Understanding Treatment Options for Head and Neck Lymphoma: Surgery vs. Chemotherapy
Head and neck lymphatic cancer Hello Doctor: I underwent surgery for a head and neck lymphatic tumor in 2023, and the tumor was diagnosed as stage III lymphoma. Recently, I found another tumor on the left side of my clavicle. I consulted the same hospital and the doctor suggested...
Dr. Chen Sirong Reply:
Wei Cheng / 35 years old / Male 1. Most head and neck cancer cells are squamous cells and undifferentiated cells; the decision to perform surgery depends on the location. 2. Lymphoma cells are a type of lymphocyte that has transformed into cancer cells; surgery is not necessa...[Read More] Understanding Treatment Options for Head and Neck Lymphoma: Surgery vs. Chemotherapy
Understanding Lymph Node Issues: Symptoms and When to Seek Help
Lymphatic issues I have been experiencing persistent itching in the genital area, and a few months ago, I noticed a lump on the left side of my genitals. Additionally, I have been having frequent pain during urination and difficulty urinating. Last month, I visited a gynecologist...
Dr. Chen Sirong Reply:
Patient: 42-year-old female 1. Gynecological examination 2. Theoretically, there should be no gynecological cancer since the gynecological evaluation has been completed. 3. Lymph nodes can enlarge due to infection, but they may also indicate cancer spread to the lymph nodes...[Read More] Understanding Lymph Node Issues: Symptoms and When to Seek Help
Understanding the Differences Between Common Bruises and Leukemia Symptoms
About bruises? Hello, doctor. I would like to ask if there is a significant difference between a regular bruise and a bruise caused by leukemia. I just noticed a bruise about 1-2 centimeters on both my hand and foot, and there are no other bruises. I'm not sure if it's ...
Dr. Chen Yunfang Reply:
Hello: 1. The appearance of both is the same, with no differences. 2. There are no specific concerns to pay attention to; if discomfort occurs, seek medical attention. Thank you.[Read More] Understanding the Differences Between Common Bruises and Leukemia Symptoms
Understanding Breast Lumps in Teenage Boys: Causes and Concerns
Nipple lump I am a high school sophomore, and previously in middle school, I discovered a hard lump in my chest. After a physician's examination, the result was gynecomastia. Recently, I have been feeling that the hard lump on my right chest seems to have grown a bit larger....
Dr. Hu Ziren Reply:
It is likely just gynecomastia. It is advised not to keep pressing on it; observation is sufficient. If you have never seen an endocrinologist before, it is recommended to get checked to see if the gynecomastia is caused by a pituitary tumor.[Read More] Understanding Breast Lumps in Teenage Boys: Causes and Concerns
Can You Get Cancer from Contact with Breast Cancer Discharge?
If the nose accidentally comes into contact with breast cancer secretions, is there a risk of infection? Hello doctor: If my nose accidentally comes into contact with the secretions (such as blood or other fluids) from a breast cancer patient (a relative), is there a risk of bein...
Dr. Hu Ziren Reply:
No, cancer is not contagious, so there is no need to panic excessively.[Read More] Can You Get Cancer from Contact with Breast Cancer Discharge?
Understanding Hard Lumps Under the Armpit: Causes and Concerns
There is a hard lump in the armpit? After raising my hand high, I noticed a hard lump about 2 centimeters in size near my clavicle. It only hurts when I squeeze or pinch it, and there are no visible wounds on the surface. It suddenly appeared a couple of days ago, and I only disc...
Dr. Hu Ziren Reply:
It should just be normal or benign tissue. It is recommended to observe it as long as there are no systemic discomforts or enlargement (accompanied by inflammation, such as redness, swelling, heat, etc.).[Read More] Understanding Hard Lumps Under the Armpit: Causes and Concerns
Understanding M3 Leukemia Treatment: Is Consolidation Therapy Necessary?
Treatment of M3 type leukemia? Hello Dr. Hu, I am currently a patient with M3 type leukemia. My treatment phase involves daily oral all-trans retinoic acid and two phases of arsenic trioxide injections (7 days each phase for a total of 14 days). After about a month of monitoring...
