Understanding Armpit Pain: When to See a Specialist for Tumor Concerns
Axillary swelling and pain? A few days ago, while showering, I noticed a small area in my armpit that hurts when pressed, but there is no obvious lump when I look at it. It feels somewhat hard when pressed, but not very hard (just a little bit hard), and it feels a bit swollen. I...
Dr. Lai Yicheng reply Oncology
Hello, Miss. The physician cannot provide treatment without a personal examination. Please refer to similar questions in this field. You may consult a general surgeon or a breast surgeon for an examination. Radiation Oncology, Dr. Lai, October 16, 2018.[Read More] Understanding Armpit Pain: When to See a Specialist for Tumor Concerns
Should My 67-Year-Old Mother with 1cm Breast Cancer Undergo Chemotherapy?
Breast cancer measuring 1 cm without metastasis, uncertain whether to undergo chemotherapy? Dear Dr. Lai, My mother is currently 67 years old and has hypertension. She is continuously taking medications including Clonidine, Bisoprolol, and Amlodipine. She also has bone spur issu...
Dr. Lai Yicheng reply Oncology
Hello Ms. Lai: Whether adjuvant chemotherapy is needed after breast cancer surgery primarily depends on the tumor size. For example, if the tumor is larger than 1 cm or there is axillary lymph node metastasis, adjuvant chemotherapy is recommended. Here, it is important to explain...[Read More] Should My 67-Year-Old Mother with 1cm Breast Cancer Undergo Chemotherapy?
Understanding Axillary Lumps: Are They Cancerous?
Axillary lump I have had breast cancer for almost 9 years. There is currently swelling in my left armpit, where I had breast cancer surgery. When I raise my arm, it is noticeably swollen, but it does not hurt when I press on it, and I cannot feel a distinct lump. Could this be a ...
Dr. Lai Yicheng reply Oncology
Hello: Regarding your symptoms, please visit a breast surgery specialist for evaluation. The doctor will perform a physical examination and further confirm the diagnosis. Treatment, prescriptions, or diagnostic reports cannot be provided without a personal examination by the phys...[Read More] Understanding Axillary Lumps: Are They Cancerous?
Radiation Therapy for Breast Cancer: Impact on Lymph Node Areas
Radiation therapy for lymphatic regions in breast cancer? Hello Dr. Lai, I would like to ask if the lymphatic areas are also irradiated during radiation therapy for the breast, or if there is a need to specifically adjust the radiation angles? The pathology report indicates tha...
Dr. Lai Yicheng reply Oncology
Hello: Regarding radiation therapy, it is aimed at treating cancer cells. If there are no cancer cells, radiation therapy is not necessary. Changhua Hospital cares about you. Department of Radiation Oncology, Dr. Lai Yi-Cheng.[Read More] Radiation Therapy for Breast Cancer: Impact on Lymph Node Areas
Impact of Radiation Therapy on GORE-TEX in Nasal Reconstruction
The effect of radiation therapy on GORE-TEX materials? Hello doctor, I previously underwent rhinoplasty using GORE-TEX material due to a car accident. I have recently been diagnosed with nasopharyngeal cancer and need to undergo radiation therapy. I would like to know if radiatio...
Dr. Lai Yicheng reply Oncology
Hello Ms. Samy, the area of your nose is not within the radiation zone for nasopharyngeal carcinoma, so it should not affect the use of GORE-TEX material for the procedure. Changhua Hospital, Department of Radiation Oncology, Dr. Lai Yi-Cheng, May 21, 2018.[Read More] Impact of Radiation Therapy on GORE-TEX in Nasal Reconstruction
Understanding Synovial Sarcoma: A Rare and Challenging Tumor
Synovial sarcoma Hello, doctor. My brother was diagnosed with a malignant tumor in his kidney two months ago, measuring 5.4 x 4 cm. It was suspected to be renal cell carcinoma (RCC), but after surgery, the pathology results indicated it was Ewing sarcoma. A comprehensive examinat...
Dr. Lai Yicheng reply Oncology
Your brother has been diagnosed with synovial sarcoma, which is a rare type of cancer. Currently, I do not have experience in treating this disease. The primary treatment for this condition is surgery. If the tumor is not completely resected or if the cells are of high-grade mali...[Read More] Understanding Synovial Sarcoma: A Rare and Challenging Tumor
Understanding Lymph Node Swelling: When to Worry and What to Do
Lymphadenopathy Hello doctor, I have found a lymph node in my neck that is about 0.5 cm in size. It is not painful and does not move much. Is this a cause for concern? Last week, I had an allergic rhinitis flare-up and my throat was also sore; I wonder if there is a connection. I...
