Understanding Pituitary Dysfunction: Symptoms, Risks, and Treatment Options
Pituitary endocrine deficiency Dr. Chen, I have had hypothyroidism since childhood, which is due to a problem with my pituitary gland. I read an article stating that the pituitary gland is the central hub of the body's endocrine system, and its dysfunction can lead to endocr...
Dr. Chen Junyi reply Oncology
It is recommended to consult an endocrinologist.[Read More] Understanding Pituitary Dysfunction: Symptoms, Risks, and Treatment Options
Managing Stage IV Hypopharyngeal Cancer: Addressing Suspected Lung Metastasis
For a patient with stage IVa hypopharyngeal cancer undergoing concurrent chemoradiotherapy (CCRT) who has developed suspicious pulmonary nodules on a CT scan, the next steps in management should include: 1. **Further Imaging**: Consider additional imaging studies, such as a PET ...
Dr. Chen Junyi reply Oncology
Generally, a workup for the lungs is still performed, and targeted therapy can address lung issues, but ongoing monitoring is still necessary.[Read More] Managing Stage IV Hypopharyngeal Cancer: Addressing Suspected Lung Metastasis
Understanding CA125 Levels in Relation to Uterine Fibroids
CA125 index Hello, I have uterine fibroids. Will my menstrual cycle affect the CA-125 levels?
Dr. Chen Junyi reply Oncology
It may partially affect traceability.[Read More] Understanding CA125 Levels in Relation to Uterine Fibroids
Understanding the Risks of a Growing Tumor on the Back
My mother has a tumor on her back? Dear Dr. Chen, I apologize for bothering you, and I appreciate all your hard work! About seven or eight years ago, my mother discovered a lump on her back and was seen by an oncologist at Ho Shin Hospital. The doctor informed her that surgery w...
Dr. Chen Junyi reply Oncology
A biopsy can be performed first for analysis before proceeding further.[Read More] Understanding the Risks of a Growing Tumor on the Back
Choosing the Best Treatment Options for Prostate Cancer in Seniors
Regarding treatment options for prostate cancer: Regarding prostate cancer treatment options for my father, who is 70 years old with no cardiovascular disease or diabetes, he underwent a biopsy in July 2010, which resulted in T2bN0M0 and a Gleason score of 7. We hope to minimize ...
Dr. Chen Junyi reply Oncology
The CyberKnife may be a better option.[Read More] Choosing the Best Treatment Options for Prostate Cancer in Seniors
Understanding Fluctuations in Cancer Markers: A Case Study on Liver Cancer
Could you please clarify what specific information you are seeking regarding blood tests? The blood cancer marker for liver cancer was over 500 during the May check-up (indicating metastasis from colon cancer to the liver), then it rose to 4800 during the June check-up (which was...
Dr. Chen Junyi reply Oncology
It is likely due to changes in the tumor condition.[Read More] Understanding Fluctuations in Cancer Markers: A Case Study on Liver Cancer
Understanding Your Health Concerns: Signs and Symptoms to Watch For
Fear of developing cancer? Doctor, may I ask you a question? I am currently in the third year of junior high school and have been smoking for about three to four months. Recently, I have noticed a few things: 1. I have been coughing frequently. On August 10th, around midnight, I ...
Dr. Chen Junyi reply Oncology
These issues may require an evaluation starting with a family medicine specialist. Thank you.[Read More] Understanding Your Health Concerns: Signs and Symptoms to Watch For
Understanding Elevated Cancer Markers: Prognosis and Survival Insights
Blood test? My father has metastatic colorectal cancer that has spread to the liver. Initially, in November of last year, his cancer marker was only 3. Since then, he has undergone three surgeries for colorectal cancer and has not had the opportunity for chemotherapy, resulting i...
Dr. Chen Junyi reply Oncology
It should refer to the recurrence rate of tumors, which should be viewed from a relative personal perspective.[Read More] Understanding Elevated Cancer Markers: Prognosis and Survival Insights
Understanding Stage II Esophageal Cancer: Surgery, Recovery, and Follow-Up Care
Stage II Esophageal Cancer Hello Dr. Chen: My father was hospitalized on July 22 for in-depth examinations and was diagnosed with stage II esophageal cancer without metastasis to other areas. The doctor has recommended surgical treatment. I would like to ask: 1. What is the progn...
Dr. Chen Junyi reply Oncology
Thank you for your question. After complete resection of stage II esophageal cancer, if it is squamous cell carcinoma, no further treatment is typically required, and only follow-up is necessary. Dietary recommendations may include yellow and green vegetables.[Read More] Understanding Stage II Esophageal Cancer: Surgery, Recovery, and Follow-Up Care
Post-Surgery Treatment Options for Stage 0 Breast Cancer Patients
Breast cancer treatment Dear Doctor: For a patient with stage 0 carcinoma in situ (tumor size 3 cm, postoperative lymph node involvement less than 1%, chromosomal abnormalities 1-9%) who has undergone a total mastectomy, is there still a need for further treatment (such as 5 year...
Dr. Chen Junyi reply Oncology
It may depend on the status of the hormone receptors.[Read More] Post-Surgery Treatment Options for Stage 0 Breast Cancer Patients
Understanding Brain Vascular Tumors: Classification and Diagnosis Insights
Cerebral hemangioblastoma 1. The diagnosis of "cerebral hemangioblastoma" is not classified under cerebrovascular diseases (codes 430-438) as published by the Department of Health, Executive Yuan. 2. If cerebral hemangioblastoma is not considered a cerebrovascular dise...