Dr. Hu Ziren Reply:
Patients with M3-type leukemia, in addition to the initial induction therapy and subsequent consolidation therapy, often undergo maintenance therapy for 1-2 years. Although M3-type leukemia has a relatively favorable prognosis among acute leukemias, approximately 5% of patients m...[Read More] Understanding M3 Leukemia Treatment: Is Consolidation Therapy Necessary?
Which Test is More Accurate for Adrenal Tumors: Ultrasound or CT Scan?
Which type of test is more accurate for adrenal tumors? Hello Doctor, I went to a health check center for an endoscopic ultrasound of the pancreas. The pancreas is fine, but the doctor mentioned a suspected 1.18 cm tumor on the left adrenal gland. I then visited the urology depar...
Dr. Hu Ziren Reply:
A CT scan is more accurate; if you have concerns, it is recommended to undergo a self-paid examination again in 3 to 6 months.[Read More] Which Test is More Accurate for Adrenal Tumors: Ultrasound or CT Scan?
Understanding Elevated Platelet Count: When to Seek Medical Attention
Elevated platelet count? Hello Doctor, during my recent health check-up, I found that my platelet count was elevated at 433 x 1000/uL. The hospital's reference range for normal values is 160-370 x 1000/uL. Here are my other lab results: WBC 8.27 x 1000/uL, Hb 16.3 g/dL, MCV ...
Dr. Chen Yunfang Reply:
Hello: If the platelet count is not very high, drinking more water can help dilute the concentration. When you have the time and opportunity, you can go see a doctor for a follow-up blood test.[Read More] Understanding Elevated Platelet Count: When to Seek Medical Attention
Should You See a Doctor for a Painful Lump in Groin Hair?
Pubic hair There is a raised bump within the hair, but it doesn't break and shows no other abnormalities. It only hurts when pressed. Should I seek medical attention?
Dr. Hu Ziren Reply:
It may just be folliculitis; observation is sufficient.[Read More] Should You See a Doctor for a Painful Lump in Groin Hair?
Understanding Axillary Tumors: What to Expect and Next Steps
Axillary tumor Hello Doctor: In the past week or two, I suddenly felt pain in my right armpit, and it also hurts when I raise my arm. There was one instance where I suddenly had a fever, but it went away the next day. I had a routine chest ultrasound scheduled, and I informed the...
Dr. Chen Sirong Reply:
Hello, is the possibility of an axillary lump being a malignant tumor high? 4A 2-10% 4B 10-50% 4C 50-95% (the waiting time for the biopsy results is really agonizing). Is there a chance that the tumor could shrink during this waiting period? Philosophically discussing this issue,...[Read More] Understanding Axillary Tumors: What to Expect and Next Steps
Sexual Activity During APL Treatment: Safety and Considerations
Sexual activity during the treatment process for Acute Promyelocytic Leukemia (APL) should be approached with caution. It is important for patients to discuss their Hello Dr. Hu, In January, I was diagnosed with APL (Acute Promyelocytic Leukemia, M3 type). After more than a mont...
Dr. Hu Ziren Reply:
1. Yes, but it is important to rest after sexual activity and maintain regular exercise and a balanced diet. 2. Ejaculation does not affect white blood cell production; in fact, moderate sexual activity can improve and adjust overall physical and mental health.[Read More] Sexual Activity During APL Treatment: Safety and Considerations
Understanding Myelo 0.5 in CML Patients: What You Need to Know
Blood test results show myelo 0.5? Hello Doctor, ^_^ I am a CML patient who has been undergoing treatment for two years. My current PCR value is -3.8. In my latest blood test report, my WBC is 7.2, but I noticed for the first time that there is a myelo value of 0.5. Could you ple...
Dr. Hu Ziren Reply:
WBC is normal and PCR is -3.8, indicating that the disease is currently maintaining a "Major Molecular Response" (MMR), meaning there is no relapse. It is recommended to continue the current treatment and regular monitoring.[Read More] Understanding Myelo 0.5 in CML Patients: What You Need to Know
Understanding Abnormal Blood Test Results in Children: What to Do Next?
Abnormal blood test results! Hello Doctor: My child recently underwent a health checkup for junior high school, and the blood test results showed abnormalities with a platelet count of 563. The school notified us to seek medical attention for a re-evaluation. We went to the hospi...
Dr. Chen Yunfang Reply:
Hello: It is true that the white blood cell and platelet counts are slightly higher than normal, but clinically, these numbers do not necessarily indicate the presence of a disease. I don't have much concern regarding these values. Let's schedule an appointment with a p...[Read More] Understanding Abnormal Blood Test Results in Children: What to Do Next?
Understanding Chemotherapy Effectiveness for Advanced Cholangiocarcinoma
Hello Dr. Hu: Issues related to bile duct cancer? Hello Dr. Hu: The elder has been diagnosed with cholangiocarcinoma, which has metastasized to the thoracic vertebrae, liver, and duodenum. The thoracic vertebrae have been partially resected, but there is almost no sensation in th...
Dr. Hu Ziren Reply:
Each patient's response to chemotherapy varies, but if the patient is newly diagnosed with adequate physical condition and normal cardiopulmonary and renal function, chemotherapy (or possibly adding self-funded immunotherapy) can be considered. Approximately 20-30% of patien...[Read More] Understanding Chemotherapy Effectiveness for Advanced Cholangiocarcinoma
Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights
Six months after treatment for tongue cancer, there has been recent swelling and pain in the cervical lymph nodes? A 65-year-old male, who underwent treatment for stage 0 tongue cancer six months ago, has recently experienced pain and swelling in the lymph nodes in the neck. A CT...
Dr. Yan Jingheng Reply:
Hello, 1. Pain relief medications can have different effects on individuals, but acetaminophen is generally considered the mildest pain reliever. 2. For tongue cancer surgery, if it was detected at a very early stage, monitoring after surgery may suffice. However, if the lymph no...[Read More] Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights
Addressing Concerns in Multiple Myeloma Treatment: A Patient's Journey
Questions Regarding Treatment of Multiple Myeloma Hello Dr. Hu, My mother is 67 years old and has been diagnosed with multiple myeloma through spinal cord testing, with a high IgD level (6000-7000). Other body metrics are mostly normal, with the only notable abnormality being a...
Dr. Hu Ziren Reply:
If it is caused by Sider, typically after 1-2 months of adapting to the medication treatment, symptoms will gradually improve. If it does not affect daily life, it is recommended to simply monitor the situation.[Read More] Addressing Concerns in Multiple Myeloma Treatment: A Patient's Journey
Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Cervical lymph nodes Last March, I discovered a swollen lymph node in my neck. Since then, I have noticed several more swollen lymph nodes in my neck. I have been continuously monitoring the situation. Initially, an ultrasound was performed, followed by a CT scan of my neck, and ...
Dr. Chen Sirong Reply:
1. Is it possible for symptoms like fever and night sweats to appear now if the swollen lymph node was initially lymphoma? A: It is possible, but just a possibility. However, if the lymphoma is present, that lymph node would likely continue to grow. If it hasn't increased in...[Read More] Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Inguinal mass There is a soft lump in the groin area that feels similar to a polyp. It is tender to the touch and appears red. This area was originally a pimple that I squeezed, and now I am unsure if it is a bacterial infection or if it is unrelated to the pimple and simply a sw...
Dr. Hu Ziren Reply:
It may just be inflammation or fibrosis caused by the extraction of a pimple. It is recommended to monitor the situation.[Read More] Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Understanding Swollen Lymph Nodes Near the Clavicle: When to Seek Help
Clavicular lymph node issues? Hello Doctor, I would like to ask you some questions: 1. Yesterday, I suddenly felt something above my left clavicle that is parallel to the clavicle, soft, slightly movable, elongated, approximately 7 centimeters long. I can't quite determine...
Dr. Hu Ziren Reply:
The linear structure parallel to the clavicle may simply be normal tissue, such as tendons or muscles. It is recommended to monitor it. However, if you are still concerned, you may consider consulting an otolaryngologist.[Read More] Understanding Swollen Lymph Nodes Near the Clavicle: When to Seek Help