Understanding Painful Lumps in the Right Neck: When to Seek Help
Right cervical lymphadenopathy? Last week, I developed two lumps on the right side of my neck that are painful, sore, and numb to the touch. I visited an otolaryngologist, who prescribed anti-inflammatory medication. At that time, I also had a cold and cough, so the doctor mentio...
Dr. Chen Sirong Reply:
An / 24 years old / Male 1. If I go to a large hospital for an appointment, which department should I register for an examination? A: Otolaryngology (ENT) 2. I am a delivery driver, I chew betel nut and smoke. Is this lump caused by unhealthy lifestyle habits? A: Chewing ...[Read More] Understanding Painful Lumps in the Right Neck: When to Seek Help
Navigating Breast Cancer Treatment Options for a 90-Year-Old Grandmother
My grandmother, who is over 90 years old, has been diagnosed with stage II breast cancer. What are the concerns regarding her subsequent treatment? Recently, it was discovered that my 90-year-old grandmother has stage II breast cancer, PR+ER+Her2+(currently undergoing FISH testin...
Dr. Chen Sirong Reply:
Meg, 30 years old, female. 1. After examination, there is no metastasis, but due to age and the inherent risks of surgery, she chooses to forgo surgical intervention. Can she opt for direct hormonal therapy and targeted therapy with government insurance coverage for trastuzumab...[Read More] Navigating Breast Cancer Treatment Options for a 90-Year-Old Grandmother
Assessing End-Stage Multiple Myeloma: Symptoms and Treatment Options
End-stage assessment of multiple myeloma? Dear Doctor, My father was diagnosed with stage II multiple myeloma six years ago at the age of 65. He did not undergo a stem cell transplant but chose treatment with CyBorD (cyclophosphamide, bortezomib, and dexamethasone). For the firs...
Dr. Chen Yunfang Reply:
Hello: 1. The original physician from Hospital L has returned, and the physician from Hospital Z has asked you to go back to the original hospital for treatment, so it’s quite clear where to go. 2. The symptoms of multiple myeloma are primarily related to the bone marrow. As the ...[Read More] Assessing End-Stage Multiple Myeloma: Symptoms and Treatment Options
Understanding Lymph Node Issues in Lymphoma: Key Questions Answered
Lymph Node Issues - Follow-up Questions Thank you for your previous response, Doctor. I have a question to ask. You mentioned that removing a lymph node can only confirm whether that specific node is problematic. However, another doctor told me that lymphoma is systemic, so it do...
Dr. Chen Yunfang Reply:
Hello: 1. "Seeing is believing" is 100% certain, while "based on experience" is not necessarily so. 2. The same issue is a matter of probability; the best diagnostic method would be to excise all lymph nodes throughout the body, regardless of size, and send...[Read More] Understanding Lymph Node Issues in Lymphoma: Key Questions Answered
Understanding Early Signs of Breast Cancer: What You Need to Know
Early signs of breast cancer? Hello :) 1. The data indicates that in the early stages, there are usually no symptoms or pain, but small hard lumps may be present that do not move and are not painful. (Does breast development affect the number of lumps?) If there are only small ...
Dr. Hu Ziren Reply:
Unless there is a personal history of cancer or a family history of breast cancer, it is not recommended to undergo breast cancer screening too early.[Read More] Understanding Early Signs of Breast Cancer: What You Need to Know
Understanding Unidentified Bumps on the Shin: What You Need to Know
Unknown object I would like to ask: I can feel two protrusions above my calf bone, one is smaller and the other is larger. I can feel them when I press on them, but they are not painful. They appear slightly raised on the outside, but not very noticeable. Should I be concerned ab...
Dr. Hu Ziren Reply:
Netizen: Since I didn't see it, I don't know if you're referring to something subcutaneous? If so, it should just be some subcutaneous lipomas or other benign tumors; I recommend just monitoring it.[Read More] Understanding Unidentified Bumps on the Shin: What You Need to Know
Understanding Abdominal Masses: When to See a Specialist
Abdominal mass? Hello doctor, recently I have noticed a lump above my navel and below my chest. I initially thought it was an acne, but upon closer examination, I can feel a hard mass underneath it, approximately 2 centimeters in diameter, and there is no pus at the site of the l...
