Navigating Treatment Decisions for Rare Pediatric Tumors: A Parent's Dilemma
Regarding pediatric tumors: A father who should not make decisions? Dear Director Qian, I have previously sent the same inquiry but have not yet received a response, so I am reaching out again. I apologize for the inconvenience! Our main concern is whether, after three years of ...
Dr. Qian Xinnan reply Rare Disease
After three years of regular follow-up with no abnormalities, it is appropriate to continue rigorous monitoring as described. At that time, the clinical group was classified as Group I/FH. According to current pediatric cancer treatment guidelines, the chemotherapy agents used in...[Read More] Navigating Treatment Decisions for Rare Pediatric Tumors: A Parent's Dilemma
Understanding Juvenile Xanthogranuloma vs. Malignant Yolk Sac Tumor: A Parent's Concern
"Juvenile Xanthogranuloma" Thank you for the response from Dr. Lin Wei-ren, the pediatrician. However, I do not quite understand why Dr. Lin mentioned that my daughter might have a malignant yolk sac tumor, as we have already undergone surgery and the pathology report i...
Dr. Qian Xinnan reply Rare Disease
<ol> <li>"Juvenile Xanthogranuloma" is the correct translation for "幼年型黃色肉芽腫" (also known as Nevoxanthoendothelioma).</li> <li>This condition was first described by a British scholar in 1905. It is a benign fibrous tissue tumor that com...[Read More] Understanding Juvenile Xanthogranuloma vs. Malignant Yolk Sac Tumor: A Parent's Concern
Understanding Juvenile Xanthogranuloma: Seeking Answers for Rare Tumors in Children
Juvenile Xanthogranuloma My daughter is currently 3 years and 8 months old, and she has developed a tumor near her sacrum. Eight months ago, she underwent surgery to remove it, and the biopsy revealed it to be a "juvenile xanthogranuloma." I have consulted several docto...
Dr. Qian Xinnan reply Rare Disease
Chief Pediatrician Lin Wei-Jen's response: Hello, Mom: This condition may be a malignant yolk sac tumor. Due to its malignancy, surgical intervention is often necessary, and sometimes chemotherapy is required as well. If you need further information, you can bring your child...[Read More] Understanding Juvenile Xanthogranuloma: Seeking Answers for Rare Tumors in Children
Is This a Tumor? Understanding Rare Conditions and Symptoms
Is this considered a tumor? Hello, Dr. Qian. I am a college student. Yesterday morning, after I left home, I felt a slight pain in the right side of my armpit. At first, I thought it might be due to dry weather causing some skin irritation. However, last night while I was showeri...
Dr. Qian Xinnan reply Rare Disease
Staying up late is not good for the body, but there is no evidence that it causes tumors. This small hard lump could also be a sign of folliculitis. If it enlarges or continues to cause discomfort, it is recommended that patients visit our outpatient clinic for further examinatio...[Read More] Is This a Tumor? Understanding Rare Conditions and Symptoms
Understanding Brain Aneurysm Surgery: Recovery Tips and Care
Cerebral Aneurysm Surgery Hello, doctor. I would like to ask you some questions regarding the surgery for a brain aneurysm. My mother experienced sudden, severe pain in her head, feeling as if it was about to explode, while riding her motorcycle in early May this year. She had no...
Dr. Qian Xinnan reply Rare Disease
The Tri-Service General Hospital responded on September 20, 2004, at 10:04 AM. I hope you have received this. It is a very good question to understand the treatment situation for hemangiomas. First, it is essential to discuss with the physician treating your mother to gain a bett...[Read More] Understanding Brain Aneurysm Surgery: Recovery Tips and Care
Understanding Salivary Gland Tumors: What You Need to Know
Salivary glands My sister has a tumor in her salivary gland, and the doctor said she needs surgery. What does this mean?
Dr. Qian Xinnan reply Rare Disease
Hello, A-Lu: Given that your inquiry is not written in standard Chinese and the description of your condition is unclear, could you please write again with more detailed information? Alternatively, we recommend that patients in need visit the Hematology Department at Tri-Service ...[Read More] Understanding Salivary Gland Tumors: What You Need to Know
Understanding Meckel's Diverticulum: Causes and Long-Term Effects
Mekosh's chamber Could you explain the causes of Meckel's diverticulum? My parents always talk about it unclearly, but I really want to understand. Will there be any long-term effects as I grow up?
