Understanding Chemotherapy for Head and Neck Cancer: A Patient's Journey
Chemotherapy for head and neck cancer Hello Dr. Chen, my sister was diagnosed with stage II squamous cell carcinoma of the left buccal mucosa two years ago without lymphatic metastasis. The doctor at that time performed a tumor resection without lymphadenectomy and did not recomm...
Dr. Chen Yunfang reply Oncology
Hello: 1. I cannot answer this question; you would need to ask her attending physician for that information. 2. I also cannot answer this question because I do not have specific information about the medication name and dosage, and I am unaware of the patient's physical cond...[Read More] Understanding Chemotherapy for Head and Neck Cancer: A Patient's Journey
Understanding Appendiceal Cancer: Causes, Genetics, and Research Gaps
Appendiceal cancer issues? There is very little information about appendiceal cancer online. I still don't understand why my mother passed away from stage IV appendiceal cancer. Her colonoscopy results were normal, and she didn't even have any polyps. Could it be becaus...
Dr. Chen Yunfang reply Oncology
Hello: Regarding the question of who gets cancer and why, it is currently believed to be caused by multiple factors. The relationships and the weight of their influence are still unclear, so I cannot provide you with a definitive answer. Thank you.[Read More] Understanding Appendiceal Cancer: Causes, Genetics, and Research Gaps
Understanding Lumps in the Armpit: When to Seek Medical Advice
There is a hard lump in the armpit? Hello, doctor. I apologize for bothering you, but I would like to ask you some questions. I originally had a hard lump in my right armpit for about two to three months. After a while, I got busy and thought it was just a normal occurrence relat...
Dr. Chen Yunfang reply Oncology
Hello: If you are concerned, you should schedule an appointment with a surgical specialist in breast surgery. If the lump you mentioned is a lymph node, a biopsy will likely be arranged during the outpatient visit. Thank you.[Read More] Understanding Lumps in the Armpit: When to Seek Medical Advice
Understanding Elevated AFP Levels: Potential Causes and Next Steps
Abnormal elevation of AFP (Alpha-fetoprotein) levels? Hello, I underwent a health check on May 25th, where it was found that my alpha-fetoprotein (AFP) level was elevated at 19.3. All related liver function tests, including GOT, GPT, alkaline phosphatase, bilirubin, and albumin, ...
Dr. Chen Yunfang reply Oncology
Hello: If a CT scan does not reveal any abnormalities in the liver, an MRI scan is usually arranged for further evaluation. We will wait for the results of the examination. If any abnormalities are found, it will be up to the physician to determine the next steps. I cannot answer...[Read More] Understanding Elevated AFP Levels: Potential Causes and Next Steps
Is a High EBNA IgG Level Dangerous and Equivalent to EBV DNA?
Are the EBNA IgG levels and EBV DNA levels the same thing? I had a blood test at National Taiwan University for EBNA IgG, and my result is 134.07, which is positive. Is this significantly above the standard? Is it very dangerous? Is this the same as the EBV DNA value you mentione...
Dr. Chen Yunfang reply Oncology
Hello: 1. Yes, it is positive, significantly higher than the standard range of 9-11. The value alone cannot determine the presence of cancer; the pathology report is the basis for a definitive diagnosis. 2. IgG is not DNA; I personally do not test for IgG. I only test for DNA, bu...[Read More] Is a High EBNA IgG Level Dangerous and Equivalent to EBV DNA?
Understanding Suspected Mediterranean Anemia: Symptoms and Diagnosis
Suspected Mediterranean anemia (Thalassemia) Hello Doctor: Since I was young, my father has mentioned that he was told by a physician that he might have Mediterranean anemia. My blood reports have consistently shown abnormal results. During high school, if I just woke up, I would...
Dr. Chen Yunfang reply Oncology
Hello: 1. Mediterranean anemia can only be diagnosed through hemoglobin electrophoresis (covered by health insurance) or genetic testing (out-of-pocket). The hemoglobin level, regardless of its value, cannot confirm the diagnosis; it can only raise suspicion. 2. The HBA2 level ca...[Read More] Understanding Suspected Mediterranean Anemia: Symptoms and Diagnosis
Understanding Your EBV Test Results: Managing Anxiety and Health Concerns
Thank you, doctor, for taking the time to respond, which has helped ease my anxiety and allowed me to sleep better? Hello Doctor, I am very anxious and would like to ask a few questions. I have not had any cough, but I constantly feel like I have phlegm. I visited several clinics...
Dr. Chen Yunfang reply Oncology
Hello: Yes, it is very dangerous. The normal EBV DNA levels in healthy individuals are close to zero, which likely indicates a possibility of nasopharyngeal carcinoma. Please wait for the biopsy pathology results; until the pathology report is available, everything remains highly...[Read More] Understanding Your EBV Test Results: Managing Anxiety and Health Concerns
Understanding the Differences Between Common Bruises and Leukemia Symptoms
About bruises? Hello, doctor. I would like to ask if there is a significant difference between a regular bruise and a bruise caused by leukemia. I just noticed a bruise about 1-2 centimeters on both my hand and foot, and there are no other bruises. I'm not sure if it's ...
