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 an increase in the number of swollen lymph nodes in my neck. I have been continuously monitoring this condition. Initially, an ultrasound was performed, followed by a neck CT...
Dr. Chen Sirong Reply:
Mr. Wang / 20 years old / Male 1. Is it possible for a lymphoma that initially presented as a swollen lymph node to now show symptoms of fever and night sweats? A: It is possible, but only a possibility. However, if the lymphoma is present, the swollen lymph node would continue ...[Read More] Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Managing Iron Deficiency Anemia: Do You Still Need Iron Supplements?
Iron supplementation for the treatment of anemia? In October, I sought treatment at the hospital due to severe hair loss. After a blood test, the doctor diagnosed me with iron deficiency anemia and prescribed iron supplements (Ferrous sulfate). After three months of treatment, my...
Dr. Chen Yunfang Reply:
Hello: 1. Are the values you mentioned for Ferritin, or are they for free iron? I'm not sure, so I cannot answer; please consult the prescribing physician. 2. Increase your intake of red meats (such as beef and lamb, which are high in iron). In contrast, white meats like chi...[Read More] Managing Iron Deficiency Anemia: Do You Still Need Iron Supplements?
Painful Lumps Underarm: When to Seek Medical Attention?
There are several lumps in the armpit that are painful when pressed? Hello Doctor, In early December last year, I discovered three small lumps under my right armpit. They appeared normal, were immobile, not itchy, but painful when pressed, with the pain intensifying the more I ...
Dr. Hu Ziren Reply:
It may just be folliculitis or lymphadenopathy caused by stress and immune dysregulation. It is recommended to drink plenty of water and adjust your schedule. If there is no improvement after the exam and the condition seems to be worsening, it is advisable to see a dermatologist...[Read More] Painful Lumps Underarm: When to Seek Medical Attention?
Understanding Groin Masses and Their Impact on Nerve Health
Inguinal mass affecting nerves? Hello: Recently, I discovered a small, slightly raised area in the left groin that feels like it's beneath the skin (not visible on the surface). I feel that this area may be affecting the nerves in my left leg, as I occasionally experience a ...
Dr. Hu Ziren Reply:
It may be caused by sciatic nerve compression; it is recommended to see a neurosurgeon.[Read More] Understanding Groin Masses and Their Impact on Nerve Health
Understanding Lumps in the Armpit: Causes and When to Seek Help
There is a hard lump in the armpit? I am currently 15 years old and noticed a movable, painless lump in my left armpit while showering. I have been using a razor for hair removal and occasionally use deodorant. I'm not sure if these products have caused the lump. Can a derma...
Dr. Chen Sirong Reply:
Cici, 15 years old, female, noticed a movable hard lump in her left armpit while showering, which is not painful. A: Although the likelihood of benign lymphadenopathy is higher, it is advisable to consult a dermatologist or a general surgeon for confirmation. If it increases in s...[Read More] Understanding Lumps in the Armpit: Causes and When to Seek Help
How Long Should You Wait for Sentinel Lymph Node Biopsy Results?
Do we have to wait a month to know the sentinel lymph node biopsy report? Hello doctor, my mother's mammogram report from the health center showed abnormalities, and she was advised to go to a major hospital for further examination. At the major hospital, the ultrasound did ...
Dr. Chen Sirong Reply:
Ms. Lin / 39 years old / Female 1. During this week's follow-up, I asked the doctor to print the pathology report. A: Do you understand the report: benign? malignant? 2. I read online that the report takes 4 to 7 business days, but some say it can be determined in 30 minut...[Read More] How Long Should You Wait for Sentinel Lymph Node Biopsy Results?
Understanding Oral Cancer Staging: Insights from Pathology Reports
Staging of Oral Cancer Hello, doctor. My family member had a malignant tumor (on the lip) surgically removed last year. The pathology report indicated that the tumor was approximately 0.5 cm in size, with an invasion depth of 0.8 mm. The margins of the specimen were free of invas...
Dr. Chen Sirong Reply:
Aguo / 51 years old / Male Hello, the pathology report for the lip malignant tumor indicates that the tumor is approximately 0.5 cm in size, with an invasion depth of 0.8 mm. 1. I would like to ask the doctor if this pathology report is considered relatively mild? Also, what s...[Read More] Understanding Oral Cancer Staging: Insights from Pathology Reports
Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis
Lymphadenopathy Hello Doctor: Around October, I experienced sharp pain in my jaw and throat. Upon pressing, I discovered a hard swollen lymph node near my salivary glands, approximately 2 cm in size. In November, I was very worried and went to see an ENT specialist and an endocri...
Dr. Chen Sirong Reply:
Hello [email protected]: 1. Is it possible that my colorectal carcinoma in situ has metastasized to the cervical lymph nodes? A: "In situ" means that it is localized and does not metastasize. 2. If the ultrasound shows no issues, do I need to go to an ENT spec...[Read More] Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis
Is There a Link Between High Platelet Count and Thalassemia?
Is there a relationship between thrombocytosis and thalassemia? Hello Doctor: I would like to inquire if there is a relationship between elevated platelet counts and thalassemia. Below are the health check reports from the past two years for your reference. Thank you. Year 111: ...
Dr. Chen Yunfang Reply:
Hello: From a pathological mechanism perspective, it is true that thalassemia often accompanies an increase in platelet count, which is a reasonable hematological change. But are you sure you have thalassemia? Based on these two data points, I don't think you exhibit signs o...[Read More] Is There a Link Between High Platelet Count and Thalassemia?
Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Low white blood cell count with abnormal differentiation? I am concerned about not wanting to frequently visit the hospital and occupy medical resources, but I also worry that if there is a real issue, it may delay treatment. Therefore, I would like to ask Dr. Chen whether my sit...
Dr. Chen Yunfang Reply:
Hello: 1. The white blood cell count is unremarkable. You can decide whether to seek medical attention; if so, you should consult a hematologist. 2. Similarly, if you choose to seek medical attention, you can also see a hematologist. 3. These abnormalities do not have any particu...[Read More] Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Understanding Taiwan's Free Cancer Screening Eligibility and Schedule
National Health Service - Free Five Cancers Screening Hello, doctor. I would like to inquire about the free cancer screenings provided by the Ministry of Health and Welfare's National Health Service. Under qualifying conditions, individuals can receive free screenings every ...
Dr. Chen Sirong Reply:
Fang Fang / 31 years old / Male If a free check-up was used on June 15, 2022, the next eligible date would be January 1, 2024, at Taoyuan Hospital, Merry Christmas. Chen Si-Rong.[Read More] Understanding Taiwan's Free Cancer Screening Eligibility and Schedule
Is Chemotherapy Suitable for My 82-Year-Old Grandmother with Stage 4 Pancreatic Cancer?
Is chemotherapy suitable for a patient with stage IV pancreatic cancer who has insufficient physical strength? My grandmother is 82 years old, lives a regular life, and has no bad habits. She has stage IV pancreatic cancer that has spread to the peritoneum and intestines (diffuse...
Dr. Hu Ziren Reply:
In cases of advanced age and poor nutritional status, where the patient is unable to undergo oral chemotherapy, it is recommended to consider palliative care and symptom management. If palliative care and symptom management are initiated, subsequent evaluations will depend on the...[Read More] Is Chemotherapy Suitable for My 82-Year-Old Grandmother with Stage 4 Pancreatic Cancer?
Choosing the Right Supplements for Bone Health After Cancer Treatment
Medication consultation Hello Doctor: Recently, I received a cancer bone treatment, and my hematologist prescribed bone-strengthening chewable tablets (one in the morning and one in the evening), while my orthopedic doctor prescribed calcium syrup (10-15cc daily). I would like to...
Dr. Chen Yunfang Reply:
Hello: There is no specific standard amount, and it's hard to say which is better. I can't provide a definitive answer; just eat whatever works for you! You can choose one that you prefer. Thank you.[Read More] Choosing the Right Supplements for Bone Health After Cancer Treatment
Understanding Your Blood Test Results: Insights for Tumor Patients
Blood test report Hello Dr. Chen, Recheck results: RBC: 5.26, HB: 12.1, HCT: 40.3, RDW: 20.7, MCV: 76.6, MCH: 25.5, MCHC: 31.5, MPV: 7.3, Fe: 48, UIBC: 392, Monocytes: 12.8. The physician at the Chinese medicine clinic stated that there is no anemia, but the report shows seve...
Dr. Chen Yunfang Reply:
Hello: I agree! You do not have anemia! Anemia is determined solely by the hemoglobin (Hb) level, and yours is 12.1, which is normal. The other abnormal values are not helpful in diagnosing your condition! They are unrelated to your dizziness and hair loss. You should consult ano...[Read More] Understanding Your Blood Test Results: Insights for Tumor Patients
Timing Growth Hormone Injections for Craniopharyngioma Patients: Key Considerations
Timing of Growth Hormone Injection in Patients with Craniopharyngioma A 7-year-old child diagnosed with precocious puberty was found to have a brain tumor. In April of this year, the child underwent surgery for a craniopharyngioma. Due to a height increase of less than 2 centimet...
Dr. Chen Sirong Reply:
Zhang S / 42 years old / Female 1. What impact does administering growth hormone injections have on craniopharyngiomas in the brain? A: I can provide you with a paper from mainland China that suggests there are no significant adverse effects. 2. If one were to administer gro...[Read More] Timing Growth Hormone Injections for Craniopharyngioma Patients: Key Considerations
Understanding Enlarged Lymph Nodes: Is It Nasopharyngeal Cancer?
Enlargement of cervical lymph nodes? Hello Doctor, the physician diagnosed me with lymphadenopathy. (I felt a hard lump under my ear, quite firm, immobile, painless, and it feels relatively large, about the size of a small tomato.) I had an HSV-2 infection years ago, and after re...
Dr. Yan Jingheng Reply:
1. HSV is not the virus that causes nasopharyngeal carcinoma; EBV is the virus responsible for nasopharyngeal carcinoma, while HPV is associated with oropharyngeal carcinoma. Currently, there is no confirmed link between HSV and cancer. 2. A biopsy of the lymph nodes is necessary...[Read More] Understanding Enlarged Lymph Nodes: Is It Nasopharyngeal Cancer?
Understanding Lymphocyte and Eosinophil Levels in Tumor Diagnosis
Lymphocyte 48.2 and Eosinophil 0.6? Hello, Dr. Yan! Recently, I visited the doctor due to a sore throat, and an ultrasound examination revealed a 1.2 cm lymph node in my neck. I was scratched by a cat recently; could this be cat scratch fever? I have already gone to the hospital ...
Dr. Yan Jingheng Reply:
Hello, as you mentioned, the (percutaneous biopsy/imaging-guided drainage procedure) will be performed in a few days. Of course, a diagnosis can only be confirmed after the biopsy results are available, so it is advisable to wait for the pathology report.[Read More] Understanding Lymphocyte and Eosinophil Levels in Tumor Diagnosis
Does Pregnancy Affect CA19-9 Levels? Understanding the Connection
Is there a correlation between the CA199 index and pregnancy? Hello Dr. Hu, I am 25 weeks pregnant and had a health check-up where my CA 19-9 level was 46.16 U/ml, compared to 33.97 U/ml last year. Does pregnancy affect the levels of this marker? Thank you.
Dr. Hu Ziren Reply:
In the late stages of pregnancy, specifically after 28 weeks, a small number of pregnant women may experience a transient increase in serum CA19-9 levels, although these levels remain within the normal range. Therefore, it is advisable to first inquire with the health examination...[Read More] Does Pregnancy Affect CA19-9 Levels? Understanding the Connection
Improving Mouth Opening After Stage III Oral Cancer Treatment: Tips and Techniques
Stage III Oral Cancer Hello: In July of this year, I underwent a stage III oral cancer surgery that involved the removal of oral tissue and neck lymph nodes. I completed 33 sessions of radiation therapy and 8 sessions of chemotherapy by the end of September. Currently, I am in re...
Dr. Chen Sirong Reply:
Mr. Wu / 35 years old / Male. I don't know what your doctor has taught you, but one suggestion is to stack tongue depressors to a thickness of 1.5 cm and then add another piece (to hold in your mouth). This means to practice more. Of course, it doesn't mean you should b...[Read More] Improving Mouth Opening After Stage III Oral Cancer Treatment: Tips and Techniques
Understanding Low WBC Count: Implications and Concerns in Oncology
Low white blood cell count (WBC)? Hello, doctor. Last week, I had a complete blood count at the clinic. My WBC (white blood cell count) was only 2900, hemoglobin was 11.5, hematocrit was 33.2, platelet count was 179, and red blood cell count was 3.67. About two weeks ago, I exper...
Dr. Hu Ziren Reply:
1. Two blood tests showed white blood cell counts below 4,000. It is advised to wait until gastrointestinal discomfort resolves and then have another blood test in three months to monitor the levels. If the count remains below 4,000, a consultation with a hematologist or a rheuma...[Read More] Understanding Low WBC Count: Implications and Concerns in Oncology