Understanding Persistent Elevated Body Temperature: Possible Causes and Concerns
Elevated body temperature? Hello, doctor. Recently, over the past three weeks, my body temperature has varied, being around 36.7-36.9°C before noon, increasing to 37-37.3°C in the afternoon, and dropping to about 36.3-36.5°C from 10 PM to early morning. I mainly feel warm in the ...
Dr. Chen Yunfang Reply:
Hello: Based on the data you provided, you do not have a fever, and your white blood cell count is normal. There is no evidence of lymphoma or leukemia, so please try not to worry too much. Thank you![Read More] Understanding Persistent Elevated Body Temperature: Possible Causes and Concerns
Understanding Afternoon Fever: Possible Causes and Concerns in Oncology
Afternoon low-grade fever with normal temperature at night? Hello, doctor. For the past two to three weeks, my body temperature has varied from 36.5 to 36.8 degrees Celsius before noon, rising to 37 to 37.3 degrees Celsius starting at noon, and then dropping to around 36.5 degree...
Dr. Chen Yunfang Reply:
Hello: The white blood cell count you mentioned is within the normal range (4,000-9,000), which is not unusual! Generally speaking, fever caused by blood cancers typically exceeds 38 degrees Celsius, while your temperature is still within the normal range. Thank you for your inqu...[Read More] Understanding Afternoon Fever: Possible Causes and Concerns in Oncology
Understanding Rising Tumor Markers in Stage III Breast Cancer: Key Questions Answered
Breast cancer issues? Hello Doctor: My mother has stage III breast cancer that has metastasized to the lymph nodes. She underwent surgery for breast and lymph node removal but has not received chemotherapy. Currently, her blood tests show normal CEA levels, but one item, the cyto...
Dr. Chen Yunfang Reply:
Hello: Regarding these questions, I am unable to provide answers because 1. The person who ordered the blood tests for those specific markers is responsible for interpreting their significance. Moreover, whether a tumor has recurred cannot be determined solely by elevated tumor m...[Read More] Understanding Rising Tumor Markers in Stage III Breast Cancer: Key Questions Answered
Understanding Body Temperature Fluctuations: When to Worry About Tumors
Physical condition Hello, doctor. Recently, for about a week, around noon, my body temperature rises to 36.8-37.2°C. Sometimes I feel a bit warm, but by 8 or 9 PM, my temperature returns to 36.6-36.8°C. I have had blood tests done, and the results are normal (cholesterol and trig...
Dr. Hu Ziren Reply:
Body temperature can change in response to external environmental temperatures; for instance, higher temperatures at noon can lead to relatively higher body temperatures, and vice versa. A body temperature exceeding 38°C or below 36°C is clinically significant (indicating fever o...[Read More] Understanding Body Temperature Fluctuations: When to Worry About Tumors
Red Dots on Forearms: Should You Worry About Blood Disorders?
Small red spots appearing on the skin of both forearms may raise concerns about a possible malignant hematological condition? Hello doctor, recently I have noticed some small red spots on the forearms of both hands. The number is not too many, with no more than three spots on eac...
Dr. Hu Ziren Reply:
The quantity is too small; if it were caused by a malignant disease, the numbers would typically be very high (involving the entire lower limb and spreading to the lower abdomen, with symptoms such as gum bleeding, etc.). Therefore, it is recommended to simply observe.[Read More] Red Dots on Forearms: Should You Worry About Blood Disorders?
Red, Painful Lump in Armpit: When to See a Doctor?
A painful, red lump in the armpit? I suddenly felt pain in my lower abdomen, and upon inspection, I noticed a swollen, red, and painful area that does not move, but there is no pus. Which specialty should I consult for this issue? Does my low water intake have any relation to thi...
Dr. Lai Yicheng Reply:
Hello, the physician cannot provide treatment without a personal examination. Please refer to similar questions in this field, and you may inquire further about lymph node surgery with your attending physician. Edema is related to the number of lymph nodes removed, and it is advi...[Read More] Red, Painful Lump in Armpit: When to See a Doctor?
Understanding Enlarged Left Axillary Lymph Nodes: Causes and Treatment Options
Left axillary lymphadenopathy? Hello Dr. Lai! My boyfriend discovered a large lump under his left armpit in August 2017. Prior to this, he had experienced an influenza infection, and we are unsure if that was a triggering factor. In August, he visited the oncology department at M...
