Understanding Treatment Options for Advanced Throat Cancer
Cancer treatment Hello Dr. Lai, my husband discovered a hard lump on the right side of his jaw near the neck in January, which has been growing larger. He visited the ENT department at the hospital, where the doctor used an endoscope and noted an ulcer in the deep throat. Due to ...
Dr. Lai Yicheng reply Oncology
Dear Ms. Chia, I received your letter regarding your husband's condition, and I would like to respond as follows: 1. The epiglottic vallecula is located anterior to the epiglottic cartilage and is associated with malignant tumors of the oropharynx. 2. The original treating...[Read More] Understanding Treatment Options for Advanced Throat Cancer
Should You See a Doctor for a Lump Under Your Armpit?
There is a lump under the armpit? Hello doctor, I am pregnant with my second child. One day, I accidentally noticed an extra piece of flesh under my right armpit, and it has been almost three years. However, I cannot feel any hard lumps; it just feels swollen, but I can't de...
Dr. Lai Yicheng reply Oncology
Ms. Lin: There has been an extra lump under my right armpit for almost three years, but I cannot feel any hard masses. I recommend seeking an evaluation from a breast surgeon. If it is confirmed to be benign, it will provide more peace of mind. If needed, I can assist with a refe...[Read More] Should You See a Doctor for a Lump Under Your Armpit?
Can Lung Cancer Patients Eat Sweets? Understanding Dietary Restrictions
Can lung cancer patients eat sweets? Hello Doctor: My family member currently has cancer that has metastasized to the lungs. They recently completed chemotherapy and their cough has been relatively stable. However, last night they ate some sweet glutinous rice balls and started c...
Dr. Lai Yicheng reply Oncology
Ms. Huang: I received your letter and would like to respond as follows: 1. After completing chemotherapy, your cough has stabilized. However, after consuming sweet tangyuan, you started coughing again. I personally recommend that you first undergo a chest X-ray and a complete b...[Read More] Can Lung Cancer Patients Eat Sweets? Understanding Dietary Restrictions
Hard Lump Above Eyebrow: Should I Get It Checked?
There is a hard lump above the eyebrow? Hello doctor, I have a hard lump about one centimeter in size on the front of my left eyebrow. It doesn't hurt and has been there for a while. Should I get it checked? If so, which department should I go to? Thank you.
Dr. Lai Yicheng reply Oncology
Dear Jenny, I am writing to address your inquiry regarding a hard lump approximately one centimeter in size located at the front of your left eyebrow. It is not painful. As you are 15 years old and in your teenage years, I personally believe that this lump may be related to a sk...[Read More] Hard Lump Above Eyebrow: Should I Get It Checked?
Can Breast Cancer Survivors Safely Use Birth Control Pills?
Can breast cancer patients take contraceptive pills? Hello Doctor: I was diagnosed with stage II breast cancer in 2008 and underwent chemotherapy, radiation therapy, and targeted therapy. Currently, I am on regular follow-up visits. However, I have recently noticed that my menstr...
Dr. Lai Yicheng reply Oncology
Dear Ms. Amy, In response to your inquiry, my recommendations are as follows: 1. It is advisable to postpone the use of contraceptive pills. 2. The decrease in menstrual flow may indicate the onset of menopause. You can check the levels of LH and FSH in your blood to confirm wh...[Read More] Can Breast Cancer Survivors Safely Use Birth Control Pills?
Lump Above Groin: What Could It Be and Which Specialist to See?
There is a hard lump on the left side of the pubic area above the pubic hair? Today, I suddenly felt a lump above my pubic area in the hair, about the size of half a finger joint, approximately 1.5 centimeters in size, and it hurts when pressed. Which specialist should I see, and...
Dr. Lai Yicheng reply Oncology
Hello Mr. Yu, 1. You should consult a general surgeon for a physical examination, which can be followed by an ultrasound examination. 2. The symptoms will be evaluated based on the examination results. If further investigation is needed, a biopsy can be performed for confirmat...[Read More] Lump Above Groin: What Could It Be and Which Specialist to See?
Understanding Elevated White Blood Cell Counts: Leukemia Risks and Dietary Tips
Elevated white blood cell count? During a blood test in middle school, it was found that my white blood cell count was elevated. However, during a health check-up last December, my white blood cell count reached 18,000. Due to the high white blood cell count, I had another blood ...
