Breast, Surgery FAQ

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Long-Term Effects of Antiperspirant Use on Breast and Lymph Health

The effects of long-term use of antiperspirants on breast health? I have a concern about body odor under my armpits and need to use an antiperspirant regularly to avoid the unpleasant smell. I use "Udefen" twice a week. I would like to know if long-term use of Udefen an...


Dr. Tang Yuxiong Reply:
Hello, Miss Hsiao-Chi. Currently, there is no evidence-based medicine to prove that antiperspirants cause breast or axillary lesions. If you are troubled by body odor, it is recommended to consult our Women's Health Center for treatment options to remove the apocrine glands.

[Read More] Long-Term Effects of Antiperspirant Use on Breast and Lymph Health


Understanding Male Gynecomastia Surgery: Post-Op Concerns and Recovery

Gynecomastia Doctor, after my surgery, I only had breast tissue and some fat removed (no liposuction), but when I change the dressing or take a shower at home, I still feel that my chest is protruding. Does this mean I definitely need liposuction, or was the surgery a failure? It...


Dr. Li Zhonghuai Reply:
Hello! After surgery, the tissue may still be swollen, and since general surgeons typically do not thin out the area beneath the nipple too much to prevent flap necrosis, it may still appear elevated. There's no need to worry. Wishing you a smooth recovery! Changhua Hospital...

[Read More] Understanding Male Gynecomastia Surgery: Post-Op Concerns and Recovery


Can Deep Fibroadenomas Near the Chest Wall Be Surgically Removed?

The cystic fibrosis location is too deep? If a fibrocystic lesion is located too deep near the chest wall, is it possible to perform traditional surgery for its removal? When I reviewed the report, the physician mentioned that the lesion's deep location would make it difficu...


Dr. Li Zhonghuai Reply:
Hello! All tumors located by ultrasound can be removed through traditional surgery; however, for cosmetic reasons, the incision is usually concealed along the edge of the areola or the breast margin. This approach can lead to more damage to the milk ducts, making it easier for ma...

[Read More] Can Deep Fibroadenomas Near the Chest Wall Be Surgically Removed?


Understanding Ductal Enlargement and Fluid Changes in Breast Health

Ductal dilation and intraductal opacity? Hello Doctor, my mother is 53 years old. Last year, a breast ultrasound showed dilated ducts in both breasts with clear fluid inside. During a follow-up appointment last week, it was found that the ducts (at the 3 and 9 o'clock positi...


Dr. Tang Yuxiong Reply:
Hello Alice, based on your description, it is recommended to perform a cytological examination of the secretions to directly confirm any abnormalities.

[Read More] Understanding Ductal Enlargement and Fluid Changes in Breast Health


Understanding Complex Fibroadenomas: Pathology Insights and Growth Concerns

Complex fibroadenoma Dear Dr. Chen, Thank you very much for your response! I have two additional questions I would like to ask you: 1. The pathology report indicates a fibroadenoma, but why does the report also mention fibrocystic change with ductal, terminal ductal ectasia, ap...


Dr. Chen Jiaming Reply:
1. Most breast tumor biopsies are performed using core-needle biopsy, which involves multiple sampling. In addition to the tumor itself, surrounding normal tissue is often also sampled. The article discusses common pathological changes and descriptions of the surrounding breast t...

[Read More] Understanding Complex Fibroadenomas: Pathology Insights and Growth Concerns


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


Understanding Complex Fibroadenoma: Concerns and Pathology Insights

Complex fibroadenoma Hello Dr. Chen: This is my pathology report from a biopsy taken two years ago. Could you please confirm if this tumor is a complex fibroadenoma? I am concerned about the possibility of it becoming malignant, especially since it has increased in size from 0.6 ...


Dr. Chen Jiaming Reply:
This pathology report describes a typical fibroadenoma of the breast, which is a common benign breast tumor. Since the tissue characteristics have been confirmed through biopsy, there is no possibility of cancerous changes, and the only concern is whether it will continue to grow...

