Should You Be Concerned About a Hard Lump in Your Armpit?
There is a hard lump in the armpit? If you have a hard lump in your armpit that has been present for one to two years without any significant changes or symptoms, and it only causes mild discomfort when pressed, it may not be an immediate cause for concern. However, it is importa...
Dr. Lai Yicheng reply Oncology
Mr. Stacy: There is a lump in your armpit. Since I cannot perform a physical examination, I am unable to fully assess your condition. I recommend that you visit a dermatologist or a surgeon for evaluation at Changhua Hospital. Sincerely, Dr. Lai Yi-Cheng, Department of Radiation ...[Read More] Should You Be Concerned About a Hard Lump in Your Armpit?
Understanding Pain Under the Nipples: Possible Causes and Concerns
Pain when pressing on the left or right nipple? Pain upon pressure on the nipples, specifically located just below the nipples, is noted. There is no pain when pressing the surrounding areas. The left nipple feels less severe, but still painful, while the right nipple feels more ...
Dr. Lai Yicheng reply Oncology
What are the main symptoms of breast cancer? 1. Painless breast lump. 2. Nipple retraction. 3. Abnormal nipple discharge, especially if it is bloody. 4. Changes in breast shape, with localized indentations or protrusions. 5. Skin changes on the breast resembling orange peel, redn...[Read More] Understanding Pain Under the Nipples: Possible Causes and Concerns
Should We Wait for Follow-Up Ultrasound for a 2.3 cm Liver Tumor?
Liver tumor measuring 2.3 centimeters, with all blood test indices showing positive results? Hello Doctor: My mother is 45 years old, and her recent health check-up report showed a liver tumor measuring 2.3 cm. When we visited the hospital, the doctor only mentioned to wait for a...
Dr. Lai Yicheng reply Oncology
Dear Ms. Hui, Thank you for your letter. In response to your inquiry regarding your mother, the health check report indicates a liver tumor measuring 2.3 cm. To confirm the diagnosis, you may discuss with your attending physician to arrange for a triphasic CT scan of the liver. ...[Read More] Should We Wait for Follow-Up Ultrasound for a 2.3 cm Liver Tumor?
Should You Get a Checkup for a Hard Lump on the Back of Your Head?
There is a hard lump at the back of the head? I have a hard lump about 3 centimeters in size on the back of my head that has been present for approximately 3 to 4 years. Should I get it checked?
Dr. Lai Yicheng reply Oncology
Dear Susan, Thank you for your inquiry. I recommend that you consult with a general surgeon and a neurosurgeon regarding the approximately 3 cm hard lump located at the back of your head. Further examination may be necessary, and if warranted, a biopsy could be performed. Than...[Read More] Should You Get a Checkup for a Hard Lump on the Back of Your Head?
Do I Need Chemotherapy After Stage 1 Breast Cancer Surgery?
Does cancer require chemotherapy? I have stage I breast cancer, have already undergone surgery, and my cancer markers are normal. Do I still need to undergo chemotherapy?
Dr. Lai Yicheng reply Oncology
Dear Ms. Cola, Thank you for your letter. The treatment for breast cancer depends on the degree of cellular differentiation indicated in your pathology report, which may lead to different approaches and treatment plans. Since I have not reviewed your pathology report, I cannot p...[Read More] Do I Need Chemotherapy After Stage 1 Breast Cancer Surgery?
Understanding Stage 4 Lymphoma: Prognosis and Treatment Options
Stage IV Lymphoma I'm sorry to hear about your situation. It's important to consult with a healthcare professional for personalized advice and support.
Dr. Lai Yicheng reply Oncology
Miss Niu: You asked about the survival period? I am unable to answer that. Please consult your attending physician. Wishing you all the best. Changhua Hospital cares about you. Radiation Oncology, Dr. Lai Yi-Cheng.[Read More] Understanding Stage 4 Lymphoma: Prognosis and Treatment Options
Understanding Multiple Myeloma: Treatment Response and Maintenance Therapy
Multiple Myeloma Thank you for the response on May 4th. The IgG level decreased from 3480 mg/L before treatment to 1590 mg/L. If the units are as stated, does this indicate a complete remission of the treatment? If so, does the physician's subsequent use of Revlimid represen...
Dr. Lai Yicheng reply Oncology
Dear Ms. Chen, Thank you for your letter. Here is the response: The normal range for IgG is 690-1400 mg/dL. Your levels have decreased from 3480 mg/L to 1590 mg/L, indicating some improvement, but they are still above the standard value. The first-line treatment for multiple m...[Read More] Understanding Multiple Myeloma: Treatment Response and Maintenance Therapy
Understanding Neck Lumps: Could They Indicate Lymphoma?
