Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Groin mass Hello Doctor, I have experienced this situation three times. The first time was three years ago when a small lump appeared in the groin area, which was painful when pressed. It disappeared on its own after a week without increasing in size. The second time was a year a...
Dr. Hu Ziren Reply:
Hello, netizen: Could it be just recurrent urinary tract infections and an infection near the anus (abscess)? I suggest seeing a general surgeon. :)[Read More] Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Evaluating Adrenal Nodules: Essential Tests for Malignancy Confirmation
Adrenal nodule If Dr. Hu's family member has a post-operative CT scan that reveals an adrenal nodule smaller than 1 cm, and there is a concern for malignant tumor metastasis to the adrenal gland, what tests should be performed to confirm its nature?
Dr. Hu Ziren Reply:
Hello, online user: It is advisable to have a physician first assess whether the condition is functional or non-functional, as the treatment approach will depend on the presence of functionality. If metastasis is suspected, it is essential to identify the primary site (for exampl...[Read More] Evaluating Adrenal Nodules: Essential Tests for Malignancy Confirmation
Understanding Neurofibromatosis: Risks and Screening for Future Generations
Questions related to neurofibromatosis? Hello Dr. Chen, my mother is a neurofibromatosis patient, and her symptoms recurred after giving birth to us three children. Currently, my sister and younger sister both have children, and they do not exhibit any symptoms. I would like to a...
Dr. Chen Sirong Reply:
Nina / 26 years old / Female Hello, 1. If my mother developed symptoms after giving birth to us, do we have a chance of inheriting these symptoms? A: Anyone can have a family history, so the likelihood is slightly higher. Your mother's genes are inherited from your grand...[Read More] Understanding Neurofibromatosis: Risks and Screening for Future Generations
Can Liver Cancer Be Surgically Removed If No Metastasis Is Found?
Does liver cancer metastasize? Dear Dr. Hu, This year, my friend was diagnosed with liver cancer. Both the CT scan and MRI evaluations indicate no lymphatic or distant metastasis, making surgical resection possible. Can you confirm if these examinations can reliably rule out me...
Dr. Hu Ziren Reply:
Hello, online user: Yes, if there is metastasis, surgery is not possible; however, for liver cancer surgery, in addition to assessing whether there is distant metastasis, it is also necessary to consider the tumor's location and the patient's overall function (such as a...[Read More] Can Liver Cancer Be Surgically Removed If No Metastasis Is Found?
Should You See a Doctor for Persistent Lymph Nodes in the Neck?
Cervical lymph nodes Doctor, about two years ago, I discovered a lump in my neck and went to the hospital for examination. At that time, I underwent a nasopharyngoscopy, which showed no issues. The doctor then arranged for an ultrasound-guided fine needle aspiration, which indica...
Dr. Chen Yunfang Reply:
Hello: Although the lymph nodes have been examined previously and found to be normal, it is still recommended that you see a physician every six months for routine follow-up. Thank you for your understanding.[Read More] Should You See a Doctor for Persistent Lymph Nodes in the Neck?
Can Nutritional Supplements Replace Iron Supplements for Anemia?
Regarding anemia? Dear Doctor: My mother is 55 years old and has iron deficiency anemia with a hemoglobin level of 9. The doctor has prescribed iron supplements. A friend recommended Aibu Yite Supplement Essence for my mother. She is now considering switching to Aibu Yite Supplem...
Dr. Hu Ziren Reply:
Hello, netizen: It is recommended that both be taken, as it would be more appropriate for your mother.[Read More] Can Nutritional Supplements Replace Iron Supplements for Anemia?
Understanding Persistent Neck Lymph Node Pain After Chemotherapy
Is the persistent pain in the neck lymph nodes after chemotherapy an indication that it hasn't been controlled? Hello Doctor, my father is 50 years old and has stage IV gastric cancer that has metastasized to the lymph nodes in his shoulder and abdomen, as well as to a small...
Dr. Hu Ziren Reply:
Hello, online user: It is recommended to continue chemotherapy and complete the entire treatment course.[Read More] Understanding Persistent Neck Lymph Node Pain After Chemotherapy
Understanding Groin Lumps: Causes, Concerns, and Connections to Neck Lumps
Inguinal small mass Recently, I noticed hard lumps about 0.5 to 1 cm in diameter near my groin area, which are not painful. Initially, I found a lump in my neck, but the doctor said there was no significant issue after examination. Could these be related? I'm a bit worried a...