[Read More] Understanding Complex Fibroadenoma: Concerns and Pathology Insights


Optimal Body Fat Percentage for Male Gynecomastia Surgery

What is the appropriate body fat percentage for men with gynecomastia to consider surgery? I (male) have been diagnosed with gynecomastia by a gynecologist at a major hospital after a physical examination (they did not charge me a consultation fee). Currently, I am classified as ...


Dr. Li Zhonghuai Reply:
Hello! I only perform simple excision for gynecomastia. If there is excessive body fat, you would need to consult a plastic surgeon for liposuction. In cases of Grade 3 gynecomastia, the breast tissue is noticeably sagging when standing. However, I always start with an ultrasound...

[Read More] Optimal Body Fat Percentage for Male Gynecomastia Surgery


Understanding a Painful Lump in Your Left Armpit: When to Seek Help

There is a small hard lump under the left armpit? You have a small hard lump under your left armpit that you discovered about three years ago while expressing milk. At that time, there was no discomfort, and you thought it was due to milk stasis. However, it has not disappeared o...


Dr. Tang Yuxiong Reply:
Hello Ms. Nalu, thank you for your patience. Based on your condition, there is no need to worry too much. It is generally recommended to undergo an ultrasound examination at a breast surgery clinic.

[Read More] Understanding a Painful Lump in Your Left Armpit: When to Seek Help


Understanding Gynecomastia Surgery: Anesthesia Options and Costs

Gynecomastia surgery issues? Gynecomastia has troubled me for many years. I see that most cases have bilateral symptoms, but I only have unilateral gynecomastia, approximately grade II. Will the surgery be performed under general anesthesia or local anesthesia? What is the estima...


Dr. Zhou Hongzhang Reply:
1. Unilateral male breast reduction surgery is less expensive than bilateral surgery. 2. It can be performed under local anesthesia or general anesthesia, depending on the volume of breast tissue and the patient's pain tolerance.

[Read More] Understanding Gynecomastia Surgery: Anesthesia Options and Costs


Which Breast Augmentation Method Minimizes Impact on Future Medical Exams?

Which breast augmentation method has less impact on future medical examinations? Hello Dr. Lu, I am considering breast augmentation and am looking into fat transfer breast augmentation (from the back of my thighs). I consulted with a gynecologist who informed me that autologous f...


Dr. Lu Daokuan Reply:
Qualified breast augmentation includes both implants and autologous fat transfer, which do not affect breast examinations. Autologous fat is more difficult to distinguish in ultrasound due to the multiple insertion sites; however, recent advancements in high-resolution ultrasound...

[Read More] Which Breast Augmentation Method Minimizes Impact on Future Medical Exams?


Post-Surgery Breast Tumor: Managing Pain and Swelling Concerns

Post-operative pain and swelling after breast tumor excision? Hello, doctor. Last year, I discovered a cyst in my breast, accompanied by swelling and pain, so I sought medical attention. After an ultrasound examination, the doctor said it was benign and that I shouldn't worr...


Dr. Chen Bingze Reply:
Hello, if the pathology report has been sent for testing, you should feel more at ease. 1. You can consider getting an ultrasound for further evaluation. 2. If there is significant swelling, there is indeed a possibility of rupture. 3. Inverted nipples can be a more challenging i...

[Read More] Post-Surgery Breast Tumor: Managing Pain and Swelling Concerns


Minimally Invasive Surgery for Superficial Breast Papilloma: Is It Suitable?

Surgical methods for breast papilloma? A papilloma has developed in the breast, located near the nipple and at a superficial level. I would like to know if superficial tumors are suitable for minimally invasive surgery?


Dr. Yu Mingchang Reply:
A physical examination of the tumor in the outpatient clinic is necessary to determine the direction of treatment.

[Read More] Minimally Invasive Surgery for Superficial Breast Papilloma: Is It Suitable?


Understanding Fibroadenomas and Cysts: What to Expect from Breast Ultrasound

Breast ultrasound/cyst Hello, I would like to ask about the breast ultrasound I had last October, which showed a fibrocystic lesion and a fibroadenoma on each side, both less than 0.5 cm. After six months of follow-up, the right side remains the same, while nothing was found on t...


