Understanding Groin Lumps: When to Worry About Tumors and Lymph Nodes
Inguinal mass? About a year and a half ago, a small, hard lump appeared in the upper left area of my groin. It doesn't hurt unless I squeeze it very hard, so I haven't paid much attention to it. However, it hasn't gone away or increased in size, and it still doesn&...
Dr. Hu Ziren Reply:
It was discovered over a year ago, and there has been no significant increase in size recently, so it is unlikely to be a tumor. It is recommended to ignore it.[Read More] Understanding Groin Lumps: When to Worry About Tumors and Lymph Nodes
Understanding Advanced Colon Cancer Treatment Options and Challenges
Colorectal cancer treatment As a child seeking advice for my father: My father, in his seventies, was diagnosed with colon cancer that had metastasized to the liver at the time of discovery. After surgically removing the tumor at the junction of the colon and rectum, he began che...
Dr. Chen Yunfang Reply:
Hello: Some questions are not ones that I, as a general physician, can or should answer; you need to ask your father's primary physician. Therefore, I will only address some research-related inquiries: 2. All Ras gene mutations indicate that targeted therapies for a specific...[Read More] Understanding Advanced Colon Cancer Treatment Options and Challenges
Understanding Low Hemoglobin and High Platelet Counts in Oncology Patients
Low hemoglobin and elevated platelet count? Hello, doctor. For the past two years, I have frequently experienced dizziness, chest tightness, intermittent headaches, and often feel as if there is an earthquake. Last year, my blood test showed a hemoglobin level of 7 mg/dl, which l...
Dr. Chen Yunfang Reply:
Hello: Please bring your blood test report directly to register for the hematology outpatient clinic. If you have already been treated at the hematology outpatient clinic, you can address your concerns directly with the physician. Thank you.[Read More] Understanding Low Hemoglobin and High Platelet Counts in Oncology Patients
Is a Small Hard Lump Near My Left Nipple a Sign of Breast Cancer?
There is a small hard lump just below the left nipple? Hello Doctor, I recently noticed a small hard lump just below my left nipple, like a tiny ball under the skin. I can't squeeze it out with my fingers, and it only hurts a bit when I press hard on it. I don't feel it...
Dr. Hu Ziren Reply:
The incidence of male breast cancer is extremely low. If the size exceeds 1-3 centimeters, it is recommended to consult a general surgeon.[Read More] Is a Small Hard Lump Near My Left Nipple a Sign of Breast Cancer?
Understanding a Painful Red Lump Under the Left Armpit: Symptoms and Concerns
There is a red, swollen lump under the left armpit? Hello doctor, I have a red swollen lump in my left armpit that is about 1-1.5 cm in size. I actually had it for a while, but it was smaller and I didn't pay much attention to it. However, in the last three days, it has star...
Dr. Hu Ziren Reply:
It seems to be subcutaneous folliculitis or another type of subcutaneous inflammation. It is recommended to see a general surgeon or an infectious disease specialist.[Read More] Understanding a Painful Red Lump Under the Left Armpit: Symptoms and Concerns
Understanding Lumps in the Armpit: What You Need to Know
Axillary lump Hello, doctor. I am 25 years old and discovered a lymph node in my neck when I was 16-17 years old. I also had one in my groin at that time. A biopsy of the neck lymph node showed normal results. These lymph nodes have not changed for nearly 10 years. However, in th...
Dr. Hu Ziren Reply:
The lymph nodes in the neck have undergone fine-needle aspiration and ultrasound imaging, which did not reveal any abnormalities. Additionally, since they are very small (less than 1 cm), the likelihood of cancer is extremely low. It is recommended to simply monitor the situation...[Read More] Understanding Lumps in the Armpit: What You Need to Know
Managing Esophageal Stricture and Motility Issues After Cancer Treatment
Esophageal sclerosis and impaired peristalsis? Hello Dr. Chen: My father is 72 years old and was diagnosed with stage III esophageal cancer two years ago. He underwent stereotactic body radiation therapy, chemotherapy, and has not had surgery. Currently, both CT scans and PET sca...
Dr. Chen Sirong Reply:
Tina / 42 years old / Female 1. Besides medications that aid peristalsis and the esophageal stent (which the physician does not recommend for your father), are there any other suggested treatment options? A: 1.1 It is uncertain whether esophageal balloon dilation would be benef...[Read More] Managing Esophageal Stricture and Motility Issues After Cancer Treatment
Post-Vaccine Breast Lump: When to Seek Medical Attention?
A lump appeared in the chest after receiving the vaccine? Hello, doctor: After receiving the first dose of the BNT vaccine in October 2021, I noticed a lump in the upper right chest before getting the second dose at the end of November. I did not inform the doctor and proceeded w...
Dr. Chen Yunfang Reply:
Hello: Please make an appointment for a consultation with the "Breast Surgery" department. Thank you.[Read More] Post-Vaccine Breast Lump: When to Seek Medical Attention?
Understanding a Hard Lump in the Armpit: Tumor, Folliculitis, or Lymphadenopathy?
There is a hard lump in the armpit? Hello doctor, I have had swelling in both armpits for several months. Recently, the swelling on the right side has decreased, but today while showering, I felt a small hard lump (about one centimeter) in my left armpit. It is not very noticeabl...
Dr. Chen Sirong Reply:
Seal / 19 years old / Female 1. Which is more likely: a tumor, folliculitis, or lymphadenopathy? A: Accessory breast tissue and the other three conditions you mentioned are all possibilities. 2. Can it be left untreated? A: 2.1 Based on what you described, the likelihood of ...[Read More] Understanding a Hard Lump in the Armpit: Tumor, Folliculitis, or Lymphadenopathy?
Understanding Normal Pancreatic Index in Stage 3 Pancreatic Cancer
Normal pancreatic index? My mother initially thought she had stomach discomfort, but after undergoing an MRI in the hepatobiliary and gastroenterology department, the report indicated a 90% likelihood of stage 3 pancreatic cancer. After being evaluated by an oncologist, there wer...
Dr. Hu Ziren Reply:
Currently, the method for biopsy in pancreatic cancer is endoscopic ultrasound-guided fine needle aspiration, which has an extremely low risk of cancer cell dissemination due to the tumor biopsy. For stage III pancreatic cancer, preoperative treatment may involve either chemother...[Read More] Understanding Normal Pancreatic Index in Stage 3 Pancreatic Cancer
Unexplained Bruises and Bone Pain: Should You Worry About Leukemia?
Unexplained bruising and petechiae? Doctor, I have been experiencing frequent bone pain and unexplained bruising and petechiae. I went to the hospital two days ago for a blood test, and all the results were normal except for a low platelet distribution width. However, the doctor ...
Dr. Hu Ziren Reply:
Young women, due to thinner skin and more fragile microvessels, often experience bruising in areas that are prone to impact or injury. If a complete blood count and blood smear examination are normal, it is recommended to simply monitor the condition.[Read More] Unexplained Bruises and Bone Pain: Should You Worry About Leukemia?
Radiation Therapy Options for Advanced Head and Neck Tumors
Radiation Therapy for Head and Neck Tumors Hello Dr. Chen: My father is a terminal cancer patient (unable to eat, can only take small amounts of liquid, primarily receiving intravenous nutrition while hospitalized). Due to recurrent bacterial infections, chemotherapy has been pau...
Dr. Chen Sirong Reply:
Tinglee / 37 years old / Female 1. In an online consultation without seeing the patient, I cannot claim that my recommendations are better than those of the original attending physician. 2. Generally, I respect the original attending physician. 3. A patient may not necessarily p...[Read More] Radiation Therapy Options for Advanced Head and Neck Tumors
Managing Discomfort After Total Mastectomy and Tamoxifen Use
Immediate reconstruction after total resection of carcinoma in situ? Taking tamoxifen makes me feel very uncomfortable and hot. The large hospital advised me to take one pill a day, but an external gynecologist with a PhD from Cambridge said I don't need to take the medicati...
Dr. Hu Ziren Reply:
After a mastectomy for ductal carcinoma in situ, hormone therapy can reduce the risk of recurrence of contralateral breast cancer. However, if the side effects of the medication are intolerable, it is advisable to discuss with the treating physician the possibility of discontinui...[Read More] Managing Discomfort After Total Mastectomy and Tamoxifen Use
Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Inguinal mass A few days ago, I noticed mild pain in my left groin area. After two or three days, it developed into a hard lump about 2.5 cm in size. It hurts when I walk slowly, when I sit down, and even when I apply gentle pressure. The lump is immovable. Additionally, I have b...
