Post-Surgery Challenges in Stage IV Colon Cancer Treatment: Key Insights
Postoperative treatment issues for colorectal cancer? My father is in his seventies and has stage IV colon cancer with liver metastasis (both lobes have tumors of varying sizes). After undergoing bowel resection, he received 8 cycles of chemotherapy and 5 cycles of targeted thera...
Dr. Hu Ziren reply Oncology
1. The thickening of the peritoneum indicates localized inflammation of the intestines, which may be a localized inflammatory response caused by chemotherapy. 2. The gallbladder issue was discovered incidentally and is not indicative of metastasis; the report suggests it may be...[Read More] Post-Surgery Challenges in Stage IV Colon Cancer Treatment: Key Insights
Managing Stage IV Pancreatic Cancer: Chemotherapy and Nutritional Support
Pancreatic cancer issues? Dear Doctor, My family member has stage IV pancreatic cancer that has metastasized to the liver. Is chemotherapy recommended? If chemotherapy is undertaken, what is the approximate life expectancy? Currently, they have no appetite and are unable to eat...
Dr. Hu Ziren reply Oncology
In stage IV pancreatic cancer, if the patient's physical condition is still acceptable (able to move freely, without cachexia, etc.), chemotherapy is still recommended. As for the survival period, it primarily depends on the patient's response to treatment and changes i...[Read More] Managing Stage IV Pancreatic Cancer: Chemotherapy and Nutritional Support
Understanding Hard Masses in the Back of the Head: Symptoms and Treatment Options
Occipital bone lump? Hello Doctor: I have an unknown hard lump on the back of my head that sometimes appears and sometimes disappears, and it appears in different locations. Sometimes I also experience symptoms of migraines. I would like to know if this is a benign or malignant t...
Dr. Hu Ziren reply Oncology
A lump on the back of the head that appears and disappears may likely be folliculitis or other benign inflammatory tissue, and it is unlikely to be malignant. For migraines, it is recommended to consult a neurologist.[Read More] Understanding Hard Masses in the Back of the Head: Symptoms and Treatment Options
Understanding Knee Tumors: From Benign Growths to Painful Symptoms
Tumor on the knee? When I was a child, I developed a benign tumor on one side of my knee. At that time, I was too young to remember the name of the tumor. The doctor suggested wearing a brace to see if it could be compressed back, but that didn't work, so I underwent surgery...
Dr. Hu Ziren reply Oncology
It is recommended to follow up with an orthopedic specialist.[Read More] Understanding Knee Tumors: From Benign Growths to Painful Symptoms
Understanding Nodal Marginal Zone Lymphoma: Treatment Options During Pregnancy
Lymphoma Hello Doctor: I have non-Hodgkin lymphoma, specifically nodal marginal zone lymphoma (low-grade, stage I). 1. In April, I discovered a 2 cm enlargement of the right parotid gland, with no symptoms such as fever, swelling, or itching. 2. On July 1, I underwent surgery to ...
Dr. Hu Ziren reply Oncology
1. The need for radiation therapy depends on the area being irradiated. If the radiation field does not include the breast or chest cavity, it is generally still possible to hold a child and breastfeed. 2. The rate of progression from low-grade lymph node marginal zone lymphoma ...[Read More] Understanding Nodal Marginal Zone Lymphoma: Treatment Options During Pregnancy
Understanding Brain Tumor Symptoms and EEG Results: What You Need to Know
Regarding brain tumors? Hello, doctor. I would like to ask two questions. First, I have been experiencing occasional sneezing, coughing, weakness in my limbs, intermittent decline in vision and hearing, difficulty with speech and walking, frequent forgetfulness, vague headaches a...
Dr. Hu Ziren reply Oncology
1. It is recommended to consult a neurologist. 2. Normal EEG results cannot be used to rule out a brain tumor; in other words, to diagnose a brain tumor, a brain CT scan or MRI is necessary.[Read More] Understanding Brain Tumor Symptoms and EEG Results: What You Need to Know
Understanding Persistent Lymphadenopathy: Causes and Concerns
Recurrent lymphadenopathy Hello Doctor: I would like to ask about my lymph nodes, which are swollen all over my body (on both sides of my collarbone, armpits, groin, and behind my knees). They do not feel hard; rather, they are soft and noticeably protruding. They have been swoll...
