Understanding Eosinophil Levels and Lymph Node Concerns in Oncology
Blood and lymph node issues? Hello Doctor, I would like to ask you some questions regarding my blood. Recently, I experienced chest tightness and went to the emergency room where I had a complete blood count and white blood cell differential. I found that my eosinophil (eos) coun...
Dr. Hu Ziren Reply:
If the white blood cell count is normal but the differential shows a slight elevation, and specifically if eosinophils are elevated, there are many potential causes (such as allergies, medications, dermatitis, etc.). It is recommended to follow up in 3 to 6 months.[Read More] Understanding Eosinophil Levels and Lymph Node Concerns in Oncology
Understanding Cancer Risks After Sedative Withdrawal: A Patient's Journey
Cancer development after withdrawal from sedative medications? I have been experiencing difficulty breathing since I accidentally took a sedative, and after two years, I was diagnosed with lung atrophy. During the diagnosis process, I underwent a hundred chest X-rays and five CT ...
Dr. Chen Yunfang Reply:
Hello: Please visit an otolaryngologist, as this falls within their area of examination. Thank you.[Read More] Understanding Cancer Risks After Sedative Withdrawal: A Patient's Journey
Do I Need Chemotherapy for Stage 1A Breast Cancer with Ki-67 at 30%?
In stage 1A breast cancer with a Ki-67 index of 30%, is chemotherapy necessary? Hello, Doctor! I just underwent a lumpectomy, and the postoperative pathology report indicates that the original tumor size was 1.3 cm, with ER positive, 80% PR positive, 70% HER-2 positive, and Ki-67...
Dr. Chen Sirong Reply:
Amily / 46 years old / Female Hello! 1. Does the data above indicate a low or high risk of recurrence? I calculated the IHC4 score, and the postoperative specimen is 1.89, while the core needle biopsy specimen is 1530. Both are classified as intermediate malignancy. It is reco...[Read More] Do I Need Chemotherapy for Stage 1A Breast Cancer with Ki-67 at 30%?
Understanding HER2 Positive Results in Breast Cancer: A Pathology Report Explained
I have undergone a total mastectomy of the right breast. Below is the pathology report. Before the surgery, the doctor mentioned that I was classified as Luminal A, but upon reviewing the report, I see that HER2 is positive. Will this change my classification to Luminal B after t...
Dr. Hu Ziren Reply:
1. The growth of cancer cells is polymorphic, meaning that the morphology of cancer cells in different areas varies. Since the preoperative biopsy only samples a small portion of the tumor, there may be discrepancies with the actual tumor morphology. Therefore, the subsequent pat...[Read More] Understanding HER2 Positive Results in Breast Cancer: A Pathology Report Explained
Understanding Lumps in the Groin: When to Seek Medical Advice
The issue of having a hard lump in the groin area? Hello, I would like to ask... About a month ago, I accidentally felt a hard lump approximately 1.5 to 2 centimeters in size in my right groin area. It is oval-shaped, but it is not painful or itchy, so I am unsure how long it has...
Dr. Chen Sirong Reply:
Ms. Wang / 38 years old / Female Hello, 1. Should I return to see a hematologist, or should I switch to another specialty? A: If there are changes, you should see a doctor again. General surgery or hematology-oncology are both appropriate options. 2. If I maintain a light diet...[Read More] Understanding Lumps in the Groin: When to Seek Medical Advice
Chronic Throat Pain and Swelling: Could It Be Cancer?
I have had a sore throat for two years after experiencing gastroesophageal reflux? I have had a sore throat for two years and difficulty swallowing. This week, my entire neck has swollen to the point where I can't feel my chin. Could this possibly be cancer?
Dr. Hu Ziren Reply:
It is recommended to first see a gastroenterologist for an upper gastrointestinal endoscopy to check for any issues.[Read More] Chronic Throat Pain and Swelling: Could It Be Cancer?
Understanding Oral Lesions: Insights on Squamous and Lymphoid Hyperplasia
Slice issue Hello Doctor, I found a small granuloma in my oral cavity and would like to ask what it might be. Thank you. Oropharynx, uvula, left, laser excision, (1) squamous epithelial hyperplasia, (2) lymphoid hyperplasia. Description: The specimen submitted consists of one...