Dr. Chen Sirong Reply:
Hello: For the uncertain nature of the mass, it is recommended to visit the relevant specialty outpatient clinic for further examination by a physician to confirm whether treatment is necessary. For the groin area, you may consult general surgery, and for the head and neck area, ...[Read More] Understanding Groin Lumps: Causes, Concerns, and Connections to Neck Lumps
Identifying a Round Lump in the Jaw: Which Specialist to Consult?
Felt a round foreign object? Hello Doctor, I have recently noticed swelling in the gums of my lower left tooth, but it goes away after a few days! A few days ago, while applying lotion, I felt a round, protruding mass in my left jaw (the area below the left lip and jawbone). It i...
Dr. Hu Ziren Reply:
Hello, if you feel any discomfort, it's advisable to just observe it; if you're still very worried, you can see an ENT specialist![Read More] Identifying a Round Lump in the Jaw: Which Specialist to Consult?
Managing Side Effects of Third Chemotherapy for Thymic Tumors
Side effects of the third chemotherapy session? The patient is in the advanced stage of malignant thymoma (approximately 7.5 cm at diagnosis, encasing major blood vessels and close to the heart). After two rounds of chemotherapy, the doctor mentioned some shrinkage, but did not s...
Dr. Lai Yicheng Reply:
Dear Madam, Thank you for your inquiry. The treatment for malignant thymoma primarily involves surgical resection, followed by postoperative pathological evaluation to determine the necessity for further radiotherapy or chemotherapy. In the case you described, which falls under ...[Read More] Managing Side Effects of Third Chemotherapy for Thymic Tumors
Understanding Post-Chemotherapy and Radiation Side Effects in Colorectal Cancer
Chemotherapy and radiation therapy side effects? My sister is 39 years old and has stage III colon cancer. The doctor recommended a five-week course of chemotherapy and radiation therapy, after which the tumor shrank by 80% or disappeared. She is currently resting at home for abo...
Dr. Chen Yunfang Reply:
Hello: I cannot answer this because there are too many possible causes for the pain, such as pain from the tumor itself, pain from intestinal perforation, or pain from a wound infection or abscess (which, if not treated, could lead to sepsis and be fatal)... She needs to see a ph...[Read More] Understanding Post-Chemotherapy and Radiation Side Effects in Colorectal Cancer
Post-Liver Cancer Surgery: Evaluating Adrenal Nodules for Metastasis
Adrenal nodules discovered after liver cancer surgery? Hello Dr. Chen, In April of this year, a family member underwent surgery for liver cancer. The preoperative CT assessment indicated T2N0M0 (Hospital A), while the preoperative MRI assessment indicated T1N0M0 (Hospital B). T...
Dr. Chen Yunfang Reply:
Hello: The adrenal glands are located deep within the body and are surrounded by many highly vascularized organs and tissues, which is why fine needle aspiration is generally avoided due to potential risks. If a tumor develops in the adrenal gland, the only definitive method for ...[Read More] Post-Liver Cancer Surgery: Evaluating Adrenal Nodules for Metastasis
Can Thyroid Tumors Affect Your Throat and Esophagus?
Can thyroid tumors affect the throat and esophagus? Hello, Doctor: I have a thyroid tumor that has not yet been surgically biopsied, and it has been deemed benign. However, it has been growing, increasing from three nodules to five. Recently, I have frequently felt discomfort in ...
Dr. Chen Sirong Reply:
Wang Youyou / 35 years old / Female Hello: 1. I'm not sure if it's related to a tumor. A: It could be related to a tumor, but I cannot confirm this; only the physician who examines you in person can determine that. 2. I recommend that even if it is a benign tumor, i...[Read More] Can Thyroid Tumors Affect Your Throat and Esophagus?
Understanding PET Scans in Pediatric Cancer: What Parents Should Know
Positron Emission Tomography (PET) Hello Doctor: After my child's chemotherapy, a PET scan showed a dark area, and the doctor said it was fluid in the bladder. Does this mean that the PET scan can still visualize the pelvis and coccyx? Could it obstruct the view? Since my ch...
