Understanding Bruising and Blood Disorders: Is It Blood Cancer?
Blood disorders Hello, doctor. Recently, I noticed that I have bruises around my knees. The last time, there were about 6-7 small bruises on my knee, not large ones. They eventually faded away. Last week, I saw 4 bruises, and they went away as well. Today, I noticed one bruise on...
Dr. Lai Yicheng reply Oncology
Hello: Regarding your symptoms, please visit a hematology-oncology specialist and an immunology-rheumatology specialist for evaluation. The doctor will perform a physical examination and determine whether a biopsy or blood tests are necessary. Treatment, prescriptions, or diagnos...[Read More] Understanding Bruising and Blood Disorders: Is It Blood Cancer?
Understanding the Link Between Birth Control Pills and Breast Cancer Risk
The relationship between breast cancer and oral contraceptives? Hello Dr. Lai: I would like to ask you a few questions: Is it advisable for individuals with a family history of breast cancer to use oral contraceptives? Does the dosage of contraceptives have an impact on breast ca...
Dr. Lai Yicheng reply Oncology
Hello: Currently, epidemiological studies have not confirmed a link between the use of oral contraceptives and the risk of breast cancer. The relationship between breast cancer and genetic inheritance, as well as dietary habits, is much clearer. If you have a family history that ...[Read More] Understanding the Link Between Birth Control Pills and Breast Cancer Risk
Understanding Lymph Node Swelling: Causes and Concerns
Lymphatic issues Doctor, I have a question: I found a marble-sized lump on the right side where my jaw connects to my neck. It doesn't hurt when I touch it, but it does hurt when I press on it. I can feel it better when I tilt my head back, but it's harder to feel when ...
Dr. Lai Yicheng reply Oncology
Hello: Regarding your symptoms, please visit a dermatologist and an otolaryngologist for evaluation. The doctor will perform a physical examination and determine whether a biopsy is necessary. Treatment, prescriptions, or diagnoses cannot be provided without a personal examinatio...[Read More] Understanding Lymph Node Swelling: Causes and Concerns
Understanding Swelling and Lumps in the Armpit: Causes and Solutions
Swelling and small lumps in the armpit? When I touch the lower right armpit (the middle of the axilla) while showering, I feel a small lump (colorless, about the size of a mung bean, not like an inflamed follicle as in acne, no pus, and slight pain when pressed). It seems slightl...
Dr. Lai Yicheng reply Oncology
Hello: Regarding your symptoms, please visit a breast surgery specialist for an evaluation. The doctor will perform a physical examination to confirm the diagnosis. Treatment, prescriptions, or diagnostic reports cannot be provided without a personal examination by the physician....[Read More] Understanding Swelling and Lumps in the Armpit: Causes and Solutions
Understanding Treatment Options for Advanced Liver Cancer in Elderly Patients
Is liver cancer metastasizing and spreading throughout the body? Dear Doctor, My mother is 89 years old. Last year, she was diagnosed with liver cancer, and after undergoing transarterial embolization and radiofrequency ablation, it was discovered that there were metastases, whi...
Dr. Lai Yicheng reply Oncology
Dear Sir, Regarding your inquiry, according to the National Health Insurance regulations, there are conditions that qualify for coverage. However, whether your mother’s physical condition can tolerate the side effects of targeted therapy or chemotherapy needs to be assessed thro...[Read More] Understanding Treatment Options for Advanced Liver Cancer in Elderly Patients
Understanding a Small Neck Lump: Should You Be Concerned?
There is a pea-sized lump on the back of the neck? Hello! I have a lump on the back of my neck that is slightly larger than a grain of rice. It has been there for 30 years. It is not painful and has not grown larger. What could this condition be? Is surgery necessary for removal?...
Dr. Lai Yicheng reply Oncology
Hello: Regarding your symptoms, please visit a specialist in surgery or otolaryngology for evaluation. The doctor will perform a physical examination and further confirmation. Thank you for your inquiry. Sincerely, Dr. Lai Yi-Cheng, Department of Radiation Oncology, Changhua Hosp...[Read More] Understanding a Small Neck Lump: Should You Be Concerned?
Understanding Adrenal Tumors: Treatment, Testing, and Symptoms Explained
Adrenal adenoma 1. Does an adrenal adenoma require treatment and follow-up? 2. After undergoing blood and urine tests with a urologist, the test results showed issues, but the doctor only emphasized the importance of regularly monitoring blood pressure. 3. Can an adrenal aden...
