Understanding Hard Lumps Under the Armpit: Causes and Concerns
There is a hard lump in the armpit? In the past six months, I have noticed a lump in my left armpit. It is not visible from the outside, and it does not hurt unless I press on it. The lump feels hard and does not move. It does not seem to be getting larger, and it is about the si...
Dr. Chen Sirong Reply:
Ms. Wu / 20 years old / Female 1. If there is no growth over six months, the chance of it being benign is higher. 2. Researching a lot of information is not as effective as directly visiting a doctor at the hospital. 3. It's advisable to consult in person; online consu...[Read More] Understanding Hard Lumps Under the Armpit: Causes and Concerns
Understanding MRI Findings: Pituitary Microadenoma and Pineal Cyst Insights
Magnetic Resonance Imaging (MRI) Report Impression: 1. A 6.8mm nodule at the right pituitary gland with delayed enhancement, suspected to be a microadenoma. Clinical correlation and follow-up are recommended. 2. A 12.3x7.8mm pineal cyst is noted. For further details, please see ...
Dr. Chen Sirong Reply:
Y / 27 years old / Female 1. Doctor, does this mean I have a pineal cyst, or is observation sufficient? A: You have a pineal cyst; benign observation is sufficient. 2. Doctor, based on the current size of the pituitary gland, is surgery necessary, or can it be treated with med...[Read More] Understanding MRI Findings: Pituitary Microadenoma and Pineal Cyst Insights
High Platelet Count and Lymph Nodes: Concerns About Blood Disorders
Persistent thrombocytosis and lymphadenopathy raise concerns for hematological disorders? Since I started working and participating in company health checks, I have noticed that my platelet count has often been highlighted in red (indicating elevated levels). The health check rep...
Dr. Chen Yunfang Reply:
Hello: You only need to monitor your platelet count; the other tests are unnecessary and are a result of excessive anxiety. Clinically, they do not indicate any specific illness. There is no need to obsessively prove whether you are sick or have cancer, as it is meaningless. Than...[Read More] High Platelet Count and Lymph Nodes: Concerns About Blood Disorders
Understanding Elevated Alpha-Fetoprotein Levels: What You Need to Know
Elevated alpha-fetoprotein (AFP) levels? Hello Dr. Chen, My family member is a carrier of hepatitis B and has not been monitored for three years. This month, the GOT and GPT levels are normal, but the AFP level is 360 ng/ml. Is this situation concerning? Will the AFP level decr...
Dr. Chen Sirong Reply:
Ms. Hu / 30 years old / Female Hello~ 1. Is this situation not good? A: This index raises suspicion for cancer. An ultrasound is necessary for initial assessment, followed by further imaging studies such as a CT scan, angiography, or liver MRI as directed by the physician for...[Read More] Understanding Elevated Alpha-Fetoprotein Levels: What You Need to Know
Understanding Elevated CA19-9 Levels: Causes and Concerns
CA19-9 index I would like to ask about a 20-year-old female who does not smoke or drink, but has a CA 19-9 level close to 1800. Could this indicate pancreatic-related diseases? Is it possible that the elevated level is due to inflammation in the body at that time? Additionally, c...
Dr. Chen Sirong Reply:
Chen / 20 years old / Hello, of course benign conditions are possible, but the levels are really too high. Generally, it is still suspected that there may be an underlying issue that you are not aware of. However, you cannot obtain a definitive answer through online consultations...[Read More] Understanding Elevated CA19-9 Levels: Causes and Concerns
Managing High Platelet Count: Care Tips and Dietary Recommendations
Care considerations and dietary recommendations for patients with a platelet count as high as 800,000? Hello, doctor. Last month, a family member was found to have a platelet count of 800,000. The family member underwent a splenectomy due to a car accident in 2017, and since then...
Dr. Chen Yunfang Reply:
Hello: Patients who have undergone splenectomy will inevitably experience a significant increase in platelet count for life. As for the genetic testing results, since I have not seen the report and have not reviewed the bone marrow smear, I cannot address these hypothetical quest...[Read More] Managing High Platelet Count: Care Tips and Dietary Recommendations
Healing Time for Oral Cancer Surgery Wounds After Chemotherapy and Radiation
How long does it take for the wound to heal after the first surgery for oral cancer treatment? Hello Doctor: My father had a mouth sore that did not heal by the end of last year. At the beginning of this year, he went to an otolaryngologist for a biopsy, which revealed stage II o...
