Understanding Lymph Node Swelling: When to Seek Further Medical Advice
Lymphadenopathy Hello Doctor, since October of last year, I have had inflammation from acne that caused swelling of the lymph nodes on the left side of my neck. Initially, the swelling was painful and accompanied by fever, but after taking antibiotics, it has not subsided and has...
Dr. Hu Ziren reply Oncology
You can schedule an appointment with a general surgeon for evaluation.[Read More] Understanding Lymph Node Swelling: When to Seek Further Medical Advice
Understanding Skin Lumps: Tumor or Just a Skin Issue?
There is a hard lump under the skin? Hello doctor, I have a palpable lump in the area of my buttocks. The skin does not show any abnormal color, and the lump does not move when I pinch it. It has been there for about eight years. Since it hasn't been painful or increased in ...
Dr. Hu Ziren reply Oncology
It should just be a lipoma or another benign tumor.[Read More] Understanding Skin Lumps: Tumor or Just a Skin Issue?
Understanding Papillomas: Monitoring and Dietary Considerations
Papilloma of the breast Hello Doctor: I had a breast ultrasound at the hospital, and the result showed a 0.6 cm benign papilloma. Do I need to have follow-up examinations every six months or once a year? Can I consume breast enhancement foods with a papilloma? Are there any foods...
Dr. Hu Ziren reply Oncology
1. I'm not sure why you want to have a breast ultrasound. If there is no personal or family history of breast cancer, self-breast examination is recommended. However, if you are still concerned, you may consider undergoing an ultrasound-guided biopsy to rule out the possibil...[Read More] Understanding Papillomas: Monitoring and Dietary Considerations
Understanding Lymph Node Metastasis in Breast Cancer: Treatment Options
Breast cancer metastasis to lymph nodes? Doctor, I apologize for bothering you, but I have a question. My wife has metastatic breast cancer that has spread to the lymph nodes and is resistant to treatment. Can she receive mogamulizumab? Is it effective? Thank you, doctor.
Dr. Hu Ziren reply Oncology
Mabthera (Rituximab) is ineffective.[Read More] Understanding Lymph Node Metastasis in Breast Cancer: Treatment Options
Understanding Gastrointestinal Stromal Tumors: Survival and Treatment Options
Gastrointestinal stromal tumors (GISTs) Hello: My mother-in-law (60 years old) underwent resection of a gastrointestinal stromal tumor (GIST) measuring over 20 centimeters two years ago. During the surgery, many small tumors were also discovered in the abdominal cavity. The docto...
Dr. Hu Ziren reply Oncology
1. The causes of death are similar to those of common cancers, but some may experience gastrointestinal bleeding or even rupture. 2. If there is a recurrence, surgical resection usually only serves to manage complications and tumor growth. 3. If medications can prolong the ti...[Read More] Understanding Gastrointestinal Stromal Tumors: Survival and Treatment Options
Do You Need to Check Blood Return During Chemotherapy Infusions?
Chemotherapy-induced recovery? I would like to ask, every time before administering chemotherapy drugs, the nursing staff confirms blood return. Is it necessary to check for blood return again during the infusion process?
Dr. Hu Ziren reply Oncology
Before administering the injection, aspirating is done to ensure that the catheter is patent; therefore, it is sufficient to confirm this before the injection. There is no need to continuously check during the injection process.[Read More] Do You Need to Check Blood Return During Chemotherapy Infusions?
Should You Consult Urology for Adrenal Nodule Surgery?
Adrenal nodule surgery Hello, doctor. I'm here again. I just want to ask, if there is a need for surgery on an adrenal nodule, should I consult a urologist? Thank you.
Dr. Hu Ziren reply Oncology
I'm sorry, but I need specific content to translate[Read More] Should You Consult Urology for Adrenal Nodule Surgery?
Understanding Groin Lumps: When to Seek Medical Advice
Inguinal mass Hello Doctor, I have noticed a small movable lump in my left groin area. It is not painful when pressed and is relatively small (about 5-8 mm, less than 1 cm), but it feels noticeably larger than the other lymph nodes. I found some information suggesting that it mig...
Dr. Hu Ziren reply Oncology
5-8 mm is too small and usually has no significant meaning, so it is recommended to just observe.[Read More] Understanding Groin Lumps: When to Seek Medical Advice
Understanding Groin Lumps: When to Seek Medical Attention
Inguinal mass A few months ago, I noticed a small hard lump on the right side. It was painless, so I didn't pay much attention to it, thinking it would go away. Recently, however, I started to feel pain when my underwear rubbed against it while walking, which made me realize...
Dr. Hu Ziren reply Oncology
If there are accompanying symptoms (such as fever, urinary tract symptoms, or pain or burning sensation during urination), it is recommended to consult a gynecologist or urologist. If there are no other symptoms, you may see an infectious disease specialist or a general surgeon.[Read More] Understanding Groin Lumps: When to Seek Medical Attention
Understanding Adrenal Nodules: What You Need to Know
Adrenal nodule Hello, doctor. About three months ago, I visited a gastroenterologist and underwent an abdominal ultrasound. At that time, I was informed that there were cysts on my liver, a hemangioma, and polyps in my gallbladder, and I was advised to return for a follow-up in t...
Dr. Hu Ziren reply Oncology
Adrenal nodules are often incidentally discovered during abdominal imaging. After further evaluation with a computed tomography (CT) scan to confirm the lesion and its size, additional blood tests are needed to determine if further intervention (surgery) is necessary. Therefore, ...[Read More] Understanding Adrenal Nodules: What You Need to Know
Understanding Adenovirus and Lymph Node Swelling in Children
Adenoviral lymphadenopathy I would like to ask the doctor about my 5-year-old son. He started having a persistent fever last Monday that didn't go down. After four days, we took him to a large hospital for blood tests, urine tests, and a throat rapid test. The results indica...
