagging and indentation after weight loss? Hello doctor, I have lost 30 kilograms in a year through diet control. My breasts were already sagging due to being too large, and now it feels like the skin is becoming even more lax as I continue to lose weight. Additionally, th...
Dr. Chen Jiaming Reply:
Your weight loss can indeed cause such changes, but if you are still concerned, it would not be unreasonable to have another breast ultrasound examination this August, a year after your last one in August of last year. This can help alleviate your worries.[Read More] Post-Weight Loss Breast Sagging: Is It a Sign of Cancer?
Managing Post-Surgery Seroma After Breast Cancer Treatment
Postoperative seroma after breast cancer surgery? Dear Dr. Hsu, I was diagnosed with stage I breast cancer last July. The doctor assessed that I needed six rounds of chemotherapy, a year of targeted therapy, 22 sessions of radiation therapy, and 5 to 10 years of hormone therapy....
Dr. Xu Kaixi Reply:
Hello, based on your description, the newly formed fluid accumulation is related to the surgical wound from last year's partial mastectomy. According to the physician's assessment, there is currently only a 2.5 cm small wound remaining. However, since it has been three ...[Read More] Managing Post-Surgery Seroma After Breast Cancer Treatment