Dr. Lai Yicheng reply Oncology Question - Page 8

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Understanding Neck Ultrasound Results: Is It Lymphoma or Not?

Neck ultrasound issues? Today I had an ultrasound of my neck and found a 0.2 cm mass. I asked the doctor if it was a tumor, and the doctor said it was a lymph node and advised me to return for a follow-up in six months. Could this be lymphoma? The doctor didn't prescribe any...


Dr. Lai Yicheng reply Oncology
Mr. Wang: I understand from your letter that you are overly worried. The 0.2 cm finding on the neck ultrasound is most likely a lymph node, and the chance of lymphoma is low. Please perform self-examinations to check for any enlargement. If there is no change, as the doctor menti...

[Read More] Understanding Neck Ultrasound Results: Is It Lymphoma or Not?


Is Local Radiation Necessary After Total Mastectomy for Stage IIB Triple-Negative Breast Cancer?

The necessity of total mastectomy and adjuvant radiotherapy? My mother, who is 77 years old, underwent a right total mastectomy and axillary lymph node dissection on January 20. The postoperative pathology report indicated triple-negative breast cancer, stage IIB T3N0M0, with a t...


Dr. Lai Yicheng reply Oncology
Dear Ms. Jojo, Thank you for your letter. I would like to respond as follows: Your mother has been diagnosed with right-sided breast cancer, T3N0M0, with a tumor size of 10 cm, grade 3, triple-negative, and stage IIB. 1. Adjuvant chemotherapy and radiotherapy are the standard ...

[Read More] Is Local Radiation Necessary After Total Mastectomy for Stage IIB Triple-Negative Breast Cancer?


Understanding Brain Tumor Treatment Options and Survival Rates

Thank you, Dr. Lai, for your continued questions? Dr. Lai: Thank you for your prompt response. My brother's brain tumor surgery was completed on March 15, and he was transferred to a regular ward on March 18. The doctor mentioned that it is not a metastatic tumor, but it is ...


Dr. Lai Yicheng reply Oncology
Dear Miss Ling, Thank you for your inquiry. I find it difficult to accurately answer your question regarding "survival rates," as this depends on the pathology report for precise determination. Different cancer cells have varying prognoses, and treatment methods also d...

[Read More] Understanding Brain Tumor Treatment Options and Survival Rates


Can Breast Cancer Patients Safely Consider Pregnancy After Treatment?

Can breast cancer patients conceive? Hello, I am a breast cancer patient. I have completed 6 cycles of chemotherapy and have 30 sessions of radiation therapy remaining. I am currently taking hormone therapy medication, and my doctor mentioned that I need to take it for at least 5...


Dr. Lai Yicheng reply Oncology
Dear Ms. Candy, Thank you for your inquiry. Here are the responses to your questions: 1. You should wait at least two years after chemotherapy before attempting to conceive. 2. Pregnancy is not permitted during radiation therapy. 3. During hormone therapy with Nolvadex (Tamoxif...

[Read More] Can Breast Cancer Patients Safely Consider Pregnancy After Treatment?


Understanding Esophageal Hardening After Cancer Treatment: What to Expect

Esophageal rigidity? Hello, Doctor. My father, who has stage III esophageal cancer, underwent chemotherapy and radiation therapy. Three years later, he is experiencing difficulty swallowing again. After a follow-up visit and an endoscopy, it was found that his esophagus has becom...


Dr. Lai Yicheng reply Oncology
Dear Miss Tinglee828, Thank you for your letter. In response to your concerns about your father's esophagus becoming more rigid after chemotherapy, I personally believe that since it has been three years since the treatment, the tissue should be relatively stable, and the c...

[Read More] Understanding Esophageal Hardening After Cancer Treatment: What to Expect


Understanding a Hard Lump on the Back of the Neck: Is It a Tumor?

There is a hard lump in the back of the neck? Hello, I discovered a hard lump about 1 centimeter in size near the right side of my nape, just below the hairline, last night. It does not move and I do not have any symptoms such as fever or illness. Could this possibly be a tumor?


Dr. Lai Yicheng reply Oncology
Dear Orange, In response to your inquiry, I would like to address the hard lump approximately 1 cm in size located on the right side of your posterior neck, near the hairline. It is non-mobile and you do not exhibit any symptoms such as fever or illness. I personally believe it ...

[Read More] Understanding a Hard Lump on the Back of the Neck: Is It a Tumor?


Exploring Torisel Coverage for Metastatic Kidney Cancer Treatment Options

Hello, doctor. Regarding the application for reimbursement of Torisel for metastatic renal cell carcinoma? Hello, doctor. My mother was diagnosed with kidney cancer, which has already metastasized to the lungs, bones, adrenal glands, neck, and multiple lymph nodes. The biopsy fro...


