High Immunoglobulin Levels: Potential Indicators of Blood Disorders
Elevated immunoglobulin levels? The health check results show elevated immunoglobulin levels, with total protein at 6.8 g/dL, albumin at 4.6 g/dL, and globulin at 2.2 g/dL (highlighted in red). A subsequent blood test revealed IgG at 968 mg/dL, IgA at 206 mg/dL, and IgM at 261 mg...
Dr. Chen Yunfang Reply:
Hello: Free kappa 11.83, Free lambda 1.54, Kappa/lambda ratio 7.68. Only this ratio is abnormal; the standard K/L ratio is 1/1. All other values you provided are normal (however, we cannot draw conclusions as the lab report you provided is incomplete). I cannot give recommendatio...[Read More] High Immunoglobulin Levels: Potential Indicators of Blood Disorders
How to Handle a Hard Lump Under Your Armpit: Symptoms and Next Steps
If you discover a lump in your armpit, what is the best way to handle it? About one or two months ago, I discovered a hard lump under my left armpit, approximately 3cm by 4cm in size. Sometimes, I experience cramping pain starting from that area, which can radiate to my entire le...
Dr. Chen Sirong Reply:
Hello, Jin, 23 years old, male. 1. Based on these symptoms, what type of issues or diseases could be initially suspected? A: Benign tumor or malignant tumor. 2. Which specialty should I consult? A: General Surgery. 3. What tests should I undergo to confirm whether it is a t...[Read More] How to Handle a Hard Lump Under Your Armpit: Symptoms and Next Steps
Understanding Lymph Node Enlargement: When to See a Specialist
Lymphadenopathy Hello Doctor, I discovered an enlarged lymph node on the right side of my neck six months ago, and it hasn't gone down since. Then in August, I noticed a few small lumps on the left side of my neck, and in October, I found a few more new ones. I saw a doctor ...
Dr. Hu Ziren Reply:
There is lymphadenopathy on both sides of the neck and in the axilla; it would be advisable to consult a hematology-oncology specialist.[Read More] Understanding Lymph Node Enlargement: When to See a Specialist
Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Follicular lymphoma invading the bone marrow? Hello Doctor: My mother had a car accident a year ago, and during her hospitalization, it was discovered that her spleen was enlarged. A CT scan suggested lymphoma, and a biopsy confirmed follicular lymphoma. The doctor mentioned that...
Dr. Hu Ziren Reply:
1. Patients under the age of 60-65 with normal physical function are suitable candidates for bone marrow transplantation. 2. If the patient's hematopoietic cells in the bone marrow are aging and cancer cells are proliferating rapidly, the risks associated with bone marrow tr...[Read More] Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Post-Her2+ Targeted Therapy: Safe Supplements for Cancer Recovery
The HER2+ targeted therapy has been completed. I would like to ask the doctor what dietary supplements can be taken? Hello Dr. Hu, thank you for your previous assistance, which I am very grateful for. My mother has completed her targeted therapy, but she is going to undergo a hip...
Dr. Hu Ziren Reply:
Collagen, undenatured type II collagen, B vitamins, multivitamins, and selenium are all acceptable; in addition to regular monitoring, consider adjusting diet and lifestyle habits, such as reducing oil intake, increasing physical activity, and maintaining a balanced diet.[Read More] Post-Her2+ Targeted Therapy: Safe Supplements for Cancer Recovery
Understanding Neck Lumps: Could It Be Lymphoma or Something Else?
Neck mass I recently discovered a lump on the back of my left neck, which I compared online and seems to be near the occipital lymph nodes, approximately 0.5 cm in size and feels firm to the touch. It does not hurt when pressed, and it has not gone away for about two weeks. I hav...
Dr. Chen Sirong Reply:
Allenlin / 24 years old / Male 1. Could these characteristics possibly indicate lymphoma? A: It is possible. However, since both doctors who examined you said it is not, the likelihood is low. 2. Are there other diseases that could cause this phenomenon? A: Yes, unknown v...[Read More] Understanding Neck Lumps: Could It Be Lymphoma or Something Else?
Understanding Blood Test Results: Are Your Bone Marrow Functions at Risk?
