Understanding Elevated Platelet Counts: When to Seek Further Medical Evaluation
The blood test report shows elevated platelet levels? Hello Dr. Chen, two years ago my platelet count was 412, and this year it has increased slightly to 440. Here are my blood test results from 2021: - White Blood Cell Count (WBC): 7.11 - Eosinophils (% Eosin): 1.7 - Neutrophi...
Dr. Chen Yunfang Reply:
Hello: The platelet count is just slightly elevated, and there is no need for any special examinations. There are no specific dietary considerations to be aware of. Platelets are not influenced by food intake. Thank you.[Read More] Understanding Elevated Platelet Counts: When to Seek Further Medical Evaluation
Understanding Hard Lumps in the Groin Area: Causes and When to Seek Help
There is a lump in the groin area? Hello, doctor. Recently, I have felt a hard lump (about the size of a one-dollar coin) at the junction of my scrotum and groin when using the restroom or showering. It is located under the skin, and there is no discoloration; it only appears sli...
Dr. Hu Ziren Reply:
It may just be a subcutaneous lipoma or another benign tissue; if you're concerned, you can see a general surgeon.[Read More] Understanding Hard Lumps in the Groin Area: Causes and When to Seek Help
Understanding Supportive Care in Advanced Cancer Treatment
Supportive therapy Hello, my mother was diagnosed with stage IV ampullary cancer after going to the hospital for diarrhea in March of this year. She has been undergoing chemotherapy since May 10 and has completed four cycles so far. During this time, she experienced slight discom...
Dr. Hu Ziren Reply:
Supportive care refers to symptom management or palliative care, indicating that the patient's condition has deteriorated and is no longer suitable for other aggressive treatments (such as the current chemotherapy).[Read More] Understanding Supportive Care in Advanced Cancer Treatment
Is This Bump Near My Navel a Tumor or Just Muscle?
Is this a tumor? In the past few days, I have noticed a small bump about 2 to 3 centimeters to the right of my navel, roughly the size of a fingertip (not very noticeable visually). The bump is more prominent when standing and less noticeable when sitting, and it feels smooth and...
Dr. Hu Ziren Reply:
It is likely just a benign subcutaneous tissue (such as a lipoma); observation is recommended.[Read More] Is This Bump Near My Navel a Tumor or Just Muscle?
Is It Safe to Have Breast Cancer Surgery and Radiation Therapy at Different Hospitals?
Surgery and Radiation Therapy for Breast Cancer (Ductal Carcinoma In Situ) I am a breast cancer (in situ) patient living in Taitung. I would like to undergo a lumpectomy at Kaohsiung Medical University Hospital, and then have radiation therapy at Taitung Christian Hospital. Do yo...
Dr. Chen Sirong Reply:
Yü / 47 years old / female. It is acceptable that during the surgery, transferring to another hospital is not recommended for radiation therapy. This means that the localization design and radiation treatment should be done at the same hospital, but it is not necessary to remain ...[Read More] Is It Safe to Have Breast Cancer Surgery and Radiation Therapy at Different Hospitals?
Understanding Stage IV Lung Adenocarcinoma: Treatment and Prognosis
Stage IV lung adenocarcinoma Hello, my mother has been diagnosed with stage IV lung adenocarcinoma. The discharge summary states: 1. Malignant lung tumor (right-sided infiltrating adenocarcinoma); 2. Mediastinal lymph node metastasis; 3. Multiple bone metastases (bilateral iliac ...
Dr. Chen Sirong Reply:
Mr. Huang / 33 years old / Male 1. My mom hasn't experienced significant side effects so far; she only had a few small red spots on her hand, which went away afterward. She seems just like her usual self, completely unlike someone with cancer! Is this a good sign? Does it i...[Read More] Understanding Stage IV Lung Adenocarcinoma: Treatment and Prognosis
Impact of Grilled Foods on Chemotherapy: What Patients Should Know
Dietary Issues Hello Doctor: My father is currently undergoing chemotherapy, and the doctor has advised against consuming fried, deep-fried, or grilled foods. However, during a recent outing, he inadvertently ate grilled food. Will this affect his treatment and its effectiveness?