Dr. Lai Yicheng reply Oncology
Hello Ms. Kelly: 1. Based on your description, a white blood cell count of 10,800 does not resemble the symptoms of leukemia; it is more indicative of an infection. I recommend consulting an infectious disease specialist for further evaluation. 2. The normal range for white b...[Read More] Understanding Elevated White Blood Cell Counts: Leukemia Risks and Dietary Tips
Understanding Forehead Tumors During Pregnancy: When to Seek Treatment
A small tumor on the forehead? I am over four months pregnant and discovered a small tumor on my forehead during the Spring Festival this year. It is round, approximately 0.4 cm in diameter and about 0.2 cm in height. It feels hard to the touch and is close to skin color. Before ...
Dr. Lai Yicheng reply Oncology
Dear Ms. Juice, Regarding your inquiry about the small tumor on your forehead, I would like to provide the following recommendations: 1. No, local anesthesia will not affect the fetus. 2. Based on your description, it seems more likely to be benign. If you are concerned, you ...[Read More] Understanding Forehead Tumors During Pregnancy: When to Seek Treatment
Managing Low Blood Counts After Chemotherapy for Lung Cancer
Post-chemotherapy indices are low? Hello, doctor. I would like to inquire about my grandmother, whose cancer cells have metastasized to her lungs. She has undergone approximately four rounds of chemotherapy, but the doctor mentioned that all her levels are low, and she should avo...
Dr. Lai Yicheng reply Oncology
Dear Ms. Huang, Important precautions during chemotherapy: 1. Wear a mask when visiting public places. During periods of low white blood cell counts, avoid going to crowded areas to reduce the risk of bacterial infections. 2. Avoid contact with individuals who have colds, measl...[Read More] Managing Low Blood Counts After Chemotherapy for Lung Cancer
Post-Colon Cancer Complications: Adhesions and Bowel Incontinence Solutions
Postoperative intestinal adhesions after colorectal cancer surgery? Hello, Doctor. My father was diagnosed with stage II colon cancer four years ago. He initially underwent chemotherapy to shrink the tumor before having surgery to preserve his anus, which unfortunately resulted i...
Dr. Lai Yicheng reply Oncology
Hello, Sir: Question 1: Regarding new technologies, it would be better to consult a surgeon for more clarity. Question 2: Postoperative adhesions are often caused by previous abdominal surgeries, pelvic inflammatory disease due to infections, or even as a result of chemotherapy...[Read More] Post-Colon Cancer Complications: Adhesions and Bowel Incontinence Solutions
Understanding Nasal Sebaceous Cysts: Do They Require Surgery?
There is a polyp in the nose? I recently visited an otolaryngologist because I found a white, protruding growth inside my nose. The doctor told me it was a sebaceous cyst and mentioned that as long as it doesn't grow larger or cause pain, surgery is not necessary due to its ...
Dr. Lai Yicheng reply Oncology
Ms. Tseng: The exact cause of sebaceous cysts is unknown, and cases are reported year-round. These cysts are located in the dermis or subcutaneous fat layer of the skin. Due to the unclear etiology, it is speculated that they may form when dead keratinized cells from the epidermi...[Read More] Understanding Nasal Sebaceous Cysts: Do They Require Surgery?
Understanding Thyroid Cancer: Key Questions and Surgical Considerations
Thyroid cancer issues? Hello Doctor: I previously asked you a question, and I appreciate your response. I have a thyroid nodule on the right side that is approximately 2.2 cm. The fine needle aspiration report indicates calcification, cellular mutation, and unclear margins, with ...
Dr. Lai Yicheng reply Oncology
In response to your question: 1. The thyroid nodule is 2.2 cm; if it is confirmed to be malignant, complete removal is necessary. 2. Endoscopic surgery has smaller incisions and lower risks compared to traditional surgery. 3. Preoperative evaluations, in addition to blood tests (...[Read More] Understanding Thyroid Cancer: Key Questions and Surgical Considerations
Optimal Dosing Intervals for TS-1 in Cancer Treatment
TS-1 dosing interval Thank you for your previous response. I have another question: TS-1 is prescribed to be taken within 30 minutes after breakfast and dinner. If the timing of breakfast and dinner is not fixed, what is the minimum time interval that should be maintained between...
Dr. Lai Yicheng reply Oncology
Hello Mr. Jiang: Regarding the recommended interval between medication doses, it is advised to have at least 6 hours between meals. Additionally, since you are currently undergoing chemotherapy, it is suggested to keep your meal times as consistent as possible, as this is better ...[Read More] Optimal Dosing Intervals for TS-1 in Cancer Treatment
Can TS-1 for Pancreatic Cancer Be Taken After Liquid Meals?
Consultation on the administration of TS-1? Is the pancreatic cancer medication TS-1 required to be taken after meals? If I am unable to eat, is it acceptable to take it after drinking Ensure liquid nutrition?
