Breast cancer, Surgery FAQ

Understanding Super-Microsurgical Lymphatic Reconstruction for Breast Cancer Patients

Supermicrosurgical lymphatic reconstruction surgery? Hello Doctor, I am a breast cancer patient, currently 47 years old. I underwent a mastectomy five years ago, along with the removal of 12 lymph nodes from my left axilla. After the surgery, I actively performed manual lymphatic...

Dr. Zhou Hongzhang Reply:
1. Lymphatic venous anastomosis has existed for some time, but its effectiveness has been inconsistent. 2. Supermicrosurgery may represent a new technical approach. 3. If the arm pain is caused by lymphedema, it may be effective.

Impact of Chemotherapy on Colorectal Cancer Screening Results

Colorectal cancer screening? I recently received a stool collection kit for immunochemical fecal occult blood testing from the health department. Currently, I am undergoing chemotherapy for breast cancer. After my first chemotherapy session on January 12, I experienced anal fissu...

Dr. Ke Fangxu Reply:
Indeed, both chemotherapy and anal fissures can affect the results of fecal occult blood tests. If you have not previously undergone a colonoscopy, it is advisable to schedule one directly; otherwise, you won't know when it is appropriate to conduct screening. Instead of wor...

Is Post-Bowel Movement Bleeding a Sign of Anal Fissure?

Is bleeding after bowel movements indicative of an anal fissure? Several years ago, I underwent surgery for internal hemorrhoids, but it seems that I did not fully recover. Occasionally, due to rapid bowel movements, I experience hematomas or a tearing sensation around the anus, ...

Dr. Ke Fangxu Reply:
Based on your description, it seems more like the typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. However, some patients undergoing chemotherapy may also experienc...

Understanding Breast Skin Issues After Weight Loss: Concerns and Care

Breast skin issues Hello, Doctor: I would like to ask about my situation. Due to my larger body size, I previously lost weight but then regained it, which has caused my skin to become loose. Over the past six months, I have started to control my diet and have lost about 22 kilogr...

Dr. Chen Jiaming Reply:
As you mentioned, it is purely due to weight loss that the skin has become loose. Breast ultrasound examinations can be performed annually, in addition to monthly self-breast examinations. There is no need to worry excessively.

Understanding Breast Appearance Changes After Weight Loss: What to Know

Breast appearance Hello Doctor: Previously, I gained weight back after losing it, which caused my skin to become loose. For the past six months, I have been controlling my diet and have lost about 22 kilograms. I already have sagging issues with my breasts, and the skin has devel...

Dr. Wu Yuting Reply:
Hello, if you are very concerned, please visit a breast surgeon.

Understanding Itchy Nipples: Causes and Concerns After Surgery

Itchy sensation inside the nipple? I underwent a total mastectomy for in situ carcinoma, and since around the time of my surgery in May, I have been experiencing an itchy sensation inside the nipple (not on the surface). Sometimes the itching extends to surrounding areas, but an ...

Dr. Ke Fangxu Reply:
It is possible for cancer to cause nipple itching, but not all cases of nipple itching are due to breast cancer; most often, it is due to dermatitis of the nipple skin. Over-the-counter anti-itch creams can be used for treatment. However, if there is associated skin breakdown or ...

Understanding Bowel Issues and Colonoscopy for Cancer Survivors

Bowel issues, colonoscopy? I apologize for the inconvenience. I am referring to the question #129130 that I previously asked, and I appreciate the doctor's response. Some time ago, I experienced a similar issue, and after changing my bowel habits and washing with clean water...

Dr. Ke Fangxu Reply:
What you mentioned refers to a specific group known as Lynch syndrome, which is associated with certain genetic defects that increase the risk of developing multiple malignancies. However, not all thyroid cancer patients belong to Lynch syndrome; genetic testing is necessary to c...

Discovering a Movable Lump in the Left Chest: What You Should Know

I found a hard lump near the left side of my chest while taking a shower? It is a movable, round mass about 0.9 cm in size that is very noticeable when lying down and palpating. My menstrual cycle has always been irregular, and I'm concerned about whether this will have an i...

Dr. Yu Mingchang Reply:
Hello: To reduce the risk of breast cancer, please take some time to visit the Breast Surgery Department at Changhua Hospital, Ministry of Health and Welfare, which cares about your health.

Understanding Skin Reconstruction Options After Breast Cancer Surgery

Regarding breast cancer surgery and tissue reconstruction? Hello, doctor. I would like to ask a question regarding skin grafting after breast cancer surgery. My mother is a breast cancer patient (stage III to IV) and has a large wound on her left breast that originally extended d...

Dr. Lin Zhemin Reply:
A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination. After a mastectomy, skin (tissue) reconstruction is necessary. If it is not possible to use tissue from the abdomen, flaps must be taken from the buttocks or ot...

Understanding Axillary Lumps: When to Seek Further Medical Advice

Axillary lump Hello doctor, two years ago during a health check-up, I was found to have multiple fibrocystic lesions in both sides of my chest. Since I was preparing to study abroad, I had one of the larger lesions surgically removed. About a year and a half ago, I noticed a smal...

Dr. Chen Jiaming Reply:
In general, fibrocysts and fibroadenomas are common benign lesions found in young women. Fibrocysts are often associated with breast tenderness before menstruation and are significantly influenced by hormonal changes, causing fluctuations in size. Fibroadenomas are solid masses t...

Understanding Nipple Lumps: When to Seek Medical Advice

Nipple lump The color of the nipples is generally darker, and occasionally a hair may grow. Recently, I noticed something resembling psoriasis on my right nipple, which occasionally itches but doesn't feel uncomfortable otherwise. I've heard that some breast cancers can...