Dr. Lai Yicheng Reply:
Dear Vinas, Thank you for your letter. I recommend that you seek an evaluation from the surgical department to determine whether a biopsy is necessary for confirming benign or malignant status. Wishing you all the best and a smooth journey ahead. Sincerely, Dr. Lai Yi-Cheng ...[Read More] Understanding Abdominal Masses: When to See a Specialist
Understanding Groin Lumps: Possible Causes and When to Seek Help
Inguinal mass Hello Doctor: Recently, I noticed a lump in my groin area that is slightly painful when pressed and can move. Additionally, I have small, bump-like lesions on my abdominal skin. I have researched a lot and found that these could be related to lymphatic tumors or a w...
Dr. Lai Yicheng Reply:
Dear Xiaohau, Thank you for your letter. I recommend seeking a surgical biopsy to determine whether the condition is benign or malignant. Wishing you all the best and a smooth process. Sincerely, Dr. Lai Yicheng Department of Radiation Oncology[Read More] Understanding Groin Lumps: Possible Causes and When to Seek Help
Understanding Lymph Node Issues: When to See a Specialist
Lymph node issues? Hello Doctor, I had a biopsy of the groin lymph nodes last October, which turned out to be benign. In February, I had a PET scan for a chest nodule, and there were no significant issues. However, recently I have been feeling more and more lymph nodes, so I went...
Dr. Chen Yunfang Reply:
Hello: First of all, the excision of subcutaneous lymph nodes is a procedure that any general surgeon can perform; you can choose anyone. Those who claim to have special expertise are simply indicating that they are particularly specialized in this area. Lymph node excision is so...[Read More] Understanding Lymph Node Issues: When to See a Specialist
Why Doctors Advise Against Lymph Node Removal: Understanding Risks and Concerns
Why do doctors generally not recommend surgery? Is it because there may be potential complications? Hello Doctor, in early December 2016, I felt pain inside my right lower jaw. I thought about massaging it and found a lymph node. After taking medication at a nearby ENT clinic, it...
Dr. Chen Yunfang Reply:
Hello: Since you have seen so many specialists, it's best to follow their advice and just observe. Clinically, lymph nodes that are recognized to have malignant changes typically have a diameter greater than 1 cm, and most cancers are around 2-3 cm in size. So, is your lymph...[Read More] Why Doctors Advise Against Lymph Node Removal: Understanding Risks and Concerns
Understanding Iron Deficiency Anemia: Treatment Challenges and Concerns
Iron deficiency anemia cannot restore hemoglobin levels? Hello Dr. Chen, I have been experiencing issues since over five years ago, with my blood test reports showing normal hemoglobin levels and white blood cell counts around 13,000. Two years ago, I underwent partial gastrecto...
Dr. Chen Yunfang Reply:
Hello: If you have undergone gastric resection, it may partially affect the absorption of oral iron supplements, so it is common to switch to injectable iron. How long it takes to improve anemia depends on the dosage of iron you receive each time and the frequency of injections, ...[Read More] Understanding Iron Deficiency Anemia: Treatment Challenges and Concerns
Managing Lateral Lymph Node Metastasis in Papillary Thyroid Cancer: Surgery or I-131?
For lateral lymph node metastasis of papillary thyroid carcinoma, is surgery recommended or is iodine-131 treatment preferred? 1. What is the ideal level of thyroglobulin (TG)? 2. Given the bilateral lateral neck lymph node metastasis, should surgery be performed or should anothe...
Dr. Chen Sirong Reply:
Marian / 21 years old / Male Q1: What is the ideal TG value? A: For patients on thyroid hormone replacement, a TG < 1 indicates successful treatment, while a TG > 5 raises suspicion for recurrence. For those not on thyroid hormone replacement, a TG < 5 indicates succe...[Read More] Managing Lateral Lymph Node Metastasis in Papillary Thyroid Cancer: Surgery or I-131?
Understanding Adjuvant Therapy Options for Colorectal Cancer Patients
Adjuvant medication Hello, Dr. Lai! I recently underwent a colonoscopy, and it was found that there are two flat polyps extending horizontally at the cecum: one measuring approximately 1.5 cm x 0.7 cm and the other in a V-shape measuring about 2 cm x 0.5 cm. Visually, they are di...
Dr. Lai Yicheng Reply:
Dear Ms. K.K., Thank you for your inquiry. Here are the responses: 1. All diagnoses should be based on the pathological report from laboratory tests. If it is not a malignant tumor, polypectomy may suffice. However, if it is unfortunately malignant, the pathological report from...[Read More] Understanding Adjuvant Therapy Options for Colorectal Cancer Patients
Oral Chemotherapy for Stage II Colon Cancer: Risks and Benefits for Elderly Patients
Oral chemotherapy drugs Hello Dr. Chen, my mother is 86 years old and underwent a right hemicolectomy for a tumor at the end of March. She has now been discharged and is back home. However, the pathology report indicates that although it is stage II, the cell differentiation is p...