Dr. Hu Ziren Reply:
It may just be localized lymphadenopathy caused by a bacterial infection (such as in the urinary tract or pelvic region). It is recommended to see a gynecologist or an infectious disease specialist.[Read More] Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Post-Chemotherapy Management for Breast Cancer Patients: Key Considerations
Post-Chemotherapy Management The patient has right breast cancer and has undergone a total mastectomy and axillary lymph node dissection. The pathology report indicates the following: Stage: IIB, Tumor size: 2.4 cm, Lymph nodes: positive for metastasis (2, 11), Distant metastasis...
Dr. Chen Sirong Reply:
Patient: 46 years old, male 1. I would like to ask, what are the key reasons for the consultation with the radiologist to assess whether additional radiation therapy and oral chemotherapy are necessary? A: If the lymph nodes have not metastasized, and the tumor is less than 4 c...[Read More] Post-Chemotherapy Management for Breast Cancer Patients: Key Considerations
Understanding Lymphadenopathy and Sjögren's Syndrome: Symptoms and Concerns
Unilateral lymphadenopathy, Sjögren's syndrome? I apologize for the inconvenience, but I would like to ask the doctor about some symptoms I experienced as a child. I discovered a lump under my right armpit and underwent a breast ultrasound, where the doctor diagnosed it as a...
Dr. Chen Sirong Reply:
Doudou / 32 years old / Female 1. I apologize! I am an oncology specialist. Based on your condition, after evaluation by the physician, there is a suspicion of Sjögren's syndrome, which is an autoimmune disease that commonly occurs in individuals aged 40 to 60, predominantl...[Read More] Understanding Lymphadenopathy and Sjögren's Syndrome: Symptoms and Concerns
Understanding Low Iron Levels: Is Further Testing Necessary?
I would like to inquire about this value? I would like to ask, after taking iron supplements for three months at a dosage of two pills a day, my hemoglobin level has returned to 13.5, but my iron content is 21 and my Fe/TIBC is only 5. (I would like to ask the doctor what this Fe...
Dr. Hu Ziren Reply:
Iron deficiency anemia requires at least six months of iron supplementation for the body's iron stores to return to normal. However, women of childbearing age may need a longer supplementation period due to menstrual blood loss, which can vary in volume and lead to different...[Read More] Understanding Low Iron Levels: Is Further Testing Necessary?
Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Inguinal mass Hello Doctor, I noticed pain and slight swelling in my left groin area at the end of May. I consulted a general surgeon, and the doctor performed an ultrasound, which showed two lymph nodes that appeared to be benign: one about 1 cm in the groin area and another sma...
Dr. Chen Sirong Reply:
Miss Liao / 46 years old / Female Hello, 1. Could these pains be caused by smaller lymph nodes? A1.1 The human body has two types of pain localization: 1.1.1 Visceral pain is usually difficult to localize accurately. 1.1.2 Pain in the muscles and bones of the limbs can b...[Read More] Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Should You Worry About a Growing Lump in Your Armpit?
There is a hard lump in the armpit? A lump in the armpit has been observed for a week and is gradually increasing in size, now measuring over 3 centimeters. It is prominent, painful to the touch, and has a slightly red appearance. Should I be concerned about this and seek medical...
Dr. Hu Ziren Reply:
3 cm is a bit large; it is recommended to see a general surgeon as soon as possible![Read More] Should You Worry About a Growing Lump in Your Armpit?
Understanding Abdominal Lumps: What You Need to Know About Tumors
Palpating the abdomen reveals small nodules? Hello doctor, three days ago I had stomach discomfort and went to see a doctor. The doctor performed an abdominal ultrasound and said that the organs appeared normal. Today, when I contracted my abdomen (very forcefully), I suddenly fe...
Dr. Hu Ziren Reply:
It may just be some benign tumors under the skin (such as lipomas, localized calcified tissue, etc.), and observation is recommended.[Read More] Understanding Abdominal Lumps: What You Need to Know About Tumors