Dr. Chen Sirong Reply:
Wu / 25 years old / Female. Doctor, after completing both radiation therapy and chemotherapy, how long is the typical recovery period for the wound? Is it normal to still experience pain at this point? A: 1. Some individuals may not experience pain after surgery and before radi...[Read More] Healing Time for Oral Cancer Surgery Wounds After Chemotherapy and Radiation
Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Cervical lymphadenopathy It has been a month since I discovered the issue, so I went to the clinic for an ultrasound. The doctor said it looks like benign lymphadenopathy (on both sides). I often palpate it myself, so I can confirm that it is painful and movable. However, my sist...
Dr. Chen Sirong Reply:
Hello, I'm a 22-year-old male. In this situation, do I need to get a special examination? A: 1. You have already seen a doctor. 2. If there are changes such as enlargement, hardness, discoloration, or symptoms (redness, swelling, heat, pain), then see a doctor again. Wishing...[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Lymphadenopathy issues? Two years ago, I discovered swelling in the submandibular lymph nodes, and not long after, I also found swelling in the posterior cervical lymph nodes and axillary lymph nodes, all located on the left side of my body. Today, I consulted with a hematologist...
Dr. Chen Sirong Reply:
Xiao Hei / 19 years old / Female. Doctor, should I still be worried? A: Don't worry; just have regular check-ups. Wishing you good physical and mental health. Taoyuan Hospital, Dr. Chen Si-Rong.[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Understanding Low Hemoglobin and Cholesterol Levels in Health Reports
Anemia in Health Check Report Your health check report shows that your hemoglobin (Hb) is 11.2 g/dL, hematocrit (Ht) is 35.4%, and low-density lipoprotein (LDL) cholesterol is 62 mg/dL, all of which are below the standard values. You should pay attention to the following: 1. **A...
Dr. Chen Yunfang Reply:
Hello: You may not be able to notice anything. Please visit a hospital to see a hematologist and an endocrinologist, or you can also go to a family medicine physician. Thank you![Read More] Understanding Low Hemoglobin and Cholesterol Levels in Health Reports
Understanding the Link Between Gamma-Globulin Levels and Multiple Myeloma
Possible multiple myeloma? Hello, doctor. I was diagnosed with COVID-19 on June 10. After that, on June 25, I developed petechiae on my calves due to an immune response. I sought medical attention, and it was assessed as vasculitis. Blood tests and urinalysis were all normal. Aft...
Dr. Chen Yunfang Reply:
Hello: You have undergone many tests, including some uncommon ones, which were not originally conducted due to a suspicion of multiple myeloma. Therefore, it is quite strange to force a connection to that. The diagnosis of multiple myeloma can only be made through a bone marrow a...[Read More] Understanding the Link Between Gamma-Globulin Levels and Multiple Myeloma
Understanding IFE Results: Can They Rule Out Multiple Myeloma?
IFE electrophoresis analysis Hello, doctor. I am the person who inquired about multiple myeloma last time. My IFE electrophoresis results showed no monoclonal protein present. Does this mean that multiple myeloma can be ruled out? Should I be concerned about MGUS?
Dr. Hu Ziren Reply:
Yes, multiple myeloma can be ruled out, including other plasma cell proliferative disorders (MGUS, etc.); please do not ask the same question again; if there are any issues related to testing, please discuss them with the primary physician.[Read More] Understanding IFE Results: Can They Rule Out Multiple Myeloma?
Understanding Enlarged Lymph Nodes: Symptoms and Next Steps
Issues related to cervical lymph nodes and groin lymph nodes? Hello Doctor: I noticed that the lymph nodes on both sides of my groin have been enlarged for over six months. When I touch them, they feel like a whole cluster, with each node slightly enlarged. Some are oval-shaped, ...
Dr. Hu Ziren Reply:
Generalized lymphadenopathy, it is recommended to see a hematologist-oncologist.[Read More] Understanding Enlarged Lymph Nodes: Symptoms and Next Steps
Understanding Blood Test Results: Insights on Multiple Myeloma and Related Conditions
Blood test report issues? Hello, doctor. I was diagnosed with COVID-19 on June 10. After that, on June 25, I developed petechiae on my calves due to an immune response. I sought medical attention, and it was assessed as vasculitis. I underwent blood tests and urinalysis, all of w...
