Understanding Hard Lumps Under the Armpit: Causes and Concerns
There is a hard lump in the armpit? After raising my hand high, I noticed a hard lump about 2 centimeters in size near my clavicle. It only hurts when I squeeze or pinch it, and there are no visible wounds on the surface. It suddenly appeared a couple of days ago, and I only disc...
Dr. Hu Ziren reply Oncology
It should just be normal or benign tissue. It is recommended to observe it as long as there are no systemic discomforts or enlargement (accompanied by inflammation, such as redness, swelling, heat, etc.).[Read More] Understanding Hard Lumps Under the Armpit: Causes and Concerns
Understanding M3 Leukemia Treatment: Is Consolidation Therapy Necessary?
Treatment of M3 type leukemia? Hello Dr. Hu, I am currently a patient with M3 type leukemia. My treatment phase involves daily oral all-trans retinoic acid and two phases of arsenic trioxide injections (7 days each phase for a total of 14 days). After about a month of monitoring...
Dr. Hu Ziren reply Oncology
Patients with M3-type leukemia, in addition to the initial induction therapy and subsequent consolidation therapy, often undergo maintenance therapy for 1-2 years. Although M3-type leukemia has a relatively favorable prognosis among acute leukemias, approximately 5% of patients m...[Read More] Understanding M3 Leukemia Treatment: Is Consolidation Therapy Necessary?
Which Test is More Accurate for Adrenal Tumors: Ultrasound or CT Scan?
Which type of test is more accurate for adrenal tumors? Hello Doctor, I went to a health check center for an endoscopic ultrasound of the pancreas. The pancreas is fine, but the doctor mentioned a suspected 1.18 cm tumor on the left adrenal gland. I then visited the urology depar...
Dr. Hu Ziren reply Oncology
A CT scan is more accurate; if you have concerns, it is recommended to undergo a self-paid examination again in 3 to 6 months.[Read More] Which Test is More Accurate for Adrenal Tumors: Ultrasound or CT Scan?
Should You See a Doctor for a Painful Lump in Groin Hair?
Pubic hair There is a raised bump within the hair, but it doesn't break and shows no other abnormalities. It only hurts when pressed. Should I seek medical attention?
Dr. Hu Ziren reply Oncology
It may just be folliculitis; observation is sufficient.[Read More] Should You See a Doctor for a Painful Lump in Groin Hair?
Sexual Activity During APL Treatment: Safety and Considerations
Sexual activity during the treatment process for Acute Promyelocytic Leukemia (APL) should be approached with caution. It is important for patients to discuss their Hello Dr. Hu, In January, I was diagnosed with APL (Acute Promyelocytic Leukemia, M3 type). After more than a mont...
Dr. Hu Ziren reply Oncology
1. Yes, but it is important to rest after sexual activity and maintain regular exercise and a balanced diet. 2. Ejaculation does not affect white blood cell production; in fact, moderate sexual activity can improve and adjust overall physical and mental health.[Read More] Sexual Activity During APL Treatment: Safety and Considerations
Understanding Myelo 0.5 in CML Patients: What You Need to Know
Blood test results show myelo 0.5? Hello Doctor, ^_^ I am a CML patient who has been undergoing treatment for two years. My current PCR value is -3.8. In my latest blood test report, my WBC is 7.2, but I noticed for the first time that there is a myelo value of 0.5. Could you ple...
Dr. Hu Ziren reply Oncology
WBC is normal and PCR is -3.8, indicating that the disease is currently maintaining a "Major Molecular Response" (MMR), meaning there is no relapse. It is recommended to continue the current treatment and regular monitoring.[Read More] Understanding Myelo 0.5 in CML Patients: What You Need to Know
Understanding Chemotherapy Effectiveness for Advanced Cholangiocarcinoma
Hello Dr. Hu: Issues related to bile duct cancer? Hello Dr. Hu: The elder has been diagnosed with cholangiocarcinoma, which has metastasized to the thoracic vertebrae, liver, and duodenum. The thoracic vertebrae have been partially resected, but there is almost no sensation in th...