Dr. Yu Mingchang Reply:
Hello: You can check the breast surgery department at the Ministry of Health and Welfare in Changhua, which cares about you.

Understanding Symptoms: Should You Worry About Stomach or Colon Cancer?

Is it stomach cancer? (Is the stomach cancer pressing against the sternum?) Colon cancer? Hemorrhoids? Polyps? Which department should I consult? I noticed blood at the edge of my stool today, with one or two drops of bright red blood in the toilet. For the past five to six years...

Dr. Xu Kaixi Reply:
Hello, rectal bleeding is considered an abnormal symptom and can range from common conditions like hemorrhoids to more serious gastrointestinal diseases. Based on your description, hemorrhoids are the most likely cause of the bleeding. It is recommended that you visit a hospital&...

Understanding Breast Fibroadenomas: Causes, Monitoring, and Risks

Breast fibroadenoma Doctor, I apologize for bothering you. I would like to ask about something. A few days ago, while taking a shower, I felt a lump, so I went to the hospital for an ultrasound. The doctor said it was a benign fibroadenoma. The doctor only mentioned that I should...

Dr. Li Zhonghuai Reply:
Hello! Breast fibroadenomas are very common benign tumors with an unclear etiology. Upon initial discovery, close monitoring is usually sufficient, and ultrasound can be used for diagnosis. Unless they continue to grow, cause significant pain, or there is suspicion of malignancy,...

Understanding Triple-Negative Breast Cancer During Pregnancy: A Patient's Journey

Regarding triple-negative breast cancer and pathology reports, thank you, doctor? Due to my pregnancy, I am currently almost 7 months along. I was diagnosed with breast cancer at five months. On August 22, 2016, I underwent surgery to remove the tumor, which was later classified ...

Dr. Li Zhonghuai Reply:
Hello! Your cancer recurrence index is as high as 136 (>30 indicates a high recurrence rate). It is recommended that you undergo chemotherapy and radiation therapy after giving birth. For chemotherapy, it is suggested to start with European paclitaxel combined with cisplatin; ...

Understanding Breast Cancer Recurrence Risk and Treatment Options

Please provide the content you would like me to translate regarding breast cancer? Thank you for the doctor's response. I have a low level of education and do not understand what the doctor means by medication treatment. Hello! Your cancer recurrence index is as high as 136 ...

Dr. Li Zhonghuai Reply:
Hello! Yes, it is recommended that you proceed with the necessary treatment. Although chemotherapy regimens may vary between hospitals, the principles are generally similar. From the current medical perspective, breast cancer is considered a systemic chronic disease. After treatm...

Understanding Breast Lumps and Asymmetry in Adolescents: What to Know

There is a hard lump in the breast, and the size of the breasts is uneven? Hello, doctor. I noticed that since the sixth grade, my breasts have been uneven and have had lumpy areas (which move when touched). At that time, I thought it was due to sleeping on my side, so I didn...

Dr. Wu Yuting Reply:
Hello: Your description does not specify the question you would like to ask. I recommend that you first consult with a breast surgeon. ************************* Dr. Wu Yu-Ting, Breast Surgery, Hsin-Ying Hospital ************************

Post-Surgery Breast Cancer Treatment: Radiation and Dietary Considerations

Postoperative treatment issues in breast cancer? After breast cancer surgery, if the doctor diagnoses a potential recurrence rate of 20%, is radiation therapy necessary? Can I take fish oil, vitamins, and items containing traditional Chinese medicine (such as Chuanbei loquat syru...

Dr. Wu Yuting Reply:
Q1. After breast cancer surgery, the doctor diagnosed a potential recurrence rate of 20%. Is radiation therapy necessary? A1. For breast cancer patients who undergo partial mastectomy, have lymph node metastasis, tumors larger than 5 cm, positive surgical margins with tumor inv...

Essential Knowledge and FAQs About Breast Health and Cancer Prevention

Basic Knowledge and Inquiries About Breasts Hello Doctor: I am Reena, a news editor for a women's website. I noticed that your site emphasizes "the importance of cherishing medical resources," but many of our female readers still lack clarity and implementation reg...

Dr. Li Zhonghuai Reply:
Hello! 1. A breast examination during puberty is not too early, as if a lump is detected and an ultrasound reveals a tumor, it is usually benign and can be monitored. At least there will be a record for future comparisons in adulthood. 2. Hard lumps can occur not only in the b...

Understanding Breast Discharge: Is It Normal After Mastectomy?

Breast issues Is it possible to express fluid from the breasts without having given birth? I am a breast cancer patient and have had my left breast removed, but I am concerned that the right side may have similar issues. Recently, during a self-examination, I noticed that I can e...

Dr. Wu Yuting Reply:
1. Is it possible to express fluid from the breasts without having given birth? A: It is possible to have lactation outside of pregnancy due to conditions such as ductal ectasia, intraductal papilloma, and breast cancer. 2. Is it normal to have a clear fluid discharge from the n...

Understanding Pain and Hardness Around the Nipple: Possible Causes

Nipple papilloma, pain, and surrounding hardness? Hello doctor, yesterday I suddenly experienced pain in my right nipple. Compared to the left side, the right side has also darkened in color. Normally, I don't feel much discomfort, but there is pain when there is friction or...

Dr. Chen Jiaming Reply:
In Taiwan, approximately 10,000 new cases of breast cancer are diagnosed each year, with only about 30-40 cases occurring in men. Male breast cancer is most commonly found in older adults (ages 60-80). In younger males, nipple symptoms are often due to inflammation, as the areola...

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