Dr. Chen Yunfang reply Oncology
Hello: 1. The appearance of both is the same, with no differences. 2. There are no specific concerns to pay attention to; if discomfort occurs, seek medical attention. Thank you.[Read More] Understanding the Differences Between Common Bruises and Leukemia Symptoms
Understanding Elevated Platelet Count: When to Seek Medical Attention
Elevated platelet count? Hello Doctor, during my recent health check-up, I found that my platelet count was elevated at 433 x 1000/uL. The hospital's reference range for normal values is 160-370 x 1000/uL. Here are my other lab results: WBC 8.27 x 1000/uL, Hb 16.3 g/dL, MCV ...
Dr. Chen Yunfang reply Oncology
Hello: If the platelet count is not very high, drinking more water can help dilute the concentration. When you have the time and opportunity, you can go see a doctor for a follow-up blood test.[Read More] Understanding Elevated Platelet Count: When to Seek Medical Attention
Understanding Abnormal Blood Test Results in Children: What to Do Next?
Abnormal blood test results! Hello Doctor: My child recently underwent a health checkup for junior high school, and the blood test results showed abnormalities with a platelet count of 563. The school notified us to seek medical attention for a re-evaluation. We went to the hospi...
Dr. Chen Yunfang reply Oncology
Hello: It is true that the white blood cell and platelet counts are slightly higher than normal, but clinically, these numbers do not necessarily indicate the presence of a disease. I don't have much concern regarding these values. Let's schedule an appointment with a p...[Read More] Understanding Abnormal Blood Test Results in Children: What to Do Next?
Managing Iron Deficiency Anemia: Do You Still Need Iron Supplements?
Iron supplementation for the treatment of anemia? In October, I sought treatment at the hospital due to severe hair loss. After a blood test, the doctor diagnosed me with iron deficiency anemia and prescribed iron supplements (Ferrous sulfate). After three months of treatment, my...
Dr. Chen Yunfang reply Oncology
Hello: 1. Are the values you mentioned for Ferritin, or are they for free iron? I'm not sure, so I cannot answer; please consult the prescribing physician. 2. Increase your intake of red meats (such as beef and lamb, which are high in iron). In contrast, white meats like chi...[Read More] Managing Iron Deficiency Anemia: Do You Still Need Iron Supplements?
Is There a Link Between High Platelet Count and Thalassemia?
Is there a relationship between thrombocytosis and thalassemia? Hello Doctor: I would like to inquire if there is a relationship between elevated platelet counts and thalassemia. Below are the health check reports from the past two years for your reference. Thank you. Year 111: ...
Dr. Chen Yunfang reply Oncology
Hello: From a pathological mechanism perspective, it is true that thalassemia often accompanies an increase in platelet count, which is a reasonable hematological change. But are you sure you have thalassemia? Based on these two data points, I don't think you exhibit signs o...[Read More] Is There a Link Between High Platelet Count and Thalassemia?
Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Low white blood cell count with abnormal differentiation? I am concerned about not wanting to frequently visit the hospital and occupy medical resources, but I also worry that if there is a real issue, it may delay treatment. Therefore, I would like to ask Dr. Chen whether my sit...
Dr. Chen Yunfang reply Oncology
Hello: 1. The white blood cell count is unremarkable. You can decide whether to seek medical attention; if so, you should consult a hematologist. 2. Similarly, if you choose to seek medical attention, you can also see a hematologist. 3. These abnormalities do not have any particu...[Read More] Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Choosing the Right Supplements for Bone Health After Cancer Treatment
Medication consultation Hello Doctor: Recently, I received a cancer bone treatment, and my hematologist prescribed bone-strengthening chewable tablets (one in the morning and one in the evening), while my orthopedic doctor prescribed calcium syrup (10-15cc daily). I would like to...
Dr. Chen Yunfang reply Oncology
Hello: There is no specific standard amount, and it's hard to say which is better. I can't provide a definitive answer; just eat whatever works for you! You can choose one that you prefer. Thank you.[Read More] Choosing the Right Supplements for Bone Health After Cancer Treatment
Understanding Your Blood Test Results: Insights for Tumor Patients
Blood test report Hello Dr. Chen, Recheck results: RBC: 5.26, HB: 12.1, HCT: 40.3, RDW: 20.7, MCV: 76.6, MCH: 25.5, MCHC: 31.5, MPV: 7.3, Fe: 48, UIBC: 392, Monocytes: 12.8. The physician at the Chinese medicine clinic stated that there is no anemia, but the report shows seve...
Dr. Chen Yunfang reply Oncology
Hello: I agree! You do not have anemia! Anemia is determined solely by the hemoglobin (Hb) level, and yours is 12.1, which is normal. The other abnormal values are not helpful in diagnosing your condition! They are unrelated to your dizziness and hair loss. You should consult ano...[Read More] Understanding Your Blood Test Results: Insights for Tumor Patients
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 Oncology
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
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 Oncology
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?
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 Oncology
Hello: It is better to take Anxiolytics. Thank you.[Read More] Managing High Platelet Count: Should I Start Aspirin Treatment at 27?
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 Oncology
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?
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 Oncology
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