Dr. Chen Yunfang Reply:
Hello: These small amounts of grilled food are harmless for any chemotherapy. Thank you.[Read More] Impact of Grilled Foods on Chemotherapy: What Patients Should Know
Understanding Lymphadenopathy: Concerns About Cancer Recurrence and Treatment Options
Lymphadenopathy raises concerns about cancer metastasis or recurrence? Hello Doctor, my mother was diagnosed with a malignant tumor on her ovary two years ago. At that time, it was decided to remove the ovary without chemotherapy. Post-surgery, regular follow-ups showed no signs ...
Dr. Chen Yunfang Reply:
Hello: After reviewing the medical history, your choices are quite reasonable. Since you have been following the same physician for many years, I suggest continuing with them. Even if there is a recurrence of lymphoma, you can simply proceed with chemotherapy, as there are no oth...[Read More] Understanding Lymphadenopathy: Concerns About Cancer Recurrence and Treatment Options
Understanding Small Lumps on the Left Side of the Waist: When to Seek Help
Lumbar mass If you have small lumps in your left flank that are not causing any discomfort but can be felt upon careful examination, it would be advisable to consult a physician specializing in Internal Medicine or a General Practitioner. They can evaluate your condition and dete...
Dr. Chen Sirong Reply:
Hello, which department should I see? A: General Surgery. Thank you for your message, and I wish you good health. Taoyuan Hospital, Chen Si-Rong.[Read More] Understanding Small Lumps on the Left Side of the Waist: When to Seek Help
Understanding Stage IV Lung Adenocarcinoma: Treatment and Prognosis
Stage IV lung adenocarcinoma Hello, my mother has been diagnosed with stage IV lung adenocarcinoma. The discharge summary states: 1. Malignant lung tumor (right-sided infiltrating adenocarcinoma); 2. Mediastinal lymph node metastasis; 3. Multiple bone metastases (bilateral iliac ...
Dr. Chen Sirong Reply:
Mr. Huang: Hello. 1. A: There is no definite relationship between side effects and efficacy; many people take medication without experiencing side effects, yet it is effective. Some side effects, such as dermatitis, may occur a month later. During the time when the treatment is e...[Read More] Understanding Stage IV Lung Adenocarcinoma: Treatment and Prognosis
Understanding Bruising on Thigh: When to Seek Medical Attention
Thigh contusion Hello Doctor, I noticed a not very obvious bruise on the inner side of my right thigh while taking a shower today. It hurts a bit when I wash with hot water, but I don't feel anything when I press on it later. Previously, I had a small, not very noticeable br...
Dr. Chen Yunfang Reply:
Hello: Although I don't know what tests were done on your blood or what the results are, based on your description, if you're concerned, it's best to see a dermatologist. Thank you.[Read More] Understanding Bruising on Thigh: When to Seek Medical Attention
Multiple Lumps Underarms: Should You Worry About Breast Cancer?
Multiple lumps in the axilla? There are multiple lumps in both armpits (3 to 4 lumps on each side) that have persisted for over one to two years. Since there is no pain and no significant increase in size, I haven't paid much attention to them. The lumps vary in size, with t...
Dr. Chen Sirong Reply:
Xyl, 22 years old, female. 1. Recently concerned whether it might be a sign of breast cancer? A: It has been persistent for more than a year or two, without significant enlargement or changes in color. Based on your description, there should be no need for concern. 2. If fur...[Read More] Multiple Lumps Underarms: Should You Worry About Breast Cancer?
Understanding Recurrence Risks in Breast Cancer: Key Questions Answered
I would like to ask two questions regarding recurrence issues? Dear Dr. Chen, Thank you for your previous response regarding my mother's follow-up visit after completing breast cancer treatment, specifically concerning the possibility of recurrence after the ultrasound and ...
Dr. Chen Sirong Reply:
Jerry / 44 years old / Male 1. My mother underwent a high-level PET-CT scan at Taipei Veterans General Hospital last July, and there were no signs of cancer throughout her body. Is it possible for her to have lymphatic metastasis or recurrence of breast cancer just one year late...[Read More] Understanding Recurrence Risks in Breast Cancer: Key Questions Answered
Understanding Groin Lumps: Causes, Symptoms, and Treatment Options
There is a lump in the groin area? When walking, I feel discomfort from a hard lump that I tried to pop myself. It bled, but it wasn't pus. The surface now appears a bit dark, but the round hard lump is still there and hasn't gone away.