Dr. Chen Junyi reply Oncology
1. Not classified as cerebrovascular disease. 2. Hemangioblastoma is a highly vascularized benign tumor arising from the neural tissue of the brain and spinal cord. Most hemangioblastomas are solitary lesions. However, in patients with a condition known as "von Hippel-Lindau...[Read More] Understanding Brain Vascular Tumors: Classification and Diagnosis Insights
Is a Painful Lump on My Thigh a Tumor? Expert Advice Needed
There is a 2-centimeter hard lump on the thigh? Hello, I have a hard lump on my thigh that is causing some discomfort. Could it be a tumor? I visited a dermatologist today, and the doctor mentioned that the pain indicates it is not a tumor and advised me to apply medication. Is i...
Dr. Chen Junyi reply Oncology
You can first go to the general surgery or plastic surgery department.[Read More] Is a Painful Lump on My Thigh a Tumor? Expert Advice Needed
Managing Diarrhea in Rectal Cancer Patients Undergoing Chemotherapy
Chemotherapy Hello Dr. Chen, is it common for patients with rectal cancer who undergo radiation therapy and chemotherapy to experience diarrhea? Does L-Glutamine have any benefits for chemotherapy patients? Thank you, Little Old Man.
Dr. Chen Junyi reply Oncology
1. That is caused by radioactive colitis. 2. Yes, it is possible.[Read More] Managing Diarrhea in Rectal Cancer Patients Undergoing Chemotherapy
Life Expectancy for Stage 3B Lung Squamous Cell Carcinoma Patients
The life expectancy of a patient with stage IIIB squamous cell lung carcinoma can vary significantly based on several factors, including the patient's overall health, response to treatment, and specific characteristics of the cancer. Generally, stage IIIB lung cancer is cons...
Dr. Chen Junyi reply Oncology
1. Radiation therapy can be considered. 2. Approximately 6 to 9 months.[Read More] Life Expectancy for Stage 3B Lung Squamous Cell Carcinoma Patients
Concerns About a New Lump: Should I Worry About Brain Tumors?
Hello Dr. Chen, I would like to request your assistance? Hello Dr. Chen: Recently, while washing my hair, I suddenly discovered an unfamiliar lump about the size of a ten-dollar coin, which is round and raised. It is not painful when I press on it with my fingers, and I have not ...
Dr. Chen Junyi reply Oncology
Please consult with a surgeon first.[Read More] Concerns About a New Lump: Should I Worry About Brain Tumors?
Understanding Kidney Tumor Staging: Clarifying Conflicting Guidelines
Issues in the Staging of Renal Tumors Hello, a month ago during a health check-up, an ultrasound revealed a tumor in the kidney measuring approximately 3 centimeters. There have been no symptoms such as hematuria or pain, and I am currently undergoing further evaluation. I search...
Dr. Chen Junyi reply Oncology
First, confirm whether it is renal cell carcinoma or transitional cell carcinoma of the renal pelvis before discussing staging.[Read More] Understanding Kidney Tumor Staging: Clarifying Conflicting Guidelines
Am I at Risk for Cancer? Understanding Your Lifestyle Factors
Do I have a chance of getting cancer? Hello Dr. Chen, I would like to ask if I have a chance of developing cancer under the following conditions: 1. Neither my parents nor my grandparents have had cancer. 2. I do not smoke or drink alcohol, have a regular daily routine, but I exe...
Dr. Chen Junyi reply Oncology
This part of the question is indeed difficult to answer because cancer is caused by multiple factors, including years of accumulated genetic mutations. It is advisable to consider good cancer prevention habits.[Read More] Am I at Risk for Cancer? Understanding Your Lifestyle Factors
Understanding Malignant Tumors of the Mandible: Causes and Treatment Options
What is a malignant tumor of the mandible? What is a malignant tumor of the mandible? Are there many clinical cases? What are the causes of its formation? If it metastasizes to the lymph nodes, how should it be treated?
Dr. Chen Junyi reply Oncology
Please clarify the disease name for easier response.[Read More] Understanding Malignant Tumors of the Mandible: Causes and Treatment Options
Understanding Chemotherapy Effectiveness in Advanced Stomach Cancer
Gastric cancer chemotherapy Hello Dr. Chen, my mother was diagnosed with stage 4 gastric cancer with ovarian metastasis in July of last year (it has spread to the diaphragm). During surgery, only the ovary was removed, and a gastric bypass was performed. Chemotherapy started in m...
Dr. Chen Junyi reply Oncology
Based on your description, it may be effective; however, it is advisable to discuss the specific situation with the attending physician.[Read More] Understanding Chemotherapy Effectiveness in Advanced Stomach Cancer
Is Post-Surgery Death from Liver Cancer a Medical Error or Unforeseen Outcome?
Is it considered negligence if a patient dies three months after undergoing surgery for liver cancer? The rapid spread of the situation raises the question: was the patient's passing an unforeseen error or a human oversight? Prior to the surgery, blood tests for liver functi...
Dr. Chen Junyi reply Oncology
The detection of minimal residual disease is currently a challenging aspect of medical technology.[Read More] Is Post-Surgery Death from Liver Cancer a Medical Error or Unforeseen Outcome?