Understanding Lipomas: Causes, Risks, and Treatment Options
What is a lipoma? Consulting a physician: What is a lipoma? What factors in the body contribute to the formation of lipomas? Can lipomas turn into cancer? How large do lipomas typically grow in the body, and is surgery always necessary to remove them?
Dr. Li Junde reply Surgery
Hello, Mr. Lucky Tiger: A lipoma is a benign tumor composed of adipose tissue that can occur anywhere in the body, with subcutaneous lipomas being the most common. Like other tumors, the exact factors contributing to their formation are not fully understood, but they are primaril...[Read More] Understanding Lipomas: Causes, Risks, and Treatment Options
Is Applying Gold Ointment Effective for Wound Healing?
Is it good to apply golden ointment on wounds? Hello, Doctor: A few days ago, I was knocked down by a car while riding my scooter... I only have abrasions on my elbow... What should I apply to the wound? I've been using Betadine for the past few days... My sister said that t...
Dr. Li Junde reply Surgery
Hello Miss Hsiao-Hsin: In the case of trauma from a car accident, there may be abrasions that you can treat with topical medication. Fortunately, these may heal on their own. However, there are many concerns regarding infection prevention and wound care (such as the risk of hyper...[Read More] Is Applying Gold Ointment Effective for Wound Healing?
Understanding Corns: Treatment Options and When to See a Specialist
Plantar warts Hello: I have a corn on my little toe that sometimes hurts. Someone suggested that I buy a patch from the pharmacy to apply. Is it effective? I had surgery on a corn on the same toe two or three months ago, and I don't know why it has grown back. The surgical w...
Dr. Li Junde reply Surgery
Hello Ms. Angel: The pain and hardening of the foot (commonly known as a corn) is generally caused by trauma or a virus, and the pathology is typically a common wart, which may recur. Surgical excision or electrosurgery can be performed, and there are rare cases of malignant or o...[Read More] Understanding Corns: Treatment Options and When to See a Specialist
Understanding Lingual Papules: Causes and When to Seek Help
Lingual fibroma Three days ago, I noticed a growth under my tongue, behind my front teeth. It resembles a fleshy lump, approximately 4 to 5 mm in length, and it moves when I touch it with my tongue or fingers. It is soft and not painful. At the tip, there is a small white spot, a...
Dr. Li Junde reply Surgery
Hello Blueboy: Based on your letter, it seems to be related to the salivary gland ducts, which should have two openings located centrally behind the lower incisors. If there are stones or signs of infection, there may be purulent or bloody discharge, and it could be painful. It i...[Read More] Understanding Lingual Papules: Causes and When to Seek Help
Why Can't I Gain Weight? Understanding Underlying Health Issues
Could an inability to gain weight indicate an underlying health condition? Hello, doctor. My height is 157 cm and my weight is 40 kg. I have been wanting to gain weight, but I am unsure which department to visit at the hospital. What kind of treatment is typically provided for we...
Dr. Li Junde reply Surgery
Hello, Miss Hsiao-Ching: First of all, we need to correct our perspective on weight issues. The most important thing is to prioritize physical and mental health. If your weight is above the normal range, it may pose some problems; however, if it is on the lighter side and disease...[Read More] Why Can't I Gain Weight? Understanding Underlying Health Issues
Managing Neurofibromatosis: When to Consider Surgical Removal
Neurofibromatosis Hello: I had some tumors in my chest and back during my first year of high school. The chest tumor was locally excised five years ago, but the tumor on my back has noticeably increased in size. Should I consider having it removed as well?
Dr. Li Junde reply Surgery
Hello: For systemic multiple skin or subcutaneous tumors, it is generally advisable to select one or two for biopsy. After the pathology report is available, a comprehensive assessment can be made to determine whether further excision is necessary. In the case of multiple neurofi...[Read More] Managing Neurofibromatosis: When to Consider Surgical Removal
Understanding Liver Transplants: Success Rates, Recovery, and Side Effects
Liver transplantation Hello, I have some questions regarding liver transplantation. Q1: What is the success rate of liver transplantation for patients with severe liver cancer? Q2: How long is the recovery period for liver cancer patients and liver transplant recipients, and ...
