Understanding Small Calcified Granulomas in the Right Lower Lung
What is a small calcified granuloma in the right lower lung? A chest X-ray revealed a small calcified granuloma in the right lower lung. What could be the cause and potential diseases associated with this finding?
Dr. Guo Lucheng reply Pulmonology
Calcific granulomas are most commonly remnants of inflammation, often associated with pulmonary tuberculosis (though individuals may not experience symptoms). It is recommended to have regular follow-up with chest X-rays. Sincerely, Dr. Kuo Lu-Cheng.[Read More] Understanding Small Calcified Granulomas in the Right Lower Lung
Understanding Calcified Granulomas in the Right Lower Lung: Causes and Implications
Lungs Hello: The X-ray revealed a small calcified granuloma in the right lower lung. I'm not sure what it could be.
Dr. Guo Lucheng reply Pulmonology
Calcific granulomas are most commonly remnants of inflammation, often due to pulmonary tuberculosis (though individuals may not experience symptoms). It is recommended to have regular follow-up with chest X-rays. Sincerely, Dr. Kuo Lu-Cheng.[Read More] Understanding Calcified Granulomas in the Right Lower Lung: Causes and Implications
Understanding Calcified Granulomas in the Right Lower Lung on X-Ray
Lung The X-ray revealed a small calcified granuloma in the right lower lung. What could be the reason for this?
Dr. Guo Lucheng reply Pulmonology
Calcific granulomas are most commonly remnants of inflammation, often due to pulmonary tuberculosis (though patients may not experience symptoms). It is recommended to have regular follow-up with chest X-rays. Sincerely, Dr. Kuo Lu-Cheng.[Read More] Understanding Calcified Granulomas in the Right Lower Lung on X-Ray
Understanding Post-Pneumonia Symptoms: Causes and Concerns
Questions about pneumonia~ Four years ago, I had pneumonia, and after recovering, I didn't return for a follow-up appointment about a month later (not fully healed). Since then, whenever I engage in even a little exercise or when the temperature is slightly higher, I experie...
Dr. Guo Lucheng reply Pulmonology
These symptoms should not be related to the pneumonia from four years ago. You may have other thoracic conditions, such as asthma, that require further evaluation at a pulmonology clinic. Sincerely, Guo Lucheng.[Read More] Understanding Post-Pneumonia Symptoms: Causes and Concerns
Managing Drug Resistance in Small Cell Lung Cancer: Treatment Options and Care
Small cell lung cancer... after developing resistance to first-line chemotherapy? After the second chemotherapy for small cell lung cancer, the patient has developed increasing drug resistance. Although the rate of growth has slowed, it continues to progress. Would you recommend ...
Dr. Guo Lucheng reply Pulmonology
It is possible to switch to second-line medications; however, whether to consider other clinical trial medications should be discussed with your physician. Mucosal inflammation is a common complication of chemotherapy and will recover after discontinuation of the medication. Asid...[Read More] Managing Drug Resistance in Small Cell Lung Cancer: Treatment Options and Care
Understanding Asthma: Managing Symptoms and Concerns for Aging Parents
Asthma Hello, doctor. In recent months, I have noticed that my mother's asthma seems to be worsening. She mentioned that she had episodes of asthma when she was a child, but it was normal during adulthood (seemingly cured) until it recurred in the past two years. Initially, ...
Dr. Guo Lucheng reply Pulmonology
There are many causes of toe cramps, and a thorough investigation is necessary to determine the underlying reason, which may include electrolyte imbalances and may not necessarily be related to medications. Allergic predisposition can be hereditary, but the manifestation varies a...[Read More] Understanding Asthma: Managing Symptoms and Concerns for Aging Parents
Severe Pain After Chemotherapy for Small Cell Lung Cancer: Causes and Relief
Severe pain after chemotherapy for small cell lung cancer? I apologize for taking up the doctor's time again! My father has small cell lung cancer and underwent his first chemotherapy at the end of March, followed by a second round at the end of April, using traditional medi...
Dr. Guo Lucheng reply Pulmonology
The two explanations for back pain are quite strange; I believe it shouldn't be this way. However, the exact cause cannot be determined solely based on this description. A physician needs to examine the patient or conduct some tests to find out. Generally, during chemotherap...[Read More] Severe Pain After Chemotherapy for Small Cell Lung Cancer: Causes and Relief
Understanding the Need for Vascular Access in Lung Cancer Chemotherapy
Artificial blood vessel Regarding my previous inquiry, I was very touched by how quickly the doctor responded. Thank you for the advice! My father has undergone two rounds of chemotherapy for small cell lung cancer, using the medications etoposide and cisplatin. I have heard that...