Dr. Lai Yicheng reply Oncology
Hello: Regarding your inquiry, please consult an otolaryngologist for a physical examination and assessment to determine the diagnosis. You may see Dr. Hsu Chia-Fang at our hospital's ENT department for evaluation. Thank you for reaching out. Sincerely, Dr. Lai Yi-Cheng (Dir...[Read More] Understanding Lymph Node Swelling: When to Worry and What to Do
Can Radiation and Chemotherapy Be Combined for Cancer Treatment?
Can radiation therapy and chemotherapy be done together? Hello, Director Lai. I have a matter I am unsure about. My wife was diagnosed with stage 3 breast cancer, which recurred three years later and metastasized to the lymph nodes on the other side. After two years of chemothera...
Dr. Lai Yicheng reply Oncology
Dear Mr. Lee, Regarding your question, radiation therapy and chemotherapy can be administered simultaneously. It is important to take advantage of the optimal treatment window and not delay therapy any further. If you experience any side effects during the treatment process, pl...[Read More] Can Radiation and Chemotherapy Be Combined for Cancer Treatment?
Understanding Ear Tumors: What Could a Soft Lump in Your Ear Mean?
Ear tumor Doctor, I have a soft lump at the entrance of my right ear canal. When I press on it, it flattens, and I feel a small hard lump inside that seems to move. When I release the pressure, it expands back into a lump. Could this be ear canal cancer? I have researched a lot, ...
Dr. Lai Yicheng reply Oncology
Dear Cheng Cheng, Regarding your symptoms, please visit an otolaryngology specialist for evaluation. The doctor will perform a physical examination and further confirm the diagnosis. Thank you for reaching out for consultation. Sincerely, Dr. Lai Yi-Cheng Department of Ra...[Read More] Understanding Ear Tumors: What Could a Soft Lump in Your Ear Mean?
Understanding Movable Lumps in the Armpit: What to Do Next?
There is a hard lump in the armpit? There is a hard lump in my armpit about the size of a BB pellet that moves around. I discovered it about three years ago, and recently I squeezed it, but it burst and disappeared. I would like to know what the implications might be and what I s...
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 confirm the diagnosis. Thank you for reaching out for consultation. Changhua Hospital cares about you. Dr. Lai Yi-Cheng, Department of Rad...[Read More] Understanding Movable Lumps in the Armpit: What to Do Next?
Choosing Between Erbitux and Vectibix for Stage IV Colon Cancer
Targeted therapy options for stage IV colorectal cancer? In the case of stage IV colorectal cancer, both Erbitux (cetuximab) and Vectibix (panitumumab) require RAS gene testing to ensure there are no mutations before they can be used. What are the differences between the two? How...
Dr. Lai Yicheng reply Oncology
Dear Mr. Chen, Regarding your inquiry, the National Health Insurance has specific reimbursement regulations: 1. Cetuximab (e.g., Erbitux): a. For the treatment of metastatic colorectal cancer: i. First-line treatment for patients with RAS wild-type metastatic colorect...[Read More] Choosing Between Erbitux and Vectibix for Stage IV Colon Cancer
Thyroid Nodules: Cyst or Cancer? Understanding Your Diagnosis
Thyroid cyst or malignant tumor? I have a lump about 1.5 cm in size on the left side of my neck near the Adam's apple. I'm unsure if it's hard or soft, but it's definitely not as hard as bone (in reference to the hardness of related cancer tumors). It is movab...
Dr. Lai Yicheng reply Oncology
Hello, Mr. Luo: A thyroid cyst is a fluid-filled sac found within the thyroid gland. Thyroid cysts typically do not present symptoms unless they are large or if there is bleeding within the cyst, which may cause some compressive symptoms such as pain, difficulty swallowing, breat...[Read More] Thyroid Nodules: Cyst or Cancer? Understanding Your Diagnosis
Understanding Nasopharyngeal Lymphoid Hyperplasia: When to Consider a Second Biopsy?
Please provide the content you would like me to translate? Hello: I asked a question on November 30 last year regarding a right neck swelling and a right nasopharyngeal lymphoid tumor. The tumor measured 0.6*0.5*0.4 cm, and the biopsy results indicated lymphoid hyperplasia in the...
Dr. Lai Yicheng reply Oncology
Hello: Regarding your question, you may visit the ENT outpatient clinic to consult with a physician for an assessment on whether further examination or regular follow-up is necessary. Thank you for reaching out. Sincerely, Dr. Lai Yi-Cheng, Department of Radiation Oncology, Chang...[Read More] Understanding Nasopharyngeal Lymphoid Hyperplasia: When to Consider a Second Biopsy?
Do Patients with Stage 1A Breast Cancer Need Chemotherapy After Surgery?