Dr. Hu Ziren reply Oncology
It is recommended to consult a hematology-oncology specialist for a detailed examination.[Read More] Understanding Persistent Lymphadenopathy: Causes and Concerns
Navigating Cancer Care: Seeking Second Opinions and Treatment Options
Interdisciplinary treatment issues? My father originally had a small tumor in his lungs and would regularly visit the Pulmonology department for check-ups. Recently, due to sudden significant weight loss, he was referred by a new physician for a PET scan. After reviewing the repo...
Dr. Hu Ziren reply Oncology
1. It is recommended to perform a biopsy first to determine the cause (benign or malignant, lung cancer or other), and then discuss whether further treatment is necessary. 2. You may consider referring to an oncology specialist for further evaluation.[Read More] Navigating Cancer Care: Seeking Second Opinions and Treatment Options
Understanding Painful Hard Lumps in the Armpit: Causes and Concerns
There is a hard lump in the armpit? About two to three years ago, I started noticing a lump that appears under my armpit after shaving my underarm hair. It doesn't happen every time, but it occurs approximately once every few months. It is painful to the touch, feels hard, h...
Dr. Hu Ziren reply Oncology
It seems to be localized skin inflammation or folliculitis caused by shaving; it is recommended to simply observe it.[Read More] Understanding Painful Hard Lumps in the Armpit: Causes and Concerns
Understanding Neck Masses and Low Platelet Counts: Key Insights
Neck mass and thrombocytopenia? 1. About last September, I noticed a hard lump in the back of my shoulder that has been swollen and painful. It has not gone away and is about 1 cm in size; it does not hurt or move and feels very hard. It hasn't grown larger, but my family in...
Dr. Hu Ziren reply Oncology
1. If there is no continuous enlargement, it is recommended to simply observe. 2. In young women with thrombocytopenia, it may be autoimmune thrombocytopenic purpura. 3. However, if there are other hematological abnormalities present, it is advisable to consult a pediatric he...[Read More] Understanding Neck Masses and Low Platelet Counts: Key Insights
Understanding Your Body: When to Seek Medical Attention for Tumor Concerns
Uncertain about physical condition? In the past few days, due to staying up late, I developed a sore spot deep inside the left side of my cheek, which has created a hole. There is swelling in my mouth, and I am experiencing pain that radiates to the lower half of my left jaw. Whe...
Dr. Hu Ziren reply Oncology
The hard lump in the throat is likely due to localized lymphadenopathy caused by an oral ulcer. The protrusion in the left armpit may also be an exacerbation of localized folliculitis due to prolonged sleep deprivation. It is recommended to adjust your lifestyle and increase wate...[Read More] Understanding Your Body: When to Seek Medical Attention for Tumor Concerns
Understanding Melanoma Changes: What to Watch For and Care Tips
Changes in Melanoma and Important Considerations Hello, earlier this year I discovered a black spot growing under my toenail. After consulting a dermatologist, I was informed that it is a melanoma and was advised to monitor any changes. Recently, I noticed that the spot, which wa...
Dr. Hu Ziren reply Oncology
If melanoma exhibits any of the following conditions, it is recommended to see a plastic surgeon: irregular borders; asymmetrical edges; increasingly darker color; growing diameter; or any raised areas.[Read More] Understanding Melanoma Changes: What to Watch For and Care Tips
Understanding Groin Masses: Could It Be a Tumor or Lymphoma?
Is there a lump in the groin? There is a mass in the groin area that is raised, adherent to the skin, not easily movable, with clear borders. Could this be a tumor? If so, what type of tumor could it be? Is it possible that it could be lymphoma?
Dr. Hu Ziren reply Oncology
It is likely just a sebaceous cyst or folliculitis; observation is recommended.[Read More] Understanding Groin Masses: Could It Be a Tumor or Lymphoma?
Concerns Over a Painful 1.5cm Groin Lump: Should I See a Doctor?