Dr. Lai Yicheng reply Oncology
Hello Mr. Jiang: 1. According to research, administering medication in a fasting state alters the bioavailability of oteracil potassium. Additionally, the phosphorylation of capecitabine is inhibited, which reduces its antitumor efficacy. Therefore, TS-1 should be taken after m...[Read More] Can TS-1 for Pancreatic Cancer Be Taken After Liquid Meals?
Understanding Thyroid Papillary Carcinoma: Key Questions and Answers
Could you please provide more details about your question regarding papillary thyroid carcinoma? Hello Doctor: Could you please give me some good advice? I am feeling very anxious and worried. In November, I went to see a family physician due to discomfort and a rapid heartbeat. ...
Dr. Lai Yicheng reply Oncology
Ms. Lee: 1. We will confirm the true condition once the fine needle aspiration (FNA) report is available, which will help determine if it is indeed papillary thyroid carcinoma. 2. If the FNA report confirms papillary thyroid carcinoma, please do not worry; this type of cancer has...[Read More] Understanding Thyroid Papillary Carcinoma: Key Questions and Answers
Understanding Rib Masses: When to Seek Medical Attention for Tumors
There is a mass on the rib? Three months ago, I developed a hard lump larger than an egg on my left rib cage, which seems to get bigger when I lie down. The internist only examined it by touch and said it was probably a lipoma, but there is pain when pressure is applied around th...
Dr. Lai Yicheng reply Oncology
Ms. Sabrina: Regarding your issue, there is a hard lump larger than an egg on your rib, and it is painful when pressure is applied to the area around the lump. You may consult a surgeon to evaluate whether a biopsy is necessary, and then determine the subsequent treatment. Changh...[Read More] Understanding Rib Masses: When to Seek Medical Attention for Tumors
Can Esophageal Tumors Fluctuate in Size Before Treatment?
Tumor issues Hello, doctor: Is it possible for a malignant tumor in the esophagus to fluctuate in size before any treatment is administered? For example, during an endoscopy, could it appear larger if there is inflammation present? Thank you.
Dr. Lai Yicheng reply Oncology
Ms. Chen: Has the esophageal malignancy you mentioned been confirmed by a pathological biopsy? Am I interpreting your question correctly as asking whether "during endoscopy, esophagitis can present with fluctuating severity, with swallowing symptoms improving and worsening i...[Read More] Can Esophageal Tumors Fluctuate in Size Before Treatment?
Understanding Post-Surgery Treatment Options for Breast Cancer
Post-treatment for breast cancer? Your mother is currently sixty years old and underwent a left mastectomy on December 21, 2015. The tumor measured 0.7 cm with no lymph node metastasis, and testing revealed HER2+++ which is considered positive. The physician has recommended chemo...
Dr. Lai Yicheng reply Oncology
Ms. Han: 1. Your mother has a left breast cancer tumor measuring 0.7 cm, with no lymph node metastasis. Her2 is 3+ (positive), estrogen receptor positive (+, 10%), and progesterone receptor positive (+, 40%). She underwent a left mastectomy on December 21, 2015. 2. According to t...[Read More] Understanding Post-Surgery Treatment Options for Breast Cancer
Understanding Stage II Breast Cancer: Diagnosis and Treatment Options
Stage II breast cancer Hello Dr. Lai: I was diagnosed with stage II breast cancer at the end of 2014 and underwent a total mastectomy. At the same time, there was another tumor about 1 cm on the opposite side, which the doctor assessed as benign through a core needle biopsy, so i...
Dr. Lai Yicheng reply Oncology
Hello, Miss: 1. Mammography and breast ultrasound cannot provide a definitive diagnosis; only a pathological biopsy can confirm it with 100% accuracy. 2. Since you are now 55 years old and postmenopausal, it is still recommended that you undergo a mammogram. (Premenopausal women ...[Read More] Understanding Stage II Breast Cancer: Diagnosis and Treatment Options
Understanding Metastasis Risks During HER2 Breast Cancer Treatment
Is there a possibility of metastasis during breast cancer treatment? Hello, doctor. My mother was diagnosed with breast cancer (HER2 type) in May 2015. She has completed six rounds of chemotherapy and has undergone surgery for local excision, targeted therapy, and radiation thera...
Dr. Lai Yicheng reply Oncology
Hello, Miss: 1. It is relatively uncommon for breast cancer patients undergoing chemotherapy, surgery, radiation therapy, and targeted drug treatment to experience distant metastasis (unless the breast cancer is at a very advanced stage with a high number of infected axillary l...[Read More] Understanding Metastasis Risks During HER2 Breast Cancer Treatment