For breast cancer staged as 1A N0(i) M0 after complete surgical resection, the need for chemotherapy or targeted therapy depends on several factors, including the tumor's hormone receptor status (estrogen and progesterone receptors), HER2 status, and the patient's overa...
Dr. Lai Yicheng reply Oncology
Dear Miss LISA, I have received your letter and appreciate the detailed information you provided. Here is a summary of the findings: 1. Your friend has Stage IA breast cancer, not in situ carcinoma. 2. Tumor characteristics: the tumor measures ≤ 1 mm, with three foci. 3. Lymph ...[Read More] Do Patients with Stage 1A Breast Cancer Need Chemotherapy After Surgery?
Understanding Stage IV Astrocytoma: Survival Rates and Post-Surgery Care
A family member has been diagnosed with stage IV astrocytoma, and the doctor has given a prognosis of only 1.5 years left? Hello Dr. Lai, my family member has been diagnosed with a brain tumor (Grade IV astrocytoma), and the doctor has informed us that there is only about a year ...
Dr. Lai Yicheng reply Oncology
The first question is unclear, and I cannot provide advice based on it. For the second question, please avoid consuming irritating foods such as spicy, greasy, fried foods, and stewed dishes with old ginger and Chinese cabbage. For more detailed information, you may consult a nut...[Read More] Understanding Stage IV Astrocytoma: Survival Rates and Post-Surgery Care
Understanding Swelling in the Right Neck: Possible Causes and Concerns
Swelling in the right neck? Hello Doctor: Last Friday morning, I woke up to find two lumps in the middle of my right neck. Initially, they felt similar to a calf muscle cramp, swollen and painful. When I visited the clinic that evening, one of the lumps had merged into a larger m...
Dr. Lai Yicheng reply Oncology
Hello, Miss: 1. If nasopharyngeal carcinoma has metastasized, the lump will not disappear with medication. 2. All tumor diagnoses are primarily based on pathology reports. A few are diagnosed through visual examination, unless the tumor has progressed to the point of ulceratio...[Read More] Understanding Swelling in the Right Neck: Possible Causes and Concerns
Understanding Elevated Ca-125 Levels in Endometrial and Ovarian Cancer
Elevated Ca-125 levels? Hello, doctor. My mother (57, postmenopausal) experienced bleeding a few months ago and underwent a dilation and curettage (D&C). Afterward, she was diagnosed with endometrial cancer and underwent surgery to remove her uterus, ovaries, and lymph nodes....
Dr. Lai Yicheng reply Oncology
Hello Miss Joan: Could you please discuss your concerns (including medications and examinations) with your mother's attending physician, and inquire whether a PET scan is necessary? If you are still unable to clarify your doubts, you are welcome to prepare the necessary docu...[Read More] Understanding Elevated Ca-125 Levels in Endometrial and Ovarian Cancer
Red, Painful Lump in Armpit: When to See a Doctor?
A painful, red lump in the armpit? I suddenly felt pain in my lower abdomen, and upon inspection, I noticed a swollen, red, and painful area that does not move, but there is no pus. Which specialty should I consult for this issue? Does my low water intake have any relation to thi...
Dr. Lai Yicheng reply Oncology
Hello, the physician cannot provide treatment without a personal examination. Please refer to similar questions in this field, and you may inquire further about lymph node surgery with your attending physician. Edema is related to the number of lymph nodes removed, and it is advi...[Read More] Red, Painful Lump in Armpit: When to See a Doctor?
Understanding Enlarged Left Axillary Lymph Nodes: Causes and Treatment Options
Left axillary lymphadenopathy? Hello Dr. Lai! My boyfriend discovered a large lump under his left armpit in August 2017. Prior to this, he had experienced an influenza infection, and we are unsure if that was a triggering factor. In August, he visited the oncology department at M...
Dr. Lai Yicheng reply Oncology
Hello, Miss Gu. The physician cannot provide treatment without a personal examination. Please refer to similar questions in this field and consult your attending physician regarding lymph node surgery. Since edema is related to the number of lymph nodes removed, it is advisable t...[Read More] Understanding Enlarged Left Axillary Lymph Nodes: Causes and Treatment Options
Understanding a Soft Scalp Lump: When to Seek Medical Advice
I have a lump about four centimeters in size on the top right of my head? I have a lump about four centimeters in size on the back part of my right scalp. It feels somewhat soft when pressed and is not hard. Pressing on the lump itself doesn’t cause much pain, but there is some t...
Dr. Lai Yicheng reply Oncology
It is recommended to consult a dermatologist or a general surgeon. Radiation oncology Dr. Lai, thank you.[Read More] Understanding a Soft Scalp Lump: When to Seek Medical Advice