Dr. Lai Yicheng reply Oncology
1. Does an adrenal adenoma require treatment and follow-up? Regular monitoring and check-ups are necessary. 2. After undergoing blood and urine tests with a urologist, there were issues in the test results, but the doctor only emphasized the importance of regularly monitoring b...[Read More] Understanding Adrenal Tumors: Treatment, Testing, and Symptoms Explained
Understanding Lumps Under the Armpit: When to Seek Further Evaluation
There is a lump in the armpit? Hello Doctor, I am 20 years old! Recently, I found a lump in my right armpit while showering. It's a little smaller than 2 centimeters. I had a cold earlier and felt weak and fatigued. The lump hurts when I touch it, but it doesn't hurt wh...
Dr. Lai Yicheng reply Oncology
Hello: Regarding your symptoms, please visit a surgical specialist for evaluation. The doctor will perform a physical examination to confirm the diagnosis. Treatment, prescriptions, or issuance of a diagnosis certificate cannot be provided without a personal examination by the ph...[Read More] Understanding Lumps Under the Armpit: When to Seek Further Evaluation
Understanding Lumps Under the Skin: When to Seek Medical Advice
There is a lump under the fluid? A few days ago, I suddenly noticed a lump under my skin while showering. It doesn't hurt when I press it lightly, but it does hurt when I press it harder. What could this condition be? Which specialist should I see?
Dr. Lai Yicheng reply Oncology
Hello: Regarding your symptoms, please visit a surgical specialist for evaluation. The doctor will perform a physical examination to confirm the diagnosis. Treatment, prescriptions, or diagnostic reports cannot be provided without a personal examination by the physician. Thank yo...[Read More] Understanding Lumps Under the Skin: When to Seek Medical Advice
Understanding Groin Lumps: Causes and When to Seek Medical Help
Inguinal mass Hello Doctor, on January 15th, I noticed some itching in my left groin area, specifically where my underwear would rub against. Upon touching it, I discovered a small lump, which was not large at first. However, the next day it noticeably increased in size (about 2 ...
Dr. Lai Yicheng reply Oncology
Hello: Regarding your question, you may consult a dermatologist or an obstetrician-gynecologist to assess whether further examination or regular follow-up is necessary. Thank you for reaching out for consultation. Sincerely, Dr. Lai Yi-Cheng, Department of Radiation Oncology, Cha...[Read More] Understanding Groin Lumps: Causes and When to Seek Medical Help
Persistent Sore Throat and Swollen Lymph Nodes: Should I Be Concerned?
I've had a sore throat for a while, and I'm a bit worried? I have been experiencing unilateral sore throat for almost six months and have seen many ENT specialists. They all said that my immune system is weak, which makes me prone to illness. Recently, in the past few w...
Dr. Lai Yicheng reply Oncology
Dear Dede's younger brother, Regarding your symptoms, please visit a regional otolaryngology specialist for evaluation. The doctor will perform a physical examination and confirm the diagnosis. A specialist will conduct an endoscopy and assess whether a biopsy is necessary....[Read More] Persistent Sore Throat and Swollen Lymph Nodes: Should I Be Concerned?
Is Shoulder and Neck Pain After Chemotherapy a Sign of Bone Metastasis?
Is the unusual pain in the shoulder, neck, and armpit after the third chemotherapy session for breast cancer a sign of bone metastasis? Multiple tumors in the right breast (1.8 cm, and ductal carcinoma in situ) with three lymph nodes affected. After surgical removal, an eight-cyc...
Dr. Lai Yicheng reply Oncology
Hello, Ms. Lee: Question: Should I get follow-up examinations for signs of metastasis? Response: Bone metastasis commonly occurs in the axial skeleton, such as the spine, pelvis, ribs, and skull, as well as the ends of long bones (such as the femur and humerus). Patients often ...[Read More] Is Shoulder and Neck Pain After Chemotherapy a Sign of Bone Metastasis?
Understanding Retroperitoneal Tumors: Diagnosis and Management Insights
Retroperitoneal tumor Hello! In early October, during a physical examination, an abdominal ultrasound revealed left hydronephrosis. I was hospitalized in the urology department for an intravenous pyelogram (IVP), abdominal CT, and MRI (all with contrast injection), as well as ure...
Dr. Lai Yicheng reply Oncology
1. Can MRI determine whether a lesion is benign, malignant, or inflammatory? Answer: No, MRI cannot determine this. The indications for MRI include: head, cerebrovascular conditions, various spinal nerve disorders, tumors, abdominal, liver, spleen, pancreas, kidney lesions, pelvi...[Read More] Understanding Retroperitoneal Tumors: Diagnosis and Management Insights
Is a CEA Level of 10,000 Possible? Understanding Cancer Markers and Implications
Is it really possible for the CEA level to reach 10,000? Hello Dr. Lai, I discovered a CEA level of 1085 during my health check in August this year, and subsequently, a re-test at the clinic showed a value of 1500. Later, after transferring to another hospital, the test results i...