Dr. Hu Ziren Reply:
If the Beta-microglobulin and FLC ratio (kappa/lambda) are normal, the possibility of multiple myeloma can be ruled out. Gamma globulin refers to immunoglobulins in the serum and is likely related to elevated RF IgM and cryoglobulin IgM levels. Note: Considering the above values,...[Read More] Understanding Blood Test Results: Insights on Multiple Myeloma and Related Conditions
Understanding Persistent Pain in Lung Adenocarcinoma Treatment
Cancer treatment My mother has lung adenocarcinoma and has been on targeted therapy for two months. However, her pleuritic pain has changed from intermittent to persistent (the doctor explained that this is due to tumor pressure). I would like to ask the physician if persistent p...
Dr. Hu Ziren Reply:
The transition from intermittent pain to persistent pain may be due to tumor pressure or the ongoing progression of the disease. However, since it has only been two months since starting targeted therapy, it is recommended to wait for a 2-4 month imaging efficacy assessment (if a...[Read More] Understanding Persistent Pain in Lung Adenocarcinoma Treatment
Understanding Lymph Node Issues: Concerns About Swelling and Cancer
Lymphatic issues Hello doctor, I suspect I have lymphadenopathy and I'm worried it might be lymphoma, but I'm not sure if I'm overthinking it. I have a few questions to ask: 1. Is lymphadenopathy dangerous even if it hasn't been continuously enlarging? I have...
Dr. Chen Sirong Reply:
Student Li / 13 years old / Male Hello, 1. Is it dangerous if lymph nodes are enlarged but do not continue to grow? A: Many enlarged lymph nodes can remain for years without resolving. If they do not increase in size, change color, become hard, or present new symptoms, then t...[Read More] Understanding Lymph Node Issues: Concerns About Swelling and Cancer
Could My Symptoms Indicate Multiple Myeloma After COVID-19?
Multiple Myeloma Hello, doctor. Last month, after being diagnosed with COVID-19, I developed petechiae on my calves two weeks later. I went to the hospital, and the physician said it was vasculitis induced by the immune response after the infection. After taking steroids for a we...
Dr. Chen Sirong Reply:
Guang, 43 years old, male. Please forgive me, as I am not a hematology specialist. I recommend that you see a hematologist for blood tests. Wishing you good health. Taoyuan Hospital, Chen Si-Rong.[Read More] Could My Symptoms Indicate Multiple Myeloma After COVID-19?
Understanding Bruises and Hard Lumps Under the Left Rib: When to Worry
There is a bruise and swelling located just below the left rib cage? A week ago, my husband suddenly developed a dark bruise on the left side of his abdomen, just below the rib cage. At that time, it was painful to touch and felt hard, with an elongated oval shape approximately 1...
Dr. Chen Sirong Reply:
Xiao Yu / 40 years old / Male 1. Is it possible that this lump could be a tumor? A: It could be benign or malignant, or it might just be inflammation. 2. Should I wait and see if it goes away on its own? A: Both benign and malignant tumors will not go away on their own. I...[Read More] Understanding Bruises and Hard Lumps Under the Left Rib: When to Worry
Understanding Enlarged Lymph Nodes: Symptoms and Concerns
Lymphadenopathy/Tumor In the past six months, I have experienced frequent warmth and swelling in the lymph nodes near the left side of my jaw close to my neck, along with a sensation of foreign body presence. It is not painful, but it feels slightly larger than the right side. Ad...
Dr. Chen Sirong Reply:
Hong, 28 years old, male, is advised to see an otolaryngologist. Based on the physician's examination and assessment, it is more suitable for him to visit the Taoyuan Hospital for health and wellness. Dr. Chen Si-Rong.[Read More] Understanding Enlarged Lymph Nodes: Symptoms and Concerns
Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates
Stage II oral cancer Hello Doctor, my sister was diagnosed with stage II left oral mucosal cancer in September last year. Bone scans and neck CT scans showed no metastasis. After the primary physician surgically removed the tumor and sutured with artificial skin (without performi...
Dr. Chen Sirong Reply:
Anonymous / 46 years old / Female Hello, I have been diagnosed with stage II oral cancer, and after the tumor was removed, it has been less than a year, and now it has metastasized to the lymph nodes. Is this possible? A: Yes, it can occur. If metastasis happens, how is the ca...[Read More] Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates