Understanding Lumps in the Armpit: Causes, Diagnosis, and Treatment
There is a hard lump in the armpit? Hello Dr. Chen, I discovered a hard lump in my left armpit in early April of this year while touching it accidentally (it appears as a horizontal strip along the fold of the armpit). I can only feel it when I raise my arm; there are no abnorma...
Dr. Chen Bingze Reply:
Hello, if you have seen a breast surgeon and had an ultrasound, you can feel more reassured because if there are abnormal lymph nodes in the armpit, the ultrasound can detect them. If everything is safe, it is certainly reasonable to follow up with mammograms every three months f...[Read More] Understanding Lumps in the Armpit: Causes, Diagnosis, and Treatment
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?
Understanding Breast Pain: When to Seek Further Medical Evaluation
Breast examination Hello, doctor. I am #183440. Thank you very much for your patient and detailed response. I apologize for asking again, but the day after my inquiry, the tenderness suddenly disappeared (I wonder if it is related to the end of my menstrual period). The discharge...
Dr. Chen Ronghong Reply:
If you don't have a fever or tenderness, the likelihood of mastitis is lower. If the discharge is clear, transparent, and light yellow, you can observe it for a while. However, if the discharge persists, it is still advisable to schedule a breast ultrasound for peace of mind...[Read More] Understanding Breast Pain: When to Seek Further Medical Evaluation
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 Breast Pain and Discharge: When to Seek Medical Advice
Breast examination Hello Doctor: A few days ago, I suddenly noticed that the edge of my left breast started to hurt before my menstrual period (only the left breast, and it feels different from the usual bloating and pain I experience during my period). There are no visible lumps...
Dr. Chen Ronghong Reply:
It is better than you think; the presence of yellow discharge from the nipple, accompanied by tenderness, may indicate mastitis. It is advisable to measure your body temperature and consult a breast surgeon for an ultrasound examination. Blood tests may be performed if necessary....[Read More] Understanding Breast Pain and Discharge: When to Seek Medical Advice
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 Breast Discomfort: Is It a Side Effect of Endometriosis Medication?
Breast issues Hello doctor, I am currently taking Danazol to treat endometriosis. One of the side effects I have experienced is breast discomfort. Recently, I have noticed tenderness on the inner and lower edges of my breasts, which only occurs when pressed; otherwise, there is n...
Dr. Li Zhonghuai Reply:
Hello! Taking this progesterone preparation may stimulate breast tissue. It is recommended to undergo a breast ultrasound to rule out any tumors before continuing the medication. Take care! Changhua Hospital is concerned about you![Read More] Understanding Breast Discomfort: Is It a Side Effect of Endometriosis Medication?
Understanding Left Axillary Pain: Possible Causes and When to Seek Help
There is a slight stabbing pain near the axillary area close to the accessory breast on the left side? I have mild heart disease (mitral valve regurgitation) that only requires annual outpatient follow-up and no need for regular medication. Recently, I have been experiencing occa...
Dr. Chen Ronghong Reply:
Hello Amy, based on your description, the area involves subcutaneous tissue, breast tissue, lymph nodes, or the pectoralis major muscle. Therefore, possible conditions include a subcutaneous tumor, breast tumor, physiological breast tenderness (often occurring before menstruation...[Read More] Understanding Left Axillary Pain: Possible Causes and When to Seek Help
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
Post-Fibroadenoma Surgery: Persistent Nipple Inversion Concerns
After the excision of a fibroma (minimally invasive), the nipple retraction cannot be restored? Hello, I just underwent minimally invasive surgery to remove a fibroma. Due to congenital nipple inversion (which can temporarily revert with pressure), I noticed about two weeks post-...
Dr. Li Zhonghuai Reply:
Hello! We can observe first and wait for the underlying tissue fluid to accumulate to see if the nipple will return to its protruded state. If it remains inverted, we can consider flap reconstruction, but it is advisable to wait until you no longer wish to breastfeed to avoid mas...[Read More] Post-Fibroadenoma Surgery: Persistent Nipple Inversion Concerns
Understanding Breast Fibroadenomas, Cysts, and IVF: Key Questions Answered
Fibroadenoma of the breast, cysts, and blisters, while simultaneously undergoing in vitro fertilization (IVF)? Hello Doctor: In early February of this year, I discovered that I had a total of seven lumps in both breasts, and their shapes were somewhat irregular. I first underwent...
Dr. Tang Yuxiong Reply:
Hello, Ms. Mina. I apologize for the wait. 1. There are three types of fibrocystic changes: simple, complex, and complicated. If it is the complicated type, minimally invasive excision is recommended. Based on the previous core needle biopsy and fine needle aspiration, it has b...[Read More] Understanding Breast Fibroadenomas, Cysts, and IVF: Key Questions Answered
Understanding Fibrocystic Breast Changes: When to Seek Further Evaluation
Fibrocystic breast changes Hello Doctor, I would like to ask the following questions. Thank you for the annual health check-ups I've had. I learned that I have a 1 cm fibrocystic mass on the right side (which I cannot feel when I touch). This year, while showering, I acciden...
Dr. Tang Yuxiong Reply:
Hello Ms. BoBo: If you have concerns, you may consider a mammogram. According to the American College of Radiology guidelines, if the imaging is classified as BIRADS 1-3, follow-up every six months is recommended (with a malignancy risk of less than 2%). If it is BIRADS 4 or high...[Read More] Understanding Fibrocystic Breast Changes: When to Seek Further Evaluation
Understanding Itchy Nipples: Causes, Symptoms, and Treatment Options
Nipple itching, exudate, crusting? The left nipple often feels itchy, and I have noticed crusting. After removing the crust, it seems like there is a red, moist wound, but when I press it with tissue, it doesn't feel wet. After about half an hour, the nipple skin returns to ...
Dr. Chen Jiaming Reply:
The yellow discharge from the scab is interstitial fluid from the body. There are many reasons for the superficial wounds (abrasions) on the nipple. When a wound occurs, a light discharge will appear, which can accumulate over time and form a scab. During the healing process, itc...[Read More] Understanding Itchy Nipples: Causes, Symptoms, and Treatment Options
Recovery Timeline After Male Gynecomastia Surgery: What to Expect
Postoperative care for gynecomastia in males? Hello, doctor. Last year, I was diagnosed with gynecomastia due to left breast hyperplasia, and in September, I underwent surgery to remove both breasts. However, I am still very troubled; it has been six months since the surgery, and...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to take vitamin B12 daily to promote nerve repair. Wearing loose, 100% cotton clothing will gradually improve your condition. Take care! Changhua Hospital cares about you![Read More] Recovery Timeline After Male Gynecomastia Surgery: What to Expect
Understanding Breast Nipple Pain and Lumps: What You Need to Know
Nipple lump Hello, Doctor. Since the day before yesterday, I've been feeling a bit of pain when touching my left nipple, and it feels like there is a lump compared to the right side. Today, I visited a general surgeon who arranged for me to have an ultrasound in radiology. T...
Dr. Chen Bingze Reply:
Hello, there are two main reasons for enlarged axillary lymph nodes: benign or malignant. The more common benign causes include inflammation or, in some individuals, a congenital predisposition to larger lymph nodes. Malignant causes may include lymphoma or other malignant tumors...[Read More] Understanding Breast Nipple Pain and Lumps: What You Need to Know
Post-Surgery Concerns for Gynecomastia: Is Numbness Normal?
Postoperative care for gynecomastia in males? Hello, doctor. I have been searching online and have returned to the hospital for follow-up visits, but I still cannot find the cause of my problem, so I would like to ask you about my condition. Two years ago, when I was 19, I starte...
Dr. Zhou Hongzhang Reply:
This issue is more complex; it is advisable to return to the hospital for further consultation with a physician.[Read More] Post-Surgery Concerns for Gynecomastia: Is Numbness Normal?
Post-Surgery Pain After Phyllodes Tumor Removal: What to Expect
Postoperative pain after a phyllodes tumor surgery? Hello, doctor. I underwent a phyllodes tumor surgery on my left breast half a month ago. During my follow-up appointment, the surface of the wound appeared to be healing well, but I still experience some dull pain at the surgica...
Dr. Li Zhonghuai Reply:
Hello! If the wound has completely healed and there are no hematomas internally, it will generally improve once the sensory nerves have repaired. I usually add muscle relaxants and vitamin B12. Take care! Changhua Hospital cares about you![Read More] Post-Surgery Pain After Phyllodes Tumor Removal: What to Expect
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 Fibroadenomas: Concerns and Surgical Options for Young Women
Breast fibroma Hello, doctor. I am currently abroad. Since 2018, I have undergone ultrasound examinations that revealed multiple tumors in both breasts. Each time I followed up, the radiologists considered them to be fibroadenomas. In November of last year, during a follow-up, it...
Dr. Chen Jiaming Reply:
The chances are slim. You have multiple fibroadenomas in your breasts. Since you are still young, your hormone levels are relatively high, which indeed makes fibroadenomas more likely to grow. There has been an observed trend of growth, and medically, it is recommended to excise ...[Read More] Understanding Fibroadenomas: Concerns and Surgical Options for Young Women