Dr. Lai Yicheng reply Oncology
Are there other potential underlying conditions in this situation? 1. CEA is a convenient but not an "ideal" marker. The diversity of influencing factors makes it impossible to specify which type of cancer it indicates. It is primarily used for monitoring. Is there a li...[Read More] Is a CEA Level of 10,000 Possible? Understanding Cancer Markers and Implications
Understanding Yttrium-90 Treatment Challenges in Liver Metastasis
Yttrium-90 therapy issues The patient has colorectal cancer with liver metastasis. After evaluation by the physician, it was determined that Yttrium-90 (Y-90) radioembolization therapy could be used to target the liver tumors. The first phase of the treatment went smoothly; howev...
Dr. Lai Yicheng reply Oncology
Hello Ms. Wu: The problem statement is unclear, making it difficult to provide suggestions. A personal consultation is recommended. If you are unable to visit our hospital, please discuss and communicate with your attending physician to clarify any confusion. Dr. Lai from the Dep...[Read More] Understanding Yttrium-90 Treatment Challenges in Liver Metastasis
Is a CEA Level of 10,000 Possible? Understanding Cancer Marker Limits
Is it really possible for the CEA level to reach 10,000? Hello Director Lai, I discovered a CEA level of 1085 during my health check in August this year, and subsequently, the clinic tested it again with a value of 1500. Later, after transferring to another hospital, the results ...
Dr. Lai Yicheng reply Oncology
Hello, Miss La Bao: Question 1. Is there a limit to the CEA index? Carcinoembryonic antigen (CEA) is the most commonly used tumor marker for colorectal cancer. However, CEA is not exclusive to colorectal cancer; it can also be elevated in breast cancer, gastric cancer, pancre...[Read More] Is a CEA Level of 10,000 Possible? Understanding Cancer Marker Limits
Understanding Small Hard Lumps on the Arm: When to Seek Medical Advice
There is a small hard lump on the arm? There is a small hard lump on my arm near the elbow. It started as a lump about 1 centimeter in size, and then it became red, swollen, and started to ooze pus. I thought it was just a pimple, so I left it alone, but now, almost two weeks lat...
Dr. Lai Yicheng reply Oncology
Hello: Regarding your symptoms, please visit a surgical specialist for evaluation. The doctor will perform a physical examination and further confirmation. Treatment, prescriptions, or diagnoses cannot be provided without a personal examination by the physician. Thank you for you...[Read More] Understanding Small Hard Lumps on the Arm: When to Seek Medical Advice
Is Unilateral Posterior Auricular Lymphadenopathy a Cause for Concern?
Unilateral posterior auricular lymphadenopathy? Unilateral posterior auricular lymphadenopathy, approximately 1.5 cm in size, not easily movable, with noticeable swelling and mild tenderness. Should I seek medical attention?
Dr. Lai Yicheng reply Oncology
Hello: Regarding your inquiry, please consult an otolaryngologist for a physical examination and evaluation to determine the diagnosis. You may see Dr. Hsu Chia-Fang at our hospital's ENT department for assessment. Thank you for reaching out. Sincerely, Dr. Lai Yi-Cheng (Dir...[Read More] Is Unilateral Posterior Auricular Lymphadenopathy a Cause for Concern?
Understanding Lumps Behind the Ear: When to Seek Medical Attention
A lump was found behind the left ear? Hello Doctor, I am a 23-year-old male, 178 cm tall and weighing 80 kg. I am currently studying abroad and unable to return to Taiwan for a medical consultation, so I am reaching out for your assistance. Seven days ago, I suddenly experience...
Dr. Lai Yicheng reply Oncology
Mr. Tony: Hello, the physician cannot provide treatment without a personal examination. Please refer to similar questions in this field. You may consult a general surgeon or seek evaluation from an otolaryngology specialist. A doctor will perform a physical examination and provid...[Read More] Understanding Lumps Behind the Ear: When to Seek Medical Attention
Should You Remove a Benign Kidney Tumor? Key Considerations and Risks
If a kidney tumor is determined to be benign through biopsy, is surgical removal necessary? Hello Doctor: Recently, an ultrasound and a CT scan revealed a tumor approximately 2.5 cm in size on my right kidney. A biopsy confirmed it is benign. My questions are: 1. Is there a possi...
Dr. Lai Yicheng reply Oncology
Mr. Santos replied: 1. Regular follow-up is sufficient, with an ultrasound every three months and a CT scan annually. 2. The accuracy of the biopsy is reliable. 3. Essentially, please consult with your physician regarding the necessity of removal, as benign removal is not mandato...[Read More] Should You Remove a Benign Kidney Tumor? Key Considerations and Risks