Dr. Li Junde reply Surgery
Hello: Regarding liver transplantation, the technology in this field is rapidly advancing. To answer your questions: 1. The severe liver cancer referred to should be non-metastatic, where the tumor cannot be completely resected due to its location. After liver transplantation, it...[Read More] Understanding Liver Transplants: Success Rates, Recovery, and Side Effects
Post-Injection Arm Pain: Causes and Treatment Options
Numbness and pain in the arm after an injection? About a month and a half ago, I went to the dentist due to swelling and pain after a tooth extraction, and I received an anti-inflammatory injection in my arm. Since then, the injection site has been slightly swollen and painful wh...
Dr. Li Junde reply Surgery
Hello: Local reactions caused by injections can include normal symptoms such as localized pain and mild redness and swelling, which should subside within a few days. However, if the body is particularly sensitive to the medication or if the medication itself is potent, it may lea...[Read More] Post-Injection Arm Pain: Causes and Treatment Options
Understanding Extrapyramidal Symptoms: A Guide for Patients
excuse me? Hello, Dr. Lee. I would like to ask what is extrapyramidal syndrome? I hope you can provide guidance.
Dr. Li Junde reply Surgery
Hello, sir: Extrapyramidal symptoms (EPS) refer to a group of drug-induced reactions affecting the extrapyramidal system, which can be caused by certain psychiatric medications. The clinical manifestations include muscle rigidity, often affecting the facial muscles, tongue, and s...[Read More] Understanding Extrapyramidal Symptoms: A Guide for Patients
Post-Concussion Care: Essential Tips for Recovery at Home
Concussion Doctor: Hello, I would like to ask, after being observed by a physician at the hospital for a concussion, are there any additional precautions to take at home? Should one lie in bed all day and try to avoid any head movement?
Dr. Li Junde reply Surgery
After a head injury, if there are symptoms of a concussion (such as dizziness, nausea, vomiting, and headache) without signs of acute intracranial bleeding or brain injury, doctors typically advise patients to go home and monitor their condition for 2-3 days. During this observat...[Read More] Post-Concussion Care: Essential Tips for Recovery at Home
Understanding Painful Lumps: What to Do About Lipoma-Like Growths
Lipoma-like lesions I recently developed a hard lump on my shoulder that resembles a lipoma. Initially, it didn't hurt, but recently it has started to hurt when touched or pressed. Why is this happening, and how should I address it?
Dr. Li Junde reply Surgery
Hello Ms. Secart: The lump on your shoulder is generally less likely to be painful if it is a lipoma, unless it is located near a nerve and compressing it. It could also be an infected sebaceous cyst, which would present with redness, swelling, pain, and heat. Please consult a ge...[Read More] Understanding Painful Lumps: What to Do About Lipoma-Like Growths
Understanding Hard Lumps in the Abdomen: What Teens Should Know
There seems to be a hard lump in the left abdomen? Hello Dr. Lee: I am a 16-year-old high school student. A few weeks ago, I suddenly discovered a hard lump near my left abdomen close to the waist. My dad used to work in a hospital, and he mentioned that it could be a lipoma. He ...
Dr. Li Junde reply Surgery
Mr. Hsiao-Yu: Your concerns primarily relate to the nature of the tumor, as different locations can yield different outcomes. Generally, tumors on the skin are classified as skin tumors, and their characteristics and growth patterns can be observed, making it easier to diagnose t...[Read More] Understanding Hard Lumps in the Abdomen: What Teens Should Know
Understanding Hard Lumps on the Buttocks: Symptoms and Treatment
There is a hard lump in the buttock? Hello, doctor. Two weeks ago, I suddenly developed a hard lump on my buttock, which is noticeably red and swollen, about 5 centimeters in diameter, and it was painful. Out of fear of seeing a doctor, I went to the pharmacy for medication. The ...
Dr. Li Junde reply Surgery
Hello Mr. A-Ming: The hard lump on your buttock shows signs of inflammation, which, based on your description, resembles an abscess rather than cellulitis. Abscess formation is typically caused by local trauma, folliculitis, or infection of sebaceous cysts, usually due to Staphyl...[Read More] Understanding Hard Lumps on the Buttocks: Symptoms and Treatment
Why Won't My Scraped Elbow Heal? Understanding Wound Healing Issues
Wound non-healing? At the end of August, I accidentally fell and scraped my elbow (just a regular fall and scrape~^^"). After applying a topical antiseptic, the wound formed a scab, and once the scab fell off, the skin underneath was pink. At that time, I sincerely thought t...
Dr. Li Junde reply Surgery
Hello Ms. Haruka: Regarding wound healing, the initial treatment is very important. It should be done as aseptically as possible to prevent infection and the widening of the wound. The wound must be cleaned thoroughly; any debris, dirt, or necrotic tissue must be removed to ensur...[Read More] Why Won't My Scraped Elbow Heal? Understanding Wound Healing Issues
Understanding Wrist Polyps: Causes and Treatment Options
Polyp My father recently noticed that the growth on his wrist has been increasing in size. What could be the reasons for this, and how should it be managed? Thank you.
Dr. Li Junde reply Surgery
Hello, ma'am. The cause of the polyp-like mass on your father's wrist is primarily attributed to constitutional factors. The detailed reasons are quite complex, and some remain unclear. Generally, these masses are benign. If there are any changes, surgical removal is th...[Read More] Understanding Wrist Polyps: Causes and Treatment Options
When Is Tetanus Shot Necessary After Surgical Procedures?
Question Hello Dr. Lee: I would like to ask you a question regarding the circumstances under which a tetanus shot is necessary. A few years ago, I had a pus-filled cyst on my finger that was painful to touch, and it showed signs of pus inside! I wanted to have it surgically treat...
Dr. Li Junde reply Surgery
Hello Mr. Hei Yu: 1. Tetanus toxoid is generally administered as part of the "DTaP vaccine" (diphtheria, tetanus, and pertussis) given after birth, with 3 to 4 doses for preventive immunization, followed by a booster every 10 years or after an injury with a risk of in...[Read More] When Is Tetanus Shot Necessary After Surgical Procedures?
Understanding Surgical Tools and Artificial Hibernation in Medicine
Question Hello Dr. Lee: I have two questions I would like to ask you, and I hope you can kindly respond! Thank you. 1. Is the likelihood of using a scalpel high in most surgical procedures? 2. What is "artificial hibernation"? What is it used for? Under what circumst...
Dr. Li Junde reply Surgery
Hello Mr. Puppy, your questions are summarized as follows: 1. Surgery generally involves the treatment of diseases that require surgical intervention; however, some conditions can also be treated using instruments or non-surgical methods, such as burns, drowning, and electrical i...[Read More] Understanding Surgical Tools and Artificial Hibernation in Medicine
Understanding Surgical Techniques: The Role of Scalpel and Artificial Hibernation
Question Hello Dr. Lee: I would like to ask you a few questions and would appreciate your detailed explanations. Thank you. 1. Is most of surgery primarily about the cutting with a scalpel? 2. What is "artificial hibernation"? Where is it used? What are its advantage...
Dr. Li Junde reply Surgery
Hello Mr. 2001, your questions are summarized as follows: 1. Surgery generally involves the treatment of diseases that require surgical intervention, although some conditions can also be treated with instruments or non-surgical methods, such as burns, drowning, and electrical inj...[Read More] Understanding Surgical Techniques: The Role of Scalpel and Artificial Hibernation
Understanding Accessory Breasts: Pain, Surgery, and Concerns
Accessory breast tissue I would like to ask the doctor about a hard lump in my armpit that is painful to touch and has been present for many years. Initially, when I consulted a doctor, it was diagnosed as folliculitis, but there was no external injury or redness. Recently, it ha...
Dr. Li Junde reply Surgery
Hello, Ms. Shin: If the lump in your right armpit changes in a manner similar to that of your breast during your menstrual cycle, it is likely a supernumerary breast tissue, which is a congenital ectopic remnant of breast tissue and is considered a benign lesion. If it is not cau...[Read More] Understanding Accessory Breasts: Pain, Surgery, and Concerns
Understanding Persistent Big Toe Swelling: Causes and Treatment Options
Swollen toes Dr. Li: Hello! My mother’s left big toe became swollen three years ago for no apparent reason, with a white, viscous fluid inside. After consulting both traditional and Western medicine, and undergoing two surgeries, it recurred immediately. Eventually, the doctor su...
Dr. Li Junde reply Surgery
Hello Ms. Sue: Regarding your concerns, I have a few points to clarify and suggest. 1. The swelling in your toe with a clear, sticky discharge may indicate a ganglion cyst, while the white discharge could be associated with gouty tophi. If the underlying cause is not addressed, r...[Read More] Understanding Persistent Big Toe Swelling: Causes and Treatment Options