Dr. Chen Sirong Reply:
Yu Ling / 20 years old / Female 1. I tried to pop it myself and there was blood, not pus. A: I do not recommend popping it. If there is an infection or inflammation that hasn't fully developed into an abscess, popping it too early can lead to a situation similar to your...[Read More] Understanding Groin Lumps: Causes, Symptoms, and Treatment Options
Understanding Lumps in the Armpit: Signs of Tumors or Hormonal Changes?
There is a hard lump in the armpit? It was first noticed about 2.3 months ago while showering, when a lump was felt under the skin in the right armpit (not like a pimple that protrudes on the surface). It is painful when pressed or touched, and there is some discomfort when showe...
Dr. Chen Sirong Reply:
Ms. Chen / 31 years old / Female If the changes are related to menstrual cycle irregularities, it should be fine. Mammography is recommended to start at age 45, and for those with a family history, it is advised to begin screening at age 40. Of course, there are clinical cases of...[Read More] Understanding Lumps in the Armpit: Signs of Tumors or Hormonal Changes?
Understanding Painful Lumps Under the Armpit: Causes and Concerns
There is a hard lump in the armpit? A few days ago, I discovered a hard lump about the size of a mung bean under my left armpit. However, after 4-5 days, I noticed that the lump has grown larger (around 1 centimeter) and it hurts when I press it lightly. I'm not sure what co...
Dr. Chen Sirong Reply:
Yuyu / 14 years old / Female 1. A hard lump has increased in size (about 1 cm) and is painful when lightly pressed, occurring a few days before menstruation. A: Of course, it is not possible to make a direct diagnosis based solely on your description, but it may be related to ...[Read More] Understanding Painful Lumps Under the Armpit: Causes and Concerns
Understanding Vascular Mucous Tumors: Causes and Treatment Options
Inguinal tumor Hello, in May 2020, a mass was discovered in the right vulvar area (pubic region). After consulting with a gynecologist and undergoing surgery, it was found to be a vascular mucinous tumor. Now in July, I am feeling another lump in the same area. Upon returning for...
Dr. Hu Ziren Reply:
Vascular myxoma is a benign soft tissue tumor that grows slowly, with a recurrence rate of approximately 30-70%. Therefore, even after surgical excision, it is prone to recurrence, and regular follow-up in obstetrics and gynecology is recommended.[Read More] Understanding Vascular Mucous Tumors: Causes and Treatment Options
Understanding Abnormal Blood Test Results in Cancer Survivors
Abnormal blood test results! Hello, Doctor. Thank you for taking the time to answer our questions. My mother has a medical history of being diagnosed with stage II colorectal cancer in March 2019. After surgery, she did not undergo any treatment and returned home to rest, with re...
Dr. Chen Yunfang Reply:
Hello: After reviewing the blood test results you mentioned, I believe there is no major concern. The blood cell counts are slightly low, which does not seem to be related to cancer recurrence. It appears more like a manifestation of nutritional deficiency. Individuals who follow...[Read More] Understanding Abnormal Blood Test Results in Cancer Survivors
Understanding Breast Cancer Recurrence: Key Insights and Concerns
Does breast cancer recur? Hello Dr. Chen: My mother was diagnosed with lobular carcinoma of the breast in April 2019. She has completed both chemotherapy and radiation therapy. During a recent follow-up appointment, the doctor performed an ultrasound and subsequently conducted a ...
Dr. Chen Sirong Reply:
Jerry / 44 years old / Male 1. Is it possible that this is metastasis or recurrence? A: It is possible. 2. Is the opposite side the contralateral side? The likelihood of developing breast cancer in the opposite breast is higher than that of the general population, so the phys...[Read More] Understanding Breast Cancer Recurrence: Key Insights and Concerns
Understanding Painful Lumps Under the Armpit: When to See a Doctor
There is a tumor-like lump in the armpit? A few days ago (about 3 days ago), I woke up and found a lump. On the first day, I didn't feel much because I had similar lumps before that disappeared on their own after a few days. However, this lump is more painful than the previo...
Dr. Hu Ziren Reply:
It is recommended to first check yourself in the mirror. If there are signs of inflammation (redness, swelling, pus, etc.), it may just be localized folliculitis. In that case, getting enough sleep and drinking plenty of water, or purchasing anti-inflammatory pain relievers from ...[Read More] Understanding Painful Lumps Under the Armpit: When to See a Doctor