Dr. Hu Ziren reply Oncology
Infectious diseases can also cause lymphadenopathy, so it is recommended to simply monitor the condition.[Read More] Understanding Adenovirus and Lymph Node Swelling in Children
Can a 10cm Liver Tumor Be Treated? Understanding the Risks and Options
Is it possible to treat a 10 cm liver tumor? My father, aged 46, is a carrier of hepatitis B and does not have a habit of drinking alcohol. Our family maintains a normal lifestyle, diet, and routine, and he regularly takes reishi mushroom supplements for liver health. He also goe...
Dr. Hu Ziren reply Oncology
1. Chronic hepatitis B carriers are inherently at risk for liver cancer. 2. It is recommended to discuss treatment options with the attending physician. 3. In some cases, alpha-fetoprotein levels may not necessarily be elevated in liver cancer (approximately 25% of cases).[Read More] Can a 10cm Liver Tumor Be Treated? Understanding the Risks and Options
Understanding a Growing Neck Lump: When to See a Specialist
A mass in the neck above the clavicle? About five years ago, I noticed a lump that was approximately 1 centimeter in size. Recently, I have observed that it seems to be getting larger and has become hard. It is movable and does not cause any pain. What could this condition be, an...
Dr. Hu Ziren reply Oncology
Hello, if you're concerned, you can visit a general surgeon.[Read More] Understanding a Growing Neck Lump: When to See a Specialist
Managing Cancer and Mental Health: Prioritizing Care for Patients
Lung cancer metastasis to the brain? Hello Doctor: My boyfriend is Malaysian, and his mother has been diagnosed with stage IV lung cancer that has metastasized to the brain. She has just completed radiation therapy for the brain. Initially, she was supposed to receive a treatment...
Dr. Hu Ziren reply Oncology
Hello, online user: In the case of lung cancer with brain metastasis, and recent treatments including cranial radiotherapy and systemic chemotherapy, if the patient has no history of mental illness, it is advisable to first rule out the worsening of brain metastasis or acute side...[Read More] Managing Cancer and Mental Health: Prioritizing Care for Patients
Understanding Uncertain Tumor Results: What You Need to Know
There is a lump in the middle of the bone in the front of the lower leg? Dear Doctor, my father underwent surgery on May 24 to remove a skin mass, which was sent for pathology testing. The hospital informed us that the stitches would be removed in two weeks, along with the report...
Dr. Hu Ziren reply Oncology
Hello, online friend: If a skin mass is excised and the pathology report indicates squamous cell carcinoma, it is often true that most cases are metastatic. Therefore, it is recommended to wait for the results of a comprehensive examination (including a CT scan) before proceeding...[Read More] Understanding Uncertain Tumor Results: What You Need to Know
Understanding Blast Cells During Chemotherapy: Implications for Treatment Efficacy
Is it possible to still detect blast cells in peripheral blood during the hospitalization period after chemotherapy? My daughter is 15 months old and has achieved remission after two rounds of induction therapy. She is currently hospitalized for her third round of chemotherapy, a...
Dr. Hu Ziren reply Oncology
Hello, it is advisable for you to consult a pediatric hematologist for more appropriate guidance.[Read More] Understanding Blast Cells During Chemotherapy: Implications for Treatment Efficacy
Understanding Lymph Node Swelling: When to Seek Further Evaluation
Lymphadenopathy Hello, doctor. Last week, I felt a lymph node about 2 cm in size at the intersection of my neck and left shoulder. It is movable and not painful. The next day, I went to see an ENT specialist and had blood tests done. The doctor reviewed the results and said that ...
Dr. Hu Ziren reply Oncology
Hello, netizen: If you have noticed lymph nodes that have been palpable for a short period, it is advisable to monitor them for a few months. If they continue to enlarge or if more nodes appear, further evaluation is recommended.[Read More] Understanding Lymph Node Swelling: When to Seek Further Evaluation
Understanding Persistent Headaches: When to Seek Medical Advice
Recent abnormal headaches? Hello Doctor, I have been experiencing persistent headaches recently. One day, I felt dizzy, broke out in a cold sweat, felt nauseous, and was excessively sleepy. After vomiting, I felt somewhat better the next day, but the headache has continued until ...
Dr. Hu Ziren reply Oncology
Hello, user: I suggest you see a neurologist for your headaches or a psychiatrist to address sleep and psychological stress issues. Thank you![Read More] Understanding Persistent Headaches: When to Seek Medical Advice
Understanding the Connection Between Elevated White Blood Cells and Weight Gain
White blood cell and weight issues? Hello, I had a health check-up at the hospital on May 13th. The report indicated that my white blood cell count is 13,000, which is slightly elevated. My high-density lipoprotein (HDL) cholesterol is >= 45. I did not have a cold or take any ...
Dr. Hu Ziren reply Oncology
Hello, netizen: If we exclude other acute and potential infectious causes, it is possible that the increase in white blood cell count is related to a significant weight gain.[Read More] Understanding the Connection Between Elevated White Blood Cells and Weight Gain
Understanding Groin Lumps: Symptoms, Causes, and When to Seek Help
Inguinal mass Recently, I discovered an oval-shaped hard lump on the left side of my groin, located between the scrotum and the anus, about the size of my thumb. It doesn't hurt when I touch or squeeze it. However, today after having a bowel movement, I noticed that the lump...
Dr. Hu Ziren reply Oncology
Hello, it sounds like an abscess. If the pus drains out and it gradually decreases in size and improves, then it's advisable to just monitor it. However, if there is no improvement, it would be best to see a general surgeon.[Read More] Understanding Groin Lumps: Symptoms, Causes, and When to Seek Help