Dr. Guo Lucheng reply Pulmonology
It is not necessarily required unless there is a need for very frequent injections, or if there are no accessible veins in other areas of the body. In such cases, the installation of an artificial blood vessel may be more necessary. However, this procedure carries certain risks a...[Read More] Understanding the Need for Vascular Access in Lung Cancer Chemotherapy
Understanding Small Cell Lung Cancer: Treatment Options and Patient Concerns
Small cell lung cancer (SCLC) Dear Doctor, Q1: My father was diagnosed with small cell lung cancer with skeletal metastasis in early March. The metastatic part has been surgically removed, and he started his first chemotherapy at the end of March. While waiting for the wound to ...
Dr. Guo Lucheng reply Pulmonology
Your question is quite difficult to answer and there is no standard response. Brain metastases are generally treated with radiation therapy, but chemotherapy may also reduce their size. It is important to consider that certain chemotherapy and radiation therapies cannot be admini...[Read More] Understanding Small Cell Lung Cancer: Treatment Options and Patient Concerns
Persistent Cough After Fever: Is It Allergies or Something Else?
excuse me? About a month ago, I visited the doctor due to a fever, but at that time, I only had a fever and no cough. However, the next day, I started coughing continuously, and it has persisted until now. All the symptoms resembling a cold have resolved, except for the cough. In...
Dr. Guo Lucheng reply Pulmonology
A persistent cough lasting for a month after a cold is somewhat unusual. It is advisable to consider whether there may be asthma or other pulmonary diseases. A chest X-ray should be performed, and it is recommended to consult a pulmonologist or a pediatrician for further evaluati...[Read More] Persistent Cough After Fever: Is It Allergies or Something Else?
Impact of Asthma Medications on Fetal Health: What Patients Should Know
Asthma Hello Dr. Kuo, I am an asthma patient and regularly use bronchodilators. I would like to ask if the medications used to treat asthma have any effects on the fetus. Thank you.
Dr. Guo Lucheng reply Pulmonology
In the category of bronchodilators, xanthine derivatives have been used for over 50 years and have rarely been reported to cause any abnormalities in fetuses. However, since these drugs can cross the placenta and stimulate the fetus, high doses should be avoided. As for inhaled b...[Read More] Impact of Asthma Medications on Fetal Health: What Patients Should Know
Understanding Lung Tumors: Are They Mostly Benign or Malignant?
Lung tumor Hello Doctor: My father has been experiencing persistent coughing and initially sought treatment for a cold. By chance, he went to a hospital in Taichung where an X-ray revealed a dark spot. He was subsequently admitted for a CT scan, which confirmed the presence of a ...
Dr. Guo Lucheng reply Pulmonology
Lung tumors often present with symptoms similar to a cold, such as productive cough, until a persistent cough lasts for more than three weeks, at which point a chest X-ray should be considered. It is only after the X-ray that issues may be identified, and upon discovering a tumor...[Read More] Understanding Lung Tumors: Are They Mostly Benign or Malignant?
Understanding Hereditary Cancer Risks in Families with Smoking History
Please ask your question? Hello, doctor. I have a question to ask. My grandfather was a miner and also smoked, which led to his passing from lung cancer ten years ago. Aside from that, no one else in the family has died from cancer. Recently, I read a medical report stating that ...
Dr. Guo Lucheng reply Pulmonology
There are many causes of lung cancer, with personal genetics being just one of them. External factors such as smoking, combined with age, contribute to the development of cancer. Currently, medicine cannot accurately determine your risk of developing cancer. Even if you have gene...[Read More] Understanding Hereditary Cancer Risks in Families with Smoking History
Understanding Black Spots on Lung X-rays: Possible Causes and Concerns
There are black spots on the chest X-ray? Hello Doctor: On December 15, my father underwent a chest X-ray at your hospital, which showed a suspected mass. He then had an ultrasound that also indicated a suspected mass. Is it possible that this could be lung cancer? My father does...
Dr. Guo Lucheng reply Pulmonology
It is still necessary to see the patient, inquire about relevant symptoms, and review the X-ray images in order to determine whether it is a tumor, inflammation, or another cause. Additional tests may be required to confirm the diagnosis of a malignant lung tumor, which is not ne...[Read More] Understanding Black Spots on Lung X-rays: Possible Causes and Concerns
Exploring Dendritic Cell Therapy for Allergies and Respiratory Inflammation
Dendritic Cell New Therapy Hello Dr. Kuo: Last month, I learned from media reports that National Taiwan University Hospital isolated dendritic cells from mice, injected them with two drugs, oligonucleotides and Ribavirin, and after culturing with allergens, injected them back int...
Dr. Guo Lucheng reply Pulmonology
I have never been exposed to this type of research and have not heard of any published papers on this topic, so I am unable to provide an explanation. I apologize for this. Sincerely, Kuo Lu-Cheng.[Read More] Exploring Dendritic Cell Therapy for Allergies and Respiratory Inflammation