Dr. Hu Ziren reply Oncology
Each patient's response to chemotherapy varies, but if the patient is newly diagnosed with adequate physical condition and normal cardiopulmonary and renal function, chemotherapy (or possibly adding self-funded immunotherapy) can be considered. Approximately 20-30% of patien...[Read More] Understanding Chemotherapy Effectiveness for Advanced Cholangiocarcinoma
Addressing Concerns in Multiple Myeloma Treatment: A Patient's Journey
Questions Regarding Treatment of Multiple Myeloma Hello Dr. Hu, My mother is 67 years old and has been diagnosed with multiple myeloma through spinal cord testing, with a high IgD level (6000-7000). Other body metrics are mostly normal, with the only notable abnormality being a...
Dr. Hu Ziren reply Oncology
If it is caused by Sider, typically after 1-2 months of adapting to the medication treatment, symptoms will gradually improve. If it does not affect daily life, it is recommended to simply monitor the situation.[Read More] Addressing Concerns in Multiple Myeloma Treatment: A Patient's Journey
Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Inguinal mass There is a soft lump in the groin area that feels similar to a polyp. It is tender to the touch and appears red. This area was originally a pimple that I squeezed, and now I am unsure if it is a bacterial infection or if it is unrelated to the pimple and simply a sw...
Dr. Hu Ziren reply Oncology
It may just be inflammation or fibrosis caused by the extraction of a pimple. It is recommended to monitor the situation.[Read More] Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Understanding Swollen Lymph Nodes Near the Clavicle: When to Seek Help
Clavicular lymph node issues? Hello Doctor, I would like to ask you some questions: 1. Yesterday, I suddenly felt something above my left clavicle that is parallel to the clavicle, soft, slightly movable, elongated, approximately 7 centimeters long. I can't quite determine...
Dr. Hu Ziren reply Oncology
The linear structure parallel to the clavicle may simply be normal tissue, such as tendons or muscles. It is recommended to monitor it. However, if you are still concerned, you may consider consulting an otolaryngologist.[Read More] Understanding Swollen Lymph Nodes Near the Clavicle: When to Seek Help
Painful Lumps Underarm: When to Seek Medical Attention?
There are several lumps in the armpit that are painful when pressed? Hello Doctor, In early December last year, I discovered three small lumps under my right armpit. They appeared normal, were immobile, not itchy, but painful when pressed, with the pain intensifying the more I ...
Dr. Hu Ziren reply Oncology
It may just be folliculitis or lymphadenopathy caused by stress and immune dysregulation. It is recommended to drink plenty of water and adjust your schedule. If there is no improvement after the exam and the condition seems to be worsening, it is advisable to see a dermatologist...[Read More] Painful Lumps Underarm: When to Seek Medical Attention?
Understanding Groin Masses and Their Impact on Nerve Health
Inguinal mass affecting nerves? Hello: Recently, I discovered a small, slightly raised area in the left groin that feels like it's beneath the skin (not visible on the surface). I feel that this area may be affecting the nerves in my left leg, as I occasionally experience a ...
Dr. Hu Ziren reply Oncology
It may be caused by sciatic nerve compression; it is recommended to see a neurosurgeon.[Read More] Understanding Groin Masses and Their Impact on Nerve Health
Is Chemotherapy Suitable for My 82-Year-Old Grandmother with Stage 4 Pancreatic Cancer?
Is chemotherapy suitable for a patient with stage IV pancreatic cancer who has insufficient physical strength? My grandmother is 82 years old, lives a regular life, and has no bad habits. She has stage IV pancreatic cancer that has spread to the peritoneum and intestines (diffuse...
Dr. Hu Ziren reply Oncology
In cases of advanced age and poor nutritional status, where the patient is unable to undergo oral chemotherapy, it is recommended to consider palliative care and symptom management. If palliative care and symptom management are initiated, subsequent evaluations will depend on the...[Read More] Is Chemotherapy Suitable for My 82-Year-Old Grandmother with Stage 4 Pancreatic Cancer?
Does Pregnancy Affect CA19-9 Levels? Understanding the Connection
Is there a correlation between the CA199 index and pregnancy? Hello Dr. Hu, I am 25 weeks pregnant and had a health check-up where my CA 19-9 level was 46.16 U/ml, compared to 33.97 U/ml last year. Does pregnancy affect the levels of this marker? Thank you.