Dr. Lai Yicheng reply Oncology
Dear Pharmacist, Thank you for your letter. Here is my response: 1. Regarding the diagnosis - The biopsy was taken from the L3 vertebra and the adrenal metastasis. The pathology report shows positive results for AMACR and PAX8. Both of these immunohistochemical tests are non-sp...

[Read More] Exploring Torisel Coverage for Metastatic Kidney Cancer Treatment Options


Understanding Armpit Lumps: Causes, Symptoms, and When to Worry

Axillary lump Since November of last year, I have experienced alternating swelling in both armpits, about the size of a five-dollar coin. The first one naturally ruptured and discharged pus, while the second one disappeared on its own without breaking. However, both left marks on...


Dr. Lai Yicheng reply Oncology
Mr. Jiang has reported recurring lumps under both armpits and below the abdomen that are discharging pus. I personally believe that Mr. Jiang's symptoms, including obesity and lack of exercise, are more indicative of inflammation around the subcutaneous hair follicles (furun...

[Read More] Understanding Armpit Lumps: Causes, Symptoms, and When to Worry


Understanding Brain Tumors: Concerns and Survival Rates for Patients

Please help me? Hello, Doctor. My brother is 32 years old and went to the emergency room due to dizziness and discomfort, where he was diagnosed with a brain tumor. He is scheduled for surgery to remove the tumor tomorrow. There are three small tumors and one large tumor measurin...


Dr. Lai Yicheng reply Oncology
Dear Ms. Ling, I acknowledge your letter and would like to respond as follows: 1. Your brother has three small and one large tumor in the left hemisphere of the brain, with the largest measuring 4.5 cm. This is associated with a high likelihood of metastasis, as primary brain t...

[Read More] Understanding Brain Tumors: Concerns and Survival Rates for Patients


Understanding Painless Lumps in the Armpit: What to Know

Small lump in the armpit? My boyfriend, who is 42 years old, recently discovered a small, painless lump in his armpit. What could it be? Can we go to a health center or clinic for an examination? Do health centers offer this type of check-up? He had a free health check-up at Chan...


Dr. Lai Yicheng reply Oncology
Dear Ms. Hsiao-Ya, Thank you for your letter. Based on your description, it is difficult for us to predict your actual condition. It could possibly be a subcutaneous cyst or inflammation of the axillary lymph nodes. Please visit a health center or clinic for further evaluation a...

[Read More] Understanding Painless Lumps in the Armpit: What to Know


Could Intermittent Proteinuria Indicate Multiple Myeloma Risk?

Is intermittent proteinuria possible in multiple myeloma? Hello, I am currently 19 years old and have been experiencing intermittent proteinuria for the past four years, during which I have undergone regular monitoring (at laboratories and large hospitals). My kidney function and...


Dr. Lai Yicheng reply Oncology
Hello Mr. Cai, Thank you for your letter. Here are my responses: 1. Regarding your inquiry about the intermittent presence of protein in your urine and its possible relation to multiple myeloma, this is unlikely. The hallmark of multiple myeloma is persistent proteinuria. The p...

[Read More] Could Intermittent Proteinuria Indicate Multiple Myeloma Risk?


Understanding Painful Lumps in the Armpit: Causes and Concerns

There is a hard lump in the armpit? Recently, I discovered a small hard lump about 1cm x 0.Xcm in size in my right armpit (where the armpit hair grows, approximately parallel to the chest). It feels hard and is painful to touch, but I don't feel it under normal circumstances...


Dr. Lai Yicheng reply Oncology
Dear Mr. Kuan, Thank you for your letter. In response to your description of a small hard lump (approximately 1cm x 0.Xcm) located in the axillary region, which is painful to touch and is roughly parallel to the chest, I personally believe it resembles a subcutaneous cyst. I rec...

[Read More] Understanding Painful Lumps in the Armpit: Causes and Concerns


Understanding High-Risk Groups for Multiple Myeloma: Prevention and Management

Regarding high-risk groups for multiple myeloma? Hello Director Lai, Last year, my father was informed that he is in a high-risk group for multiple myeloma, which was discovered through blood test results. The doctor advised that he should have blood tests every three months to ...


Dr. Lai Yicheng reply Oncology
Mr. Shen: In response to your inquiry regarding your father's high-risk status for multiple myeloma, I would like to provide the following information: 1. It is generally recognized that risk factors for multiple myeloma include: age, gender (male > female), race (Black...

