Should I Remove My Enlarged Lymph Node or Continue Monitoring?
Lymphadenopathy Hello, doctor. In 2019, an ultrasound revealed an enlarged axillary lymph node measuring approximately 3.6 cm, located deep within. A core needle biopsy performed by a breast surgeon indicated benign results, and hematological tests were normal. However, anti-Tg a...
Dr. Chen Sirong Reply:
Xia Shi / 45 years old / Female Hello, I have been undergoing ultrasound follow-ups every six months, and the lymph nodes have not decreased in size. 1. Should I consider surgery to remove them? A: Yes, that is an option. The benefits include being able to definitively determ...[Read More] Should I Remove My Enlarged Lymph Node or Continue Monitoring?
Understanding Lymph Node Inflammation and Its Impact on Headaches
Lymphadenitis and headache? Hello, I would like to ask if lymphadenitis can last for 2-3 months? I have been experiencing headaches for the past 2-3 months. Initially, I thought it might be due to adjusting to a new environment after moving, but the pain has persisted. Every day,...
Dr. Hu Ziren Reply:
1. Can lymphadenitis last for 2-3 months? -- Yes; 2. Can lymphadenitis cause headaches? -- No; however, some headaches can lead to lymphadenitis, such as inflammation and infections in the intracranial area, neck, or oropharynx, as well as the upper respiratory tract, which can p...[Read More] Understanding Lymph Node Inflammation and Its Impact on Headaches
Understanding Underarm Lumps: When to Seek Medical Advice
A lump in the armpit? Hello Doctor: Last week, I experienced some pain in my left armpit. I initially thought it was a pimple, but I didn't see any pus. Upon examination, I found a lump (about 1 cm) that felt like it was beneath the skin. I went to a local hospital to see a ...
Dr. Chen Sirong Reply:
Huang, 22 years old, female. The doctor said after examination that it looks like folliculitis and will resolve on its own. However, the lesion has not decreased in size or disappeared. A: The doctor saw it in person, and since I did not see or touch it, I cannot comment on their...[Read More] Understanding Underarm Lumps: When to Seek Medical Advice
Managing Pain from Liver Cancer Metastasis: Options for Nerve Relief
Liver cancer metastasis My father was diagnosed with a liver tumor three years ago (which has been surgically removed), and it has metastasized to the ribs and pelvis (hip bone) and spine. Currently, the tumor in the hip bone is compressing a nerve, causing severe pain in both le...
Dr. Chen Sirong Reply:
Mark, 43 years old, male, is it possible to destroy or remove the compressed nerve like in a root canal procedure to alleviate pain? A: Generally, radiation therapy is administered first, followed by morphine-based pain management. Nerve blocks are typically performed later, and ...[Read More] Managing Pain from Liver Cancer Metastasis: Options for Nerve Relief
Understanding Red Spots on Skin: When to See a Specialist
Blood test I have small, dense red dots on the inner side of my lower leg that are not painful or itchy. After researching online, they resemble petechiae (similar to the images in this link: https://www.dcard.tw/f/girl/p/235207040). This is the only area affected, and it measure...
Dr. Hu Ziren Reply:
1. Laboratory reports from the past three months are more valuable for reference. 2. It is advisable to first consult a dermatologist to rule out localized dermatitis. If there are no abnormalities and the red spots expand or are accompanied by bleeding in other areas (such as pe...[Read More] Understanding Red Spots on Skin: When to See a Specialist
Understanding the Likelihood of Benign Growths Near the Trachea
There is a mass next to the trachea in the neck? During my father's health check-up, a mass was found next to the trachea. Upon further inquiry, he mentioned that it had been present for two years, was palpable, but had not caused any discomfort or shown any increase in size...
Dr. Hu Ziren Reply:
The probability of it being benign is higher, but it is recommended to visit an otolaryngologist to check for any possibility of malignancy.[Read More] Understanding the Likelihood of Benign Growths Near the Trachea
Which Specialist to See for a Painful Tumor in the Lower Abdomen?
Which department should I consult? There is a hard lump in the lower right abdomen that was about 1 cm when first discovered. It hurts even without pressure, and pressing on it causes significant pain. The lump has grown to approximately 4-5 cm in size over the course of 3-4 days...