Blood Test Report Hello doctor, my health check report this year shows: White Blood Cell count (WBC): 3300, Red Blood Cell count (RBC): 551, Hematocrit (Ht): 53.5, Hemoglobin: 17.5, Mean Corpuscular Volume (MCV): 97.1, Platelet count (Plat): 27.4. Could you please tell me if ther...
Dr. Chen Yunfang Reply:
Hello: It could be a myeloproliferative disorder. Please bring your medical examination report to the hematology outpatient clinic. Thank you![Read More] Understanding Blood Test Results: Are Your Bone Marrow Functions at Risk?
High Platelet Count in Children: When to Seek Further Medical Evaluation?
Elevated platelet count in health checkup? Hello Doctor: My child (in the first year of junior high) received a health check-up form from school yesterday. All the indices are normal, but the platelet count is 465, and there is +++ for urine occult blood. Should we go to the hosp...
Dr. Hu Ziren Reply:
Platelets themselves are also inflammatory mediators. If there is inflammation or infection (such as a cold, etc.) in the body on the day of blood draw or within a few days, platelet levels may temporarily increase. A. It is recommended to follow up in 3-6 months; if levels remai...[Read More] High Platelet Count in Children: When to Seek Further Medical Evaluation?
Understanding Groin Lumps: Possible Causes and When to Seek Help
A hard lump developed in the groin area a few days ago? Hello doctor, three days ago I discovered a hard lump in my groin, measuring about two centimeters. The day before yesterday, it seemed to shrink a bit, and I thought it was getting better, but then it grew back the next day...
Dr. Chen Sirong Reply:
Good morning / 17 years old / Female. Hello, 1. I would like to ask the doctor if it is possible that it is a tumor. A: Broadly speaking, it resembles a benign tumor, such as a sebaceous cyst that you are aware of. In general, malignant tumors tend to be hard, do not change in si...[Read More] Understanding Groin Lumps: Possible Causes and When to Seek Help
Long-Standing Blood Clot on Foot: What You Need to Know
There has been a hematoma on the foot for many years? The hematoma is not located on the sole of the foot but rather on the top of the foot, beneath the middle toe and the ring toe. There is a red mark on top of the hematoma. I can't recall when it first appeared, but it has...
Dr. Hu Ziren Reply:
It is likely a congenital hemangioma (commonly referred to as a birthmark, which is a type of benign vascular lesion), and observation is recommended.[Read More] Long-Standing Blood Clot on Foot: What You Need to Know
Understanding Stable CA-199 Levels: What It Means for Your Health
Regarding the CA 19-9 levels showing no change after multiple tests? Hello Dr. Hu, I would like to ask you a question. I undergo an abdominal ultrasound every six months, and I have a routine colonoscopy and gastroscopy once a year, along with tumor marker screenings. Recently, I...
Dr. Hu Ziren Reply:
The normal range for CA 19-9 is 0-37. A value within this normal range is considered normal, so it is advised not to worry too much.[Read More] Understanding Stable CA-199 Levels: What It Means for Your Health
Switching Liver Cancer Treatment: From Lenvatinib to A+B Therapy
First-line medications for advanced liver cancer? Hello Dr. Hu, My father has been diagnosed with liver cancer that has metastasized to the bones. He has been taking Lenvatinib (Lenvima) for over two years. Recently, the National Health Insurance Administration has approved cov...
Dr. Hu Ziren Reply:
It is not possible to switch from the National Health Insurance (NHI) Reza Wa to NHI A+B according to the regulations of NHI coverage. However: 1. If Reza Wa is still effective, it is recommended to continue using it; 2. If Reza Wa is deemed ineffective, you may consider switchin...[Read More] Switching Liver Cancer Treatment: From Lenvatinib to A+B Therapy
Understanding Eosinophil Levels: Implications for CML and Lymphoma
Eosinophil percentage In recent years, blood tests have shown that the white blood cell count typically ranges from 4,500 to 7,000. The percentage of basophils is between 0.3% and 0.9% (0-1%). I would like to know if having results of 0.8% or 0.9% on several occasions is consider...