[Read More] Understanding High-Risk Groups for Multiple Myeloma: Prevention and Management


Uneven Armpits: Understanding Possible Lymph Node Issues

The left and right armpits are different? Recently, I noticed a slight protrusion under my right armpit that is not very obvious. It looks the same color as my skin and feels soft to the touch. It doesn't hurt, and my left side is normal! I'm really worried that it migh...


Dr. Lai Yicheng reply Oncology
Dear Sir, Thank you for your inquiry. Regarding your recent observation of a slightly prominent area under your right armpit, which appears to match the skin color and feels soft to the touch, it is possible that this may be fatty tissue. Typically, if it were an enlarged lymph ...

[Read More] Uneven Armpits: Understanding Possible Lymph Node Issues


Understanding Lateral Tumors and Malignant Adenomas in Colorectal Health

There are laterally developing tumors within the intestine and a malignant intestinal adenoma on the intestinal wall? My father was found to have a lateral type of developing adenoma in the left colon during a colonoscopy on January 28 of this year. The report indicated: "A ...


Dr. Lai Yicheng reply Oncology
Dear Ms. He, I have read your letter several times, but I still do not fully understand your content. I will attempt to answer your questions. 1. Your father's intestinal malignancy refers to colorectal cancer. From your letter, I cannot determine the stage; please consult...

[Read More] Understanding Lateral Tumors and Malignant Adenomas in Colorectal Health


Understanding Breast Lumps: Concerns for Teens and Weight Impact

Breast lump? I have lumps in both of my breasts, which I remember having since around the 6th grade (I'm currently in the 9th grade and a bit chubby, but not overweight). The lumps are approximately within the area of the areola (they're not very large), but I feel they...


Dr. Lai Yicheng reply Oncology
Dear student, Thank you for your letter. Here is my response: Your height is 175 cm and weight is 70 kg, which indicates a robust physique. The lumps are located near both areolas (right > left). 1. Do you enjoy eating fried chicken? Chicken contains a significant amount of...

[Read More] Understanding Breast Lumps: Concerns for Teens and Weight Impact


Understanding the Early Signs of Nasopharyngeal Cancer

Signs of nasopharyngeal carcinoma? Could you please tell me about all the warning signs of nasopharyngeal cancer, including occasional migraines, tinnitus, and blood in nasal discharge? I have undergone biopsy and endoscopic examinations, but no cancer has been found. What could ...


Dr. Lai Yicheng reply Oncology
Dear Mr. Chen, Thank you for your letter. Here are my responses: 1. Do you have a family history of nasopharyngeal carcinoma? 2. I recommend that you first undergo a blood test to check the EBV DNA viral load: a. If the levels are below the reference value, you can have regu...

[Read More] Understanding the Early Signs of Nasopharyngeal Cancer


Dietary Recommendations for Managing Gastric Cancer and Chemotherapy Side Effects

What foods should be consumed for stomach cancer, such as fish and similar items? My family member is approximately 78 years old and is male. He has been diagnosed with stomach cancer and underwent surgery to remove a little less than two-thirds of his stomach. Subsequent examina...


Dr. Lai Yicheng reply Oncology
Dear Mr. Wang, Thank you for your letter. Here are my responses: Your family member is currently undergoing chemotherapy after gastric cancer surgery. You inquired about dietary supplements that may alleviate side effects and discomfort. 1. I recommend discussing with your phy...

[Read More] Dietary Recommendations for Managing Gastric Cancer and Chemotherapy Side Effects


Understanding Armpit Lumps: When to Seek Medical Advice

Axillary lymphadenopathy I have had a lump under my armpit since around fifth grade. It feels hard to the touch, but when I lower my arm, it creates a bulge of flesh. I initially thought it was due to being overweight, so I exercised and massaged the area diligently for a long ti...


Dr. Lai Yicheng reply Oncology
Dear Miss Rou Rou, Thank you for your inquiry. Here are my responses: 1. Based on your description, the lumps in your armpit that appear before your menstrual period may be indicative of accessory breast tissue. This condition can occur in certain individuals, and since this ac...

[Read More] Understanding Armpit Lumps: When to Seek Medical Advice


Understanding Advanced Prostate Cancer Treatment Options for Seniors

Prostate cancer Hello Dr. Lai: Recently, a family member (approximately 80 years old, with a pacemaker, unable to undergo MRI) was diagnosed with advanced prostate cancer that has metastasized to the bones. The outpatient physician recommended surgical resection (which could exte...


Dr. Lai Yicheng reply Oncology
Hello, 1. The letter mentions that the patient has prostate cancer with bone metastasis. According to literature, the five-year survival rate is approximately 20%, but it is essential to evaluate this alongside risk factors such as the pathological Gleason score and PSA levels ...

[Read More] Understanding Advanced Prostate Cancer Treatment Options for Seniors


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