Dr. Lai Yicheng Reply:
Hello, Miss Gu. The physician cannot provide treatment without a personal examination. Please refer to similar questions in this field and consult your attending physician regarding lymph node surgery. Since edema is related to the number of lymph nodes removed, it is advisable t...[Read More] Understanding Enlarged Left Axillary Lymph Nodes: Causes and Treatment Options
Understanding Easy Bruising: When to Consult a Hematologist
Easy bruising? A few days ago, I asked a question, and I appreciate the doctor's response. I would like to inquire further; my Pap smear report yesterday indicated inflammation. The obstetrician-gynecologist mentioned that bleeding after intercourse could be a possible cause...
Dr. Hu Ziren Reply:
No need for now; let's wait until similar symptoms occur again before going for a hematology check-up.[Read More] Understanding Easy Bruising: When to Consult a Hematologist
Understanding Coagulation Issues: Bruising, Bleeding, and Anemia Concerns
Coagulation function Hello Doctor: Recently, I have been experiencing unexplained bruising on my legs and numerous petechiae under the skin. In late September, I underwent a complete blood count, which showed anemia but normal results for everything else (I have thalassemia). In ...
Dr. Hu Ziren Reply:
I recommend that you go to the hematology department for a follow-up examination; however, leukemia does not have a hereditary tendency, so there is no need to worry too much.[Read More] Understanding Coagulation Issues: Bruising, Bleeding, and Anemia Concerns
Is It a Blood Blister or Melanoma? Understanding Skin Lesions
I don't know if this is a blister or melanoma? Based on the image, it initially appeared to be a petechial hemorrhage (as I often bite it), but I didn't pay much attention until I noticed it had changed after brushing my teeth. I researched online and found that it coul...
Dr. Chen Sirong Reply:
Mr. Chen / 30 years old / Male 1. Observing the image of a blood blister. 2. However, if it is a blood blister and I do not puncture it, will it continue to exist? Because I have quite a few blood blisters in my throat, and I previously consulted an ENT specialist who said that ...[Read More] Is It a Blood Blister or Melanoma? Understanding Skin Lesions
Do Pituitary Tumors Require Surgery? Understanding Hormonal Imbalances
Do pituitary tumors require surgery? I have a 0.7 cm cyst... I don't feel any discomfort in my daily life, but my blood tests revealed two issues: 1. Prolactin levels are higher than normal, but they decreased after taking cabergoline. 2. Hormonal abnormalities were noted, w...
Dr. Hu Ziren Reply:
It is advisable to consult an endocrinologist for more appropriate guidance.[Read More] Do Pituitary Tumors Require Surgery? Understanding Hormonal Imbalances
Understanding Blood Test Results: Key Indicators for Lymphoma Concerns
Blood test Hello Doctor: I have had swollen lymph nodes in my neck for some time, so I went for a blood test. I would like to ask about the significance or implications of the following values: 1. Lymphocytes: 15.6 (normal range: 19.0-48.0) 2. Hemoglobin: 11 (normal range: 11.3-1...
Dr. Hu Ziren Reply:
Initially, there appears to be anemia and thrombocytosis.[Read More] Understanding Blood Test Results: Key Indicators for Lymphoma Concerns
Understanding Elevated CEA Levels: Cancer Recurrence or Bone Metastasis?
Abnormal cancer markers? Hello Doctor, my mother was diagnosed with breast cancer nearly 10 years ago and underwent treatment. Five years ago, doctors confirmed that there were no tumors. She has continued to have ultrasounds every year. This year, my mother reported neck pain th...
Dr. Lai Yicheng Reply:
Dear [Recipient], Regarding your inquiry, the elevation of the CEA (Carcinoembryonic Antigen) level can be attributed to various factors. If the levels continue to rise, further investigation will be necessary. Please return to your attending physician for evaluation. Wishing y...[Read More] Understanding Elevated CEA Levels: Cancer Recurrence or Bone Metastasis?
Understanding Easy Bruising: When to Seek Medical Attention
Easy bruising? Your question: Hello doctor, I recently noticed that my legs bruise easily, with multiple bruises and many petechiae on my skin. I had a cold a while ago, and since then my body temperature has been slightly elevated, around 37.3°C. There was one occasion when my t...
Dr. Hu Ziren Reply:
It initially appears to have iron deficiency