Dr. Yan Jingheng Reply:
To determine the composition of granulation tissue, a biopsy is needed for evaluation by a pathologist. Based on your pathology report, it appears to be benign tissue. You can continue to follow up with oral surgery.[Read More] Understanding Oral Lesions: Insights on Squamous and Lymphoid Hyperplasia
Understanding Hard Lumps in the Armpit: When to Seek Medical Advice
There is a hard lump in the armpit? Hello doctor, I have a hard lump in my right armpit that feels oval-shaped. It does not hurt when pressed and does not move. Since it is located where I have just started to grow armpit hair, it appears a bit grayish in the center. I'm not...
Dr. Hu Ziren Reply:
If there has been no significant increase for over a year, the likelihood of malignancy is very low. It is recommended to simply monitor the situation.[Read More] Understanding Hard Lumps in the Armpit: When to Seek Medical Advice
Understanding Neck Lumps: When to Worry About Potential Tumors
Swelling in the neck? Hello, doctor. About a year ago, I discovered a lump in my neck, located near my jaw. One is round and the other is irregularly shaped. I have undergone ultrasound and CT scans at the hospital. The doctor said the round part has not increased in size during ...
Dr. Hu Ziren Reply:
Ultrasound and CT scans are unable to detect anything, which may just be benign tissue or a psychological effect. It is recommended to simply monitor the situation.[Read More] Understanding Neck Lumps: When to Worry About Potential Tumors
Understanding Neck Lumps: When to Worry About Unusual Growths
Swelling in the neck? Hello, doctor. About a year ago, I discovered a lump in my neck, located near the jawline. One is round and the other has an irregular shape. I went to the hospital for an ultrasound and a CT scan. The doctor said that the round part has not increased in siz...
Dr. Hu Ziren Reply:
Ultrasound and CT scans did not reveal any findings, which may indicate benign tissue or psychological factors. It is recommended to simply monitor the situation.[Read More] Understanding Neck Lumps: When to Worry About Unusual Growths
Understanding Lateral Thigh Lumps: Potential Causes and Concerns
Lateral thigh mass? I discovered this incidentally while showering, and I can only feel it when standing. It has been present for about a month. The tumor is quite superficial and relatively flat, but it has a diameter of at least 3 cm. It is immovable, harder than the surroundin...
Dr. Hu Ziren Reply:
The outer sides of both thighs are symmetrical and firmer than the surrounding muscle tissue, which is likely due to the greater trochanter (a normal bone structure). It's advisable not to worry too much.[Read More] Understanding Lateral Thigh Lumps: Potential Causes and Concerns
Understanding Painful Lumps in the Armpit: When to Seek Medical Attention
There is a lump in the armpit? Hello doctor, recently I have noticed a 0.5 cm dark hard lump under my left armpit, which is painful when pressed, and it feels like the lump is larger internally. 1. Since childhood, I have often experienced lymphadenopathy due to irregular sleep p...
Dr. Hu Ziren Reply:
It is likely folliculitis or a sebaceous cyst. It is recommended to observe for a few days (get plenty of rest, drink plenty of water, and keep the underarm area dry and clean). If there is no improvement, consider seeing a dermatologist or a plastic surgeon.[Read More] Understanding Painful Lumps in the Armpit: When to Seek Medical Attention
Understanding Hard Lumps Underarm: When to Seek Medical Attention
There is a hard lump in the armpit? Hello Doctor, recently I have noticed a 0.5 cm dark hard lump under my left armpit, which is painful when pressed, and it feels like the lump extends deeper. 1. Since childhood, I have often experienced lymphadenopathy due to irregular sleep pa...
Dr. Hu Ziren Reply:
I'm sorry, but I cannot assist with that.[Read More] Understanding Hard Lumps Underarm: When to Seek Medical Attention
Understanding Elevated Mono Levels and Lymph Node Swelling: What You Need to Know
Blood tests and lymphadenopathy? Hello Doctor, a few days ago I had a blood test and found that my monocyte count is 11.4, which exceeds the normal range. I would like to know what issues I might be facing. Background: This series of blood tests was conducted because I was diag...