A lump in the neck? Hello doctor, around January I noticed a lump in my throat, approximately 0.5 cm in size. It is not painful and not very hard. Then in mid-February, I found another lump on the right side of my neck, less than 1 cm in size, which is also not very hard and hasn...
Dr. Lai Yicheng reply Oncology
Dear Student, I acknowledge your message. Without actually seeing your condition, it is difficult to make an accurate assessment. Please visit the hospital for a diagnosis from a dermatologist or a surgeon. Changhua Hospital cares about you. Sincerely, Dr. Lai Yi-Cheng De...[Read More] Understanding Neck Lumps: Could They Indicate Lymphoma?
Understanding Multiple Myeloma Treatment: Questions About Therapy Options
Multiple Myeloma Dear Director, My father is seventy years old and was diagnosed with multiple myeloma last June. An X-ray report indicated that his bones were not affected. He began treatment with Velcade in late June last year, completing eight cycles by early March. His IgG l...
Dr. Lai Yicheng reply Oncology
Dear Ms. Chen, Thank you for your letter. Here are my responses: 1. Regarding your IgG level of 3480, the unit is either g/L or mg/L. If the unit is g/L, the current level of 1590 g/L is still too high, indicating that the treatment effect is not ideal, which is why the physici...[Read More] Understanding Multiple Myeloma Treatment: Questions About Therapy Options
Possible Causes of a 2cm Hard Lump Under the Left Nipple
Nipple lump (left) Hello doctor, two weeks ago I discovered a hard lump about 2 centimeters in size located just below the left nipple. It does not cause any pain when lightly pressed. What could this possibly be?
Dr. Lai Yicheng reply Oncology
Dear Student, I acknowledge your message. In response, I would like to inform you that general lumps can be classified as benign or malignant. A thorough clinical evaluation and examination are necessary for proper assessment. I recommend seeking consultation with a breast surg...[Read More] Possible Causes of a 2cm Hard Lump Under the Left Nipple
Is Delayed Radiation Therapy Increasing Cancer Recurrence Risk?
Is it too late for radiation therapy? Hello Dr. Lai! Two years ago, I underwent a partial mastectomy on my left breast, and the tumor measured 2.6 cm with no lymph node involvement. My Oncotype recurrence score was 18%, and my doctor mentioned that taking an aromatase inhibitor f...
Dr. Lai Yicheng reply Oncology
Dear Madam, Thank you for your letter. I would like to respond as follows: The delay of nearly five months before starting radiation therapy has not been formally documented in the medical community regarding its impact on the likelihood of recurrence. Please rest assured and co...[Read More] Is Delayed Radiation Therapy Increasing Cancer Recurrence Risk?
Understanding Stage 4 Lymphoma: Options and Hope for Patients
Lymphoma metastasis Hello, I would like to ask if there is really no hope for stage IV lymphoma that has metastasized to the lungs (with half of the lungs affected). It has been a year since the onset of the disease... All treatments for lymphoma have been administered, and radia...
Dr. Lai Yicheng reply Oncology
Dear Sir/Madam, Thank you for your letter. I would like to clarify that the description of the treatment regimen for lymphoma is unclear, such as which specific medications were administered. It is difficult to provide you with comprehensive advice. However, I can offer general ...[Read More] Understanding Stage 4 Lymphoma: Options and Hope for Patients
Curcumin's Potential in Inhibiting Multiple Myeloma Growth: Current Insights
Multiple Myeloma I found research reports from the University of Texas MD Anderson Cancer Center and Virginia Tech regarding multiple myeloma, indicating that curcumin has the ability to inhibit the growth of cancer cells. Are there any clinical trial reports or information avail...
Dr. Lai Yicheng reply Oncology
Mr. Yan: Thank you for your letter. In response to your inquiry regarding the ability of curcumin to inhibit cancer cell growth, as you mentioned, there are relevant research reports from the University of Texas MD Anderson Cancer Center and Virginia Tech in the United States. Ho...[Read More] Curcumin's Potential in Inhibiting Multiple Myeloma Growth: Current Insights
Understanding a Soft Bump Near Your Ear: What Could It Be?
There is a lump located at the area where the ear connects to the face? Hello Doctor, I have a lump in the area where my ear connects to my face. I’m not sure what it is; it doesn’t hurt when I press on it, and it’s not uncomfortable. It feels very elastic and has been there for ...