Dr. Hu Ziren Reply:
Infectious Medicine or General Surgery.[Read More] Which Specialist to See for a Painful Tumor in the Lower Abdomen?
Which Specialist to Consult for a Painful Abdominal Tumor?
Which department should I consult? There is a hard lump in the lower right abdomen that was about 1 cm when first discovered. It hurts even without pressure, and pressing on it causes significant pain. The lump has grown to approximately 4-5 cm in size over the course of 3-4 days...
Dr. Hu Ziren Reply:
It may just be inflammation; you can first consult an infectious disease specialist or a general surgeon.[Read More] Which Specialist to Consult for a Painful Abdominal Tumor?
Understanding Blood Clotting Issues: When to Consult a Specialist
Coagulation function test six months ago? Hello doctor, I have a cluster of small red dots on the inner side just below my calf. They are not painful or itchy. After researching online, they resemble petechiae (similar to the image of this person: https://www.dcard.tw/f/girl/p/23...
Dr. Chen Yunfang Reply:
Hello: 1. The current situation has no value; that was six months ago. 2. You should see a dermatologist; any physician will issue a blood test order, and if they can't interpret it, they will refer you to a hematologist. Thank you.[Read More] Understanding Blood Clotting Issues: When to Consult a Specialist
Can Lung Cancer Present with Blood-Streaked Phlegm Without Coughing?
Lung cancer may not present with a cough? Today at work, after finishing lunch, around 4 PM, I went to the restroom intending to wash my face. I had some phlegm in my throat, and without coughing, I made a sound to expel it into my mouth, which had bright red streaks of blood. Si...
Dr. Chen Yunfang Reply:
Hello: Don't overthink it; if you're worried, go see a doctor for an X-ray. Thank you.[Read More] Can Lung Cancer Present with Blood-Streaked Phlegm Without Coughing?
Understanding Blood Test Results: Insights from Oncology Experts
Health examination issues Dr. Hu, is there any issue with this blood report? R.B.C: 4.55 W.B.C: 5.22 Hb: 13.6 Hct: 40.5 MCH: 29.9 MCHC: 33.6 MCV: 89.0 Platelet: 221 CRP: 0.022 A-Lym: 0.0 Band: 0.0 Baso: 1.0 Blast: 0.0 Eosin: 3.4 Lym: 41.2 Metamyelo...
Dr. Hu Ziren Reply:
No problem; Neutrophils, Eosinophils, Basophils, and Lymphocytes are all types of white blood cells. Their ratios may fluctuate, but as long as they remain within the normal reference range, they are considered normal.[Read More] Understanding Blood Test Results: Insights from Oncology Experts
Understanding Groin Lumps: Causes and When to Seek Medical Help
Hard lump connecting the inner thigh under the groin? Hello doctor, over the past 2 to 3 days, I have noticed swelling in the area where my thigh connects to my groin, about 2 centimeters in size. I'm not sure if it's a hard lump. The day before, I squeezed out some pus...
Dr. Hu Ziren Reply:
It may just be an abscess or other folliculitis; it will either drain on its own once it matures or be absorbed by the body.[Read More] Understanding Groin Lumps: Causes and When to Seek Medical Help
Understanding Swollen Lymph Nodes and Nighttime Hand Discomfort
Lymphadenopathy and nocturnal hand swelling? Hello Doctor, Currently, my symptoms are as follows: I received a Moderna vaccine injection at the clinic on August 13. On August 18, I noticed a round, movable lump in the indentation above my clavicle. I visited the clinic on Augus...
Dr. Chen Sirong Reply:
Kiki / 30 years old / Female 1. I would like to ask the doctor whether I should wait 3-6 months to observe if the lymph nodes do not enlarge, or if I need to see a specialist (if so, which specialty). A: If there is no enlargement, even if there is a residual size of 0.2 cm, th...[Read More] Understanding Swollen Lymph Nodes and Nighttime Hand Discomfort
Understanding Groin Masses: Causes, Symptoms, and When to Seek Help
Inguinal mass About three months ago, I discovered a lump in my groin area that is dark in color, approximately one centimeter in size. It is somewhat painful when pressed. The doctor suggested it might be folliculitis and prescribed a topical medication, which helped reduce the ...