There is a 1.5 cm hard lump in the groin with some tenderness? About three to four weeks ago, I discovered a lump on the right side of my groin, approximately 1.5 centimeters in size, which is movable when touched. It was very painful when I accidentally bumped into it once, but ...
Dr. Hu Ziren reply Oncology
It is recommended that if there are no systemic symptoms such as fever, night sweats, weight loss (10% weight loss within half a month), persistent cough, or the appearance of large red rashes or plaques on the skin, then observation is sufficient. However, if the mass increases ...[Read More] Concerns Over a Painful 1.5cm Groin Lump: Should I See a Doctor?
Understanding Post-Injury Growths: When to See a Specialist
After recovering from a tibial injury, a small tumor-like growth has developed? Hello Doctor, about a year ago at work, I was struck on the tibial area by a metal rod. It was extremely painful and swollen at the time. After a few weeks, the pain subsided, but it remained soft and...
Dr. Hu Ziren reply Oncology
It is recommended to see an orthopedic specialist.[Read More] Understanding Post-Injury Growths: When to See a Specialist
Understanding Persistent Armpit Lumps: When to Seek Medical Advice
Axillary lump Hello: I have a long-shaped lump that has swollen under my right armpit. When I lower my arm, it causes pain and friction, but it does not move. This has been going on for quite some time and has not gone down. In the past, I would sometimes develop similar lumps af...
Dr. Hu Ziren reply Oncology
It may be a localized inflammation, such as folliculitis or an abscess; if the symptoms persist or worsen, it is advisable to see a general surgeon or a specialist in surgical oncology.[Read More] Understanding Persistent Armpit Lumps: When to Seek Medical Advice
Understanding Armpit Lumps: When to Seek Medical Advice
Axillary lump Hello, I would like to inquire about a hard lump approximately one centimeter in size that I discovered under my left armpit while showering a few days ago. It is located on the tissue above the joint, and I had recently shaved the area. When pressed, it feels like ...
Dr. Hu Ziren reply Oncology
It is recommended to consult with a general surgeon or a plastic surgeon.[Read More] Understanding Armpit Lumps: When to Seek Medical Advice
Understanding Neck Mass: Post-Fine Needle Aspiration Concerns
Neck mass Hello, Doctor: I have a small hard lump under my right ear. The doctor performed an ultrasound-guided fine needle aspiration, and it has been 5 days since the procedure. The puncture site is still swollen and painful, and my ear also hurts. Upon my follow-up visit, the ...
Dr. Hu Ziren reply Oncology
1. It can cause localized inflammation and pain, and in severe cases, even local infection; 2. It does not cause dissemination.[Read More] Understanding Neck Mass: Post-Fine Needle Aspiration Concerns
Understanding Mediterranean Anemia: Is a Normal Hemoglobin Level Possible?
Mediterranean anemia (also known as thalassemia) Hello, doctor. I have thalassemia, and due to my job, I undergo annual health check-ups. Here are my hemoglobin reports from the past few years: 2016: 11.9, 2017: 11.8, 2018: 11.7, 2019: 10.3, 2020: 12.2. This year, my test results...
Dr. Hu Ziren reply Oncology
It is a normal phenomenon. For patients with thalassemia, a hemoglobin level above 9 is generally acceptable.[Read More] Understanding Mediterranean Anemia: Is a Normal Hemoglobin Level Possible?
Understanding Eosinophils: When to Seek Further Testing for Elevated Levels
Eosinophils Hello Doctor: I had a blood test at the hospital the other night, and the report shows that my eosinophil count is 8.9, while the normal range is 0-6. Should I undergo further testing? I kindly ask for your guidance. Thank you for your help!
Dr. Hu Ziren reply Oncology
In the classification of white blood cells, there are neutrophils, monocytes, lymphocytes, eosinophils, etc. Therefore, the 8.9% you see is just a percentage, indicating that there are 8.9 eosinophils among 100 white blood cells. This ratio should be interpreted in conjunction wi...[Read More] Understanding Eosinophils: When to Seek Further Testing for Elevated Levels