Dr. Lai Yicheng reply Oncology
Dear Ms. Bear, Thank you for your letter. In response, I personally believe that the soft tissue mass located above your ear, where it connects to your face, has not grown for a long time. Since I have not had the opportunity to examine your soft tissue directly, I recommend tha...[Read More] Understanding a Soft Bump Near Your Ear: What Could It Be?
Understanding Neck Lumps: When to Worry About Lymph Nodes
Neck issues Hello doctor, I am 22 years old. Recently, I noticed a movable lump about 1 to 2 centimeters in size near my neck, around the right clavicle area. It is somewhat hard and does not hurt when pressed. It has been present for about a week. I am unsure if this is just a s...
Dr. Lai Yicheng reply Oncology
Hello Ms. Lin: Thank you for your inquiry. You may visit the Ear, Nose, and Throat (ENT) department at the hospital for consultation. For general surgery consultations, please also consider the services available. Changhua Hospital cares about you. Sincerely, Dr. Lai Yi-Cheng, De...[Read More] Understanding Neck Lumps: When to Worry About Lymph Nodes
Managing Pituitary Gland Enlargement: Health Tips and Supplements
Health Care for Pituitary Gland Enlargement I previously had an MRI that revealed some abnormalities in my pituitary gland (the shape is not clearly defined, but there is indeed some enlargement). I also underwent a visual field test, and the follow-up has been scheduled. However...
Dr. Lai Yicheng reply Oncology
Hello Ms. Ting, Thank you for your letter. I would like to respond as follows: Since I have not seen your imaging results, I am unable to provide you with more comprehensive advice. I recommend that you consult with a nutritionist in the hospital's nutrition department for...[Read More] Managing Pituitary Gland Enlargement: Health Tips and Supplements
Understanding Movable Lumps Under the Armpit: When to Seek Medical Advice
There is a hard lump in the armpit? A few days ago, I felt some soreness near my right armpit and thought it was just a simple strain. While massaging the area, I discovered a movable lump that causes slight pain when pressed. It feels small, and from the outside, there is no pro...
Dr. Lai Yicheng reply Oncology
Dear Miss Hsiao-Yu, Thank you for your inquiry. Without having seen your condition in person, it is difficult to answer your questions. I recommend that you return to the hospital to consult with a surgeon or a dermatologist. Best regards, Dr. Lai Yi-Cheng Department of R...[Read More] Understanding Movable Lumps Under the Armpit: When to Seek Medical Advice
Understanding Hard Lumps in the Chest: Causes and Concerns for Men
A hard lump in the center of a man's chest? Hello Doctor: A few days ago, I noticed a hard lump in my chest, slightly to the left of the center. It hurts when pressed, and it is slightly smaller than a one-dollar coin. It looks like a swollen area from a mosquito bite, but t...
Dr. Lai Yicheng reply Oncology
Mr. Zhu: Thank you for your inquiry. Without having seen your condition in person, it is difficult to answer your questions. I recommend that you return to the hospital's surgical dermatology department for evaluation by a physician. Changhua Hospital cares about you. Sincer...[Read More] Understanding Hard Lumps in the Chest: Causes and Concerns for Men
Hard Lump on Thigh: What You Need to Know and Where to Seek Help
There is a hard lump in the thigh? Hello Doctor, a couple of days ago while sitting, I accidentally felt a round, hard mass on the outer side of my thigh, about the size of an egg. It is not visible from the outside, and I can't really feel it when standing, but when I squat...
Dr. Lai Yicheng reply Oncology
Dear Ms. Jill: Thank you for your inquiry. You may consult the Dermatology and Surgery departments at Changhua Hospital. Best regards, Dr. Lai Yi-Cheng, Radiation Oncology.[Read More] Hard Lump on Thigh: What You Need to Know and Where to Seek Help
Understanding Lymphatic Swelling in the Neck: Causes and Next Steps
There is lymphatic edema in the left side of the neck? Hello, doctor. Three years ago, I discovered lymphatic swelling on the left side of my neck (about five centimeters from the thyroid position, approximately 1.5 times larger than the corresponding lymph node on the right side...
Dr. Lai Yicheng reply Oncology
Dear Mr. Huan, In response to your inquiry, please find the answers below: 1. Your concern about "tumors in the neck metastasizing to the oral cavity" is not a phenomenon that occurs clinically. Additionally, the description of "left cervical lymphatic swelling, ...[Read More] Understanding Lymphatic Swelling in the Neck: Causes and Next Steps