Dr. Hu Ziren Reply:
If the white blood cell count is normal, it is recommended to simply observe. Note: The classification of white blood cells is based on machine interpretation, and the ratios can be influenced by physiological or other factors on the day of blood draw (such as blood quality, mach...[Read More] Understanding Eosinophil Levels: Implications for CML and Lymphoma
Understanding MRI and CT Scans in Liver Cancer Follow-Up Care
Instrument examination Several years ago, a family member underwent surgery for liver cancer and had a good recovery, with follow-ups every three months. Recently, a CT scan indicated a gray shadow on the liver, prompting the doctor to schedule blood tests and a nuclear magnetic ...
Dr. Chen Sirong Reply:
Jj / 31 years old / Male 1. Is the recurrence confirmed as a local recurrence (viable)? A: 2. Local recurrence (viable): - A growing nodule with early enhancement and early washout at the S2/S3 junction, approximately 2 cm in size, suggestive of hepatocellular carcinoma (HC...[Read More] Understanding MRI and CT Scans in Liver Cancer Follow-Up Care
Managing High Platelet Count: Should I Start Aspirin Treatment at 27?
Thrombocytosis Four years ago, my company health check revealed that I had thrombocytosis, and I have been monitoring my platelet count, which has been around 500,000 to 600,000. Recently, I went to the hospital for a detailed examination and confirmed that I have a mutation in t...
Dr. Chen Yunfang Reply:
Hello: It is better to take Anxiolytics. Thank you.[Read More] Managing High Platelet Count: Should I Start Aspirin Treatment at 27?
Understanding Lumps and Swellings: What You Need to Know About Lymph Nodes
Lymphadenopathy / Lymph node enlargement Hello, doctor. I just felt three small lumps above my right clavicle; they are soft and movable, and they are located close to each other. Additionally, there is a lump at the root of my right thigh that has been there for quite a while; i...
Dr. Hu Ziren Reply:
It is likely just some subcutaneous soft tissue, lipomas, or lymph nodes; observation is recommended.[Read More] Understanding Lumps and Swellings: What You Need to Know About Lymph Nodes
Hard Lump in Inner Thigh: Causes, Symptoms, and When to Seek Help
There is a hard lump on the inner thigh? Hello, about three to four days ago, I developed a hard lump on the inner thigh, approximately 4-5 centimeters in size. It is painful and immobile. Taking anti-inflammatory pain medication provides temporary relief, but I still experience ...
Dr. Hu Ziren Reply:
It may be a subcutaneous abscess or furuncle; if it recurs, you can consult a plastic surgeon.[Read More] Hard Lump in Inner Thigh: Causes, Symptoms, and When to Seek Help
Understanding Thrombocytosis: Symptoms and Implications for Health
Thrombocytosis Hello, doctor. Recently, my blood test report showed a platelet count of 51.7 *10^9/uL, while all other values were normal. Occasionally, I feel a strange sensation in my hands, as if the blood is not circulating properly. Based on this value, is it possible that I...
Dr. Hu Ziren Reply:
If the platelet count is 51.7, it is recommended to see a hematologist.[Read More] Understanding Thrombocytosis: Symptoms and Implications for Health
Understanding Abdominal Tumors: Signs, Symptoms, and What to Expect
Abdominal tumor There is a hard lump about 3 centimeters in size located to the right of the center of the navel. Initially, it was not that large and was not easily felt when lying down, but now the lump has grown and can be felt when lying down or on the side. When standing and...
Dr. Hu Ziren Reply:
It may be an abdominal hernia; it is recommended to see a general surgeon.[Read More] Understanding Abdominal Tumors: Signs, Symptoms, and What to Expect
Understanding Low White Blood Cell Counts: Signs of Leukemia or Lymphoma?
Leukopenia Hello, doctor. In the past year, my weight has decreased from 72 kg to 66 kg. Recently, in June, I had a check-up at the clinic where my white blood cell count was 4,200, with neutrophils at 46% (highlighted in red), lymphocytes at 42.6% (highlighted in red), monocytes...
Dr. Chen Yunfang Reply:
Hello: Based on the numbers in your report, it does not appear to be leukemia or lymphoma, and the cancer diagnosis is also not accurate! Thank you.[Read More] Understanding Low White Blood Cell Counts: Signs of Leukemia or Lymphoma?