Dr. Hu Ziren reply Oncology
In the late stages of pregnancy, specifically after 28 weeks, a small number of pregnant women may experience a transient increase in serum CA19-9 levels, although these levels remain within the normal range. Therefore, it is advisable to first inquire with the health examination...[Read More] Does Pregnancy Affect CA19-9 Levels? Understanding the Connection
Understanding Low WBC Count: Implications and Concerns in Oncology
Low white blood cell count (WBC)? Hello, doctor. Last week, I had a complete blood count at the clinic. My WBC (white blood cell count) was only 2900, hemoglobin was 11.5, hematocrit was 33.2, platelet count was 179, and red blood cell count was 3.67. About two weeks ago, I exper...
Dr. Hu Ziren reply Oncology
1. Two blood tests showed white blood cell counts below 4,000. It is advised to wait until gastrointestinal discomfort resolves and then have another blood test in three months to monitor the levels. If the count remains below 4,000, a consultation with a hematologist or a rheuma...[Read More] Understanding Low WBC Count: Implications and Concerns in Oncology
Understanding Lymph Node Enlargement: When to See a Specialist
Lymphadenopathy Hello Doctor, I discovered an enlarged lymph node on the right side of my neck six months ago, and it hasn't gone down since. Then in August, I noticed a few small lumps on the left side of my neck, and in October, I found a few more new ones. I saw a doctor ...
Dr. Hu Ziren reply Oncology
There is lymphadenopathy on both sides of the neck and in the axilla; it would be advisable to consult a hematology-oncology specialist.[Read More] Understanding Lymph Node Enlargement: When to See a Specialist
Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Follicular lymphoma invading the bone marrow? Hello Doctor: My mother had a car accident a year ago, and during her hospitalization, it was discovered that her spleen was enlarged. A CT scan suggested lymphoma, and a biopsy confirmed follicular lymphoma. The doctor mentioned that...
Dr. Hu Ziren reply Oncology
1. Patients under the age of 60-65 with normal physical function are suitable candidates for bone marrow transplantation. 2. If the patient's hematopoietic cells in the bone marrow are aging and cancer cells are proliferating rapidly, the risks associated with bone marrow tr...[Read More] Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Post-Her2+ Targeted Therapy: Safe Supplements for Cancer Recovery
The HER2+ targeted therapy has been completed. I would like to ask the doctor what dietary supplements can be taken? Hello Dr. Hu, thank you for your previous assistance, which I am very grateful for. My mother has completed her targeted therapy, but she is going to undergo a hip...
Dr. Hu Ziren reply Oncology
Collagen, undenatured type II collagen, B vitamins, multivitamins, and selenium are all acceptable; in addition to regular monitoring, consider adjusting diet and lifestyle habits, such as reducing oil intake, increasing physical activity, and maintaining a balanced diet.[Read More] Post-Her2+ Targeted Therapy: Safe Supplements for Cancer Recovery
High Platelet Count in Children: When to Seek Further Medical Evaluation?
Elevated platelet count in health checkup? Hello Doctor: My child (in the first year of junior high) received a health check-up form from school yesterday. All the indices are normal, but the platelet count is 465, and there is +++ for urine occult blood. Should we go to the hosp...
Dr. Hu Ziren reply Oncology
Platelets themselves are also inflammatory mediators. If there is inflammation or infection (such as a cold, etc.) in the body on the day of blood draw or within a few days, platelet levels may temporarily increase. A. It is recommended to follow up in 3-6 months; if levels remai...[Read More] High Platelet Count in Children: When to Seek Further Medical Evaluation?
Long-Standing Blood Clot on Foot: What You Need to Know
There has been a hematoma on the foot for many years? The hematoma is not located on the sole of the foot but rather on the top of the foot, beneath the middle toe and the ring toe. There is a red mark on top of the hematoma. I can't recall when it first appeared, but it has...
Dr. Hu Ziren reply Oncology
It is likely a congenital hemangioma (commonly referred to as a birthmark, which is a type of benign vascular lesion), and observation is recommended.[Read More] Long-Standing Blood Clot on Foot: What You Need to Know