Dr. Hu Ziren Reply:
It may just be an abscess or inflammation of other subcutaneous tissues. It is recommended to see a dermatologist.[Read More] Understanding Groin Masses: Causes, Symptoms, and When to Seek Help
Understanding Abdominal Masses: Causes, Symptoms, and Next Steps
Abdominal mass Hello Dr. Chen, good day. I have a protrusion on the left side of my pubic area that feels like a round ball, sometimes soft and sometimes hard. It constantly presses against my bladder, causing a frequent urge to urinate. When I apply pressure, I experience a sque...
Dr. Chen Sirong Reply:
Patient: Xiao En / 43 years old / Female Question: What could this situation be? Which department should I visit? Should I get an ultrasound? Answer: 1. There's no need to speculate about what it might be. 2. First, schedule an appointment with the gynecology department. I...[Read More] Understanding Abdominal Masses: Causes, Symptoms, and Next Steps
Understanding Bilirubin Levels in Beta-Thalassemia: Causes and Concerns
Bilirubin in Mediterranean Anemia Hello, Doctor: I have been diagnosed with Beta-thalassemia. In previous follow-ups, my hemoglobin levels were around 9.3 g/dL, red blood cell count was 4.5 M/uL, total bilirubin was approximately 6.0 mg/dL, and direct bilirubin was 0.4 mg/dL. In ...
Dr. Chen Yunfang Reply:
Hello: 1. Yes, both anemia and hemolysis have worsened. However, this congenital thalassemia should not change with aging, so there must be something that has happened recently. Have you had a cold? Taken medications indiscriminately? Used traditional Chinese medicine? Consumed...[Read More] Understanding Bilirubin Levels in Beta-Thalassemia: Causes and Concerns
Understanding Lymph Node Concerns: Common Questions and Answers
Cervical lymphatic issues Dear Dr. Chen, It's me again, and I apologize for bothering you. I've always been very anxious about lymph nodes, and this shadow of fear has lingered. I often check my body for lymph nodes. Aside from the few I consulted you about previously,...
Dr. Chen Sirong Reply:
It's me again, the worried one. / 41 years old 1.1. The lymph nodes I can feel, could they be inflamed due to my constant rubbing against surrounding tissues? A: It's uncertain whether there are lymph nodes, but they are definitely inflamed from your constant poking....[Read More] Understanding Lymph Node Concerns: Common Questions and Answers
Understanding Lumps Under the Jaw: When to Seek Medical Attention
A small lump has developed on the neck? Hello Doctor, about a month ago I noticed a small, movable lump on the inner side of my lower jaw. After researching online, I suspected it might be lymphadenitis. I thought it could be due to an impacted wisdom tooth that wasn't clean...
Dr. Chen Yunfang Reply:
Hello: Please register at the ENT (Ear, Nose, and Throat) department of a large hospital for a consultation. Thank you.[Read More] Understanding Lumps Under the Jaw: When to Seek Medical Attention
Understanding Adenomas: Risks, Treatment Options, and Recommendations for Seniors
Skin adenoma My mother is 87 years old. On August 22 of this year, she told me that she has a lump on her buttocks (she mentioned it has been there for several years, is painless and itchless, round, and smaller than a one-cent coin) that has broken the skin, with a ring of small...
Dr. Chen Sirong Reply:
Ahong / 63 years old / 1. What is an adenoma (there is no clear information online)? A: If it is already classified as malignant, it is adenocarcinoma. Adenocarcinoma of the skin is relatively rare and unique; it must be confirmed by pathology after biopsy or complete excision to...[Read More] Understanding Adenomas: Risks, Treatment Options, and Recommendations for Seniors
Understanding Armpit Lumps: When to See a Specialist
Axillary lump I suddenly have swelling in my armpit... it doesn't hurt much when pressed, and there is a hard lump that looks like a small ball. I'm not sure which specialist I should see.
Dr. Chen Sirong Reply:
Mr. Liu / 30 years old / Male General Surgery Wishing you health and happiness Taoyuan Hospital Chen Si-Rong Sincerely[Read More] Understanding Armpit Lumps: When to See a Specialist