Dr. Chen Jiaming Reply:
Fibroadenoma is a solid tumor, while a fibrocyst is a cystic formation. Although both are influenced by hormones (such as the menstrual cycle), cysts tend to appear and disappear intermittently. In contrast, fibroadenomas are generally stable or may grow larger until they gradual...

[Read More] Understanding Fibroadenomas and Cysts: What to Expect from Breast Ultrasound


Understanding Purple Veins Around the Nipple: Insights on Breast Health

Inquiry for clarification? Hello Dr. Yu: I have noticed some deep purple veins around my left areola that resemble venous distribution, with the veins appearing to converge towards the left areola; the right areola does not exhibit this condition. This phenomenon has been present...


Dr. Yu Mingchang Reply:
Hello: No problem.

[Read More] Understanding Purple Veins Around the Nipple: Insights on Breast Health


Understanding Post-Surgery Pain and Cysts After Breast Tumor Removal

Postoperative care for breast tumors? Hello doctor, I had surgery for ductal carcinoma in situ on July 18th last year. The incision is about 4 centimeters long, and it has been 7 months since the surgery. However, I experience pain when I press on the left side of the incision. D...


Dr. Chen Bingze Reply:
It likely refers to the presence of a cyst within the wound, which may cause tenderness. It is advisable to consult the surgeon who performed the operation for a more accurate assessment.

[Read More] Understanding Post-Surgery Pain and Cysts After Breast Tumor Removal


Understanding Breast Cysts: Characteristics, Location, and Concerns

Breast blisters Hello, I am 28 years old. Last October, I discovered a movable hard lump and after examination, the doctor said it was a cyst (fluid-filled sac). The doctor recommended regular check-ups every six months. After researching the characteristics of cysts online, I fo...


Dr. Chen Bingze Reply:
Hello, after the examination, it was determined to be a cyst. The ultrasound appearance suggests it has cystic characteristics, but the physical examination can sometimes be inconclusive. Honestly, if you are very concerned, the most definitive method currently available is ultra...

[Read More] Understanding Breast Cysts: Characteristics, Location, and Concerns


Understanding Unlocalized Pain in the Outer Breast Area: Causes and Solutions

Pain on the outer side of the breast, with no specific tender point upon palpation? Hello Doctor, since last Tuesday evening, I have been experiencing some pain whenever I press on the outer side of my right breast, extending to the area connected to my armpit, including the ster...


Dr. Chen Jiaming Reply:
Based solely on your description, it is possible that there is compression of the underlying pectoralis major muscle. It may be helpful to consider whether you have recently engaged in activities that require significant upper limb strength. If you are still concerned, it is advi...

[Read More] Understanding Unlocalized Pain in the Outer Breast Area: Causes and Solutions


Understanding Vacuum-Assisted Biopsy for Breast Calcifications: What to Expect

Breast biopsy Hello: Recently, during a follow-up mammogram, several calcifications were found on the right breast near the chest wall, with the largest measuring less than 0.5 cm. However, the report indicated a BI-RADS category 4A, suggesting a 10% suspicion of malignancy. A fe...


Dr. Xu Kaixi Reply:
Abnormal breast calcifications (4a) require excision for pathological examination. In addition to localization with vacuum-assisted biopsy, traditional surgical excision can also be performed, with ultrasound guidance used during the procedure to locate the lesion for removal.

[Read More] Understanding Vacuum-Assisted Biopsy for Breast Calcifications: What to Expect


Understanding Breast Nodules: Follow-Up and Evaluation Guidelines

Breast nodule Hello Doctor, here are the recent two breast ultrasound reports: 112/08/10 Clinical history: for health examination. Sonography of the breasts was performed. The result showed: Normal echotexture of bilateral breasts with normal glandular tissue and fat. Hypoecho...


Dr. Chen Jiaming Reply:
Some breast specialists consider the presence of blood flow measured within or around a mass as an abnormal sign (although most benign tumors also have internal blood supply). This may be why your examining physician regarded these nodules as suspicious (category 4a). For categor...

[Read More] Understanding Breast Nodules: Follow-Up and Evaluation Guidelines


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