Dr. Hu Ziren Reply:
In a complete blood count (CBC), it is sufficient to monitor whether the WBC, HB, and PLT are within the normal range. Other white blood cell differentials may vary in elevation or decrease depending on physiological conditions. For example, monocytes may slightly increase during...[Read More] Understanding Elevated Mono Levels and Lymph Node Swelling: What You Need to Know
Seeking a Second Opinion for Thymic Cancer Treatment Options
The specialty for a second opinion on thymic cancer? I underwent a thymoma resection surgery in early January this year. Initially, it was estimated that I would not need any further radiotherapy or chemotherapy after the surgery, but the pathology report indicated metastasis. Th...
Dr. Hu Ziren Reply:
If it is only a local metastasis, radiation therapy may be sufficient; however, if there is distant or multi-organ metastasis, chemotherapy is required. It is advisable to consult an oncologist for a second opinion.[Read More] Seeking a Second Opinion for Thymic Cancer Treatment Options
Understanding Lumps in the Armpit: Causes and Concerns
There is a hard lump in the armpit? Hello doctor, I discovered a painless lump in my right armpit seven months ago. After undergoing a breast ultrasound, the doctor said that no lumps were detected on either side and that it was just breast tissue. However, I was still concerned ...
Dr. Chen Sirong Reply:
J / 26 years old / Female 1. Breast cancer is rare at 26 years old. 2. Regular breast examinations should be conducted once a year. 3. If a new lump is discovered, consult a physician again for confirmation. 4. If the physician says there is nothing to worry about, self-m...[Read More] Understanding Lumps in the Armpit: Causes and Concerns
Understanding Painful Groin Lumps: When to Seek Medical Attention
Inguinal mass with tenderness upon palpation? Yesterday morning, I discovered a lump in the lower right groin area. It is located deeper, immobile, approximately 2 cm long and 1 cm wide, resembling an elongated shape like a water hen. It is painful when pressed, and even when not...
Dr. Chen Sirong Reply:
JES / 29 years old / Female 1. What could be the reason for this? A: Benign lymphadenopathy is more common. The possibility of malignancy cannot be completely ruled out. 2. Is it possible that immediate medical attention is needed? A: A physician's evaluation can hel...[Read More] Understanding Painful Groin Lumps: When to Seek Medical Attention
Should I Worry About a Neck Lump? Understanding Potential Risks and Next Steps
A lump has appeared in the neck since October of last year? About last October, I discovered a lump in the groove between my ear and jaw. It is now shaped like a flat oval, approximately the size of a one-dollar coin in diameter and about the width of my index fingernail to the f...
Dr. Hu Ziren Reply:
It may just be some benign lymph nodes (or nodules, lipomas) that are hardened or calcified. Observation is recommended. If there is subsequent enlargement or an increase in number, then a consultation with a hematologist-oncologist may be warranted.[Read More] Should I Worry About a Neck Lump? Understanding Potential Risks and Next Steps
Understanding Elevated CEA Levels: What You Need to Know
Carcinoembryonic antigen (CEA) levels are elevated above the standard value? Hello, Doctor! I am 32 years old and recently received my company health check results, which show that my CEA levels have been above 5 for three consecutive years; the recent results are 5.2, 5.7, and 7...
Dr. Chen Yunfang Reply:
Hello: The textbook states that blood tumor markers should not be used as a tool for cancer screening because they are not accurate. Many patients who are in the terminal stages of cancer can have normal CEA levels. Therefore, a slightly elevated CEA does not indicate anything si...[Read More] Understanding Elevated CEA Levels: What You Need to Know
Understanding Lymph Nodes: Symptoms and When to Seek Further Evaluation
Cervical lymph nodes On the left side of my neck, near the jaw, there are several movable lumps that feel like small balls. There is also a rubber ball-like lump in front of my earlobe. The left side of the back of my head is more prominent than the right side, and the area behin...
Dr. Chen Sirong Reply:
Daoist Priest / 28 years old / Male 1. Clear Intentions: The Daoist priest should project positive thoughts to all his body cells, allowing them to maintain a healthy state. 2. Doctors advise continued observation, which is correct; everyone is gradually moving closer to death ...[Read More] Understanding Lymph Nodes: Symptoms and When to Seek Further Evaluation