Dr. Chen Sirong Reply:
Mr. Zhang / 47 years old / Male Hello, 1. I would like to ask the doctor about the differences between not taking oral chemotherapy drugs and taking them for a stage II colorectal cancer postoperative patient. A: Personally, I believe that the differences in taking or not taki...[Read More] Oral Chemotherapy for Stage II Colon Cancer: Risks and Benefits for Elderly Patients
Understanding White Blood Cell Counts After Chemotherapy for Lymphoma
White blood cells after chemotherapy I have had lymphoma (mediastinal) and completed chemotherapy a year ago. During this period, my follow-up blood tests showed a maximum white blood cell count of 4500. Is there a problem with this?
Dr. Chen Sirong Reply:
Lin Hsiao-Fen / 38 years old / Female 1. Lymphoma (mediastinum) has completed chemotherapy for one year, but during this period, the highest white blood cell count during follow-up blood tests was 4500. Is there a problem with this? A: The key point is not the highest count; ...[Read More] Understanding White Blood Cell Counts After Chemotherapy for Lymphoma
Understanding Subcutaneous Hemorrhages: Causes and When to Seek Help
Petechiae Hello, Doctor! I would like to ask you about a problem related to subcutaneous bleeding. I have a bamboo mat for my mattress, and yesterday I knelt down to move to the table next to it to grab something (just about the distance of a single bed). After sitting down, I no...
Dr. Hu Ziren Reply:
Hello, it looks like you have marks on your skin that resemble those made by a bamboo mat. :)[Read More] Understanding Subcutaneous Hemorrhages: Causes and When to Seek Help
Understanding Low Hemoglobin Levels: Tips for Managing Thalassemia
The hemoglobin level is only 6.3? I have had Mediterranean anemia since childhood. Besides being unable to climb mountains and occasionally experiencing dizziness, I haven't had major issues in my daily life. However, during my pre-marital check-up, it was found that my hemo...
Dr. Hu Ziren Reply:
Hello, online friend: It is important to supplement with iron and pay attention to safety (avoid falls and intense exercise, etc.); however, a level of 6.3 is too low, so it is recommended to see a hematologist for further evaluation.[Read More] Understanding Low Hemoglobin Levels: Tips for Managing Thalassemia
Persistent Groin Lymph Nodes: When to Seek Further Evaluation?
Inguinal lymphadenopathy persisting for six months? Hello, Doctor: About six months ago, I had lymphadenopathy in my neck and groin. A biopsy of the neck lymph nodes confirmed Kikuchi disease. By around January, all the neck lymph nodes had disappeared, and the symptoms of Kikuch...
Dr. Chen Sirong Reply:
KK, 22 years old, female. Should I still monitor the lymph nodes in my groin, or could it be fibrosis and I can temporarily ignore it? A: If there are no changes, it is reasonable to follow up every six months. If there are changes such as enlargement, discoloration, or hardness,...[Read More] Persistent Groin Lymph Nodes: When to Seek Further Evaluation?
Understanding Neurofibromas: Early Signs, Symptoms, and Development Timeline
Neurofibroma Hello, doctor. I have had café-au-lait spots since childhood, and I have always known that I would develop neurofibromas due to genetics. I would like to ask what the early signs of neurofibromas are. Do they appear suddenly, or are there some symptoms beforehand? If...
Dr. Chen Sirong Reply:
Jessica / 24 years old / Female 1. You did not explicitly state that you have a hereditary condition of neurofibromatosis in your family. 2. If there are changes in the spots, it is advisable to seek personal evaluation by a physician. 3. If you are concerned that they may ...[Read More] Understanding Neurofibromas: Early Signs, Symptoms, and Development Timeline
Is Surgery Necessary After Radiation for Stage 3B Cervical Cancer?
Radiation Therapy Hello, the patient is a 73-year-old woman diagnosed with stage 3B cervical cancer. She has undergone 28 sessions of external beam radiation therapy and 3 sessions of chemotherapy during the radiation treatment. Due to hospital equipment limitations, she did not ...
Dr. Chen Sirong Reply:
Anonymous / 49 years old / Male Is surgery a necessary option at this stage and age if further brachytherapy is not performed, or is monitoring sufficient? A: 1. If no adjuvant brachytherapy is performed, it means that the radiation dose is insufficient, as the effective dose ...[Read More] Is Surgery Necessary After Radiation for Stage 3B Cervical Cancer?