Dr. Chen Yunfang Reply:
Hello: Positron Emission Tomography (PET) imaging uses "radioactive glucose" as a contrast agent. Therefore, cells with high metabolic activity that consume glucose (such as cancer cells, brain, myocardium, etc.) will show significant uptake and appear as bright spots. ...[Read More] Understanding PET Scans in Pediatric Cancer: What Parents Should Know
How to Properly Examine Axillary Lymph Nodes: Arm Position Matters
There is a hard lump in the armpit? Hello, doctor: What is the correct position for examining the axillary lymph nodes? Should the arm be raised at a 90-degree angle to the body, or should it be lifted above the head? Why does the size of the lymph nodes feel different depending ...
Dr. Chen Sirong Reply:
1. What is the correct position for examining the axillary lymph nodes? Should the arm be raised at a 90-degree angle to the body, or should it be lifted above the head? A: This video shows sitting with the arm at a 45-degree angle to the body: https://www.youtube.com/watch?v=izL...[Read More] How to Properly Examine Axillary Lymph Nodes: Arm Position Matters
Post-Surgery Considerations for Residual Meningioma: Is Radiation Necessary?
Residual tumor after brain surgery? I have been diagnosed with a meningioma, approximately 3 cm in size, located on the right side of the brain, specifically a sphenoid wing meningioma. The tumor envelops the internal carotid artery and compresses the optic nerve, extending to th...
Dr. Chen Sirong Reply:
Xiao Yu / 42 years old / Male 1. Is it necessary to undergo radiation therapy for a slowly growing grade I benign meningioma? A: Yes, it can delay the time to recurrence and may even prevent it from growing further, maintaining the current status. 2. If radiation therapy is n...[Read More] Post-Surgery Considerations for Residual Meningioma: Is Radiation Necessary?
Post-Surgery Follow-Up for Benign Adrenal Tumor: What to Expect?
Postoperative examination after adrenal benign tumor resection? Hello Doctor, my family member underwent adrenal tumor removal at the beginning of the year. The tumor was 4 centimeters in size and has been confirmed as benign after testing. What follow-up items should be arranged...
Dr. Lai Yicheng Reply:
Dear Ms. CJ, Thank you for your inquiry. Here is my response: Generally, hormone levels can be assessed through tests such as serum cortisol to detect any abnormalities in the adrenal glands early on. CT and MRI scans provide clear images of the renal contours, perirenal spaces,...[Read More] Post-Surgery Follow-Up for Benign Adrenal Tumor: What to Expect?
Understanding Breast Cancer Surgery and Post-Operative Treatment Options
Preoperative and postoperative treatment for breast cancer? Hello Doctor, My mother has been undergoing regular mammograms every six months and was diagnosed with breast cancer last week. The tumor is located at the 9 o'clock position in the right breast, measuring 1.2 cm,...
Dr. Lai Yicheng Reply:
Dear Madam, Thank you for your letter. Here are my responses: 1. If the malignant tumor is small, partial resection followed by adjuvant radiation therapy can be considered. However, if your mother has multiple benign fibromas in both breasts as you described, total mastectomy ...[Read More] Understanding Breast Cancer Surgery and Post-Operative Treatment Options
Understanding Beta-2 Microglobulin Levels in Lymphoma Diagnosis
Please provide your questions related to the B2-M index? Hello Dr. Hu, A month ago, I developed a cluster of five lymph nodes of varying sizes on the right side of my neck within a week. The doctor tested my cancer marker, and my Beta-2 microglobulin level was 2415 (the referen...
Dr. Hu Ziren Reply:
Beta-2 microglobulin is a protein found on the surface of nucleated cells. Its elevation can sometimes indicate activation of immune cells in the body. Therefore, blood tests during allergic reactions may be affected to some extent.[Read More] Understanding Beta-2 Microglobulin Levels in Lymphoma Diagnosis
Understanding Post-Breast Cancer Treatment Options and Chemotherapy Insights
Breast cancer treatment Hello, Dr. Lai! I would like to inquire about the follow-up treatment for breast cancer. The report states the following: Size: 22mm, Lymph nodes: no metastasis, Margins: clear, Distant metastasis: none, Stage: IIA, Classification: Luminal B type, ER: >...
Dr. Lai Yicheng Reply:
Dear Miss Debbie, Thank you for your letter. Here is my response: HER2 is positive [+++], which indicates that targeted therapy can reduce the risk of recurrence or metastasis by one-third. If HER2 is positive [++], further FISH testing is required to confirm whether targeted ...[Read More] Understanding Post-Breast Cancer Treatment Options and Chemotherapy Insights