Dr. Qian Xinnan reply Rare Disease
1. Meckel's diverticulum is a congenital small pouch located on the wall of the distal ileum. The majority of patients are asymptomatic and do not require special treatment. Only a small number (approximately 1 in 25) of patients may present with gastrointestinal bleeding in...[Read More] Understanding Meckel's Diverticulum: Causes and Long-Term Effects
Understanding Hyperchromic Anemia: Causes, Care, and Thyroid Connection
Hypochromic anemia? Hello, Dr. Qian. Recently, a friend of mine opened a laboratory, and after a blood test, he told me that I have hyperchromic anemia. I still don't understand this condition. I searched for information online but couldn't find much, so I turned to you...
Dr. Qian Xinnan reply Rare Disease
1. Triiodothyronine (T3) levels may be associated with anemia or other diseases. It is recommended that patients in need seek consultation with a hematologist as soon as possible for further examination and relevant advice from a physician. 2. The online appointment booking websi...[Read More] Understanding Hyperchromic Anemia: Causes, Care, and Thyroid Connection
Understanding Platelet Dysfunction: Bone Marrow Stem Cell Transplant Explained
Thrombocytopenic purpura Thank you for your response. I now have a glimmer of hope. I would like to ask, what is a bone marrow stem cell transplant? Does it refer to umbilical cord blood? Which hospitals in Taiwan have had successful cases? Where can I obtain relevant information...
Dr. Qian Xinnan reply Rare Disease
Dear Sir/Madam, Regarding bone marrow stem cell transplantation, it refers to hematopoietic stem cells from the bone marrow. Currently, the sources of stem cells include bone marrow, peripheral blood, and umbilical cord blood. If you have any questions, please consult your atten...[Read More] Understanding Platelet Dysfunction: Bone Marrow Stem Cell Transplant Explained
Understanding Platelet Dysfunction: Is There Hope for Treatment?
Thrombocytopenic purpura The child is six years old and has a history of easy bruising and prolonged bleeding since early childhood. After evaluation at Chang Gung Memorial Hospital, it was diagnosed that the platelet count is normal, but the function is impaired, leading to a di...
Dr. Qian Xinnan reply Rare Disease
Dear Sir/Madam, Regarding the treatment for the diagnosis of "thrombocytopenia," the following approaches are recommended: 1. Bone marrow stem cell transplantation is the only definitive treatment, with successful cases reported. 2. It is important to take precautions...[Read More] Understanding Platelet Dysfunction: Is There Hope for Treatment?
Understanding Mucinous Adenocarcinoma: Treatment Options and Disability Benefits
Adenocarcinoma What is abdominal mucinous adenocarcinoma, what are the treatment options, and is it possible to apply for a disability certificate?
Dr. Qian Xinnan reply Rare Disease
Mucinous adenocarcinoma of the peritoneum is characterized by the presence of adenocarcinoma lesions in the peritoneal cavity, with mucinous components identified in the pathological tissue. Common sites for mucinous adenocarcinoma include the stomach, lungs, peritoneum, ovaries,...[Read More] Understanding Mucinous Adenocarcinoma: Treatment Options and Disability Benefits
Understanding Cholangiocarcinoma: Causes, Symptoms, and Prevention
How do bile duct tumors occur? Hello, Doctor Qian. I would like to ask how bile duct tumors occur? How are the symptoms diagnosed? What are the prevention methods? Thank you.
Dr. Qian Xinnan reply Rare Disease
Dr. Hwang Hsing-Hua from the Tri-Service General Hospital's Department of General Surgery responds as follows: Bile duct tumors are one of the causes of bile duct obstruction and are relatively rare. Generally, the incidence increases with age, and the occurrence rate is sim...[Read More] Understanding Cholangiocarcinoma: Causes, Symptoms, and Prevention
Persistent Forehead Swelling After Injury: Rare Condition Insights
Forehead injury? I accidentally bumped my forehead against a wall, and it swelled up. I thought it was normal and would go down after a few days, but it has remained swollen for two years now. Is there any way to resolve this? This has been bothering me for a long time. Thank you...
Dr. Qian Xinnan reply Rare Disease
Two years ago, there was swelling in the forehead area due to a collision, and it remains swollen to this day. The impact on the head raises concerns about potential vascular damage leading to intracranial hemorrhage. At the time of the incident, there were no immediate issues, s...[Read More] Persistent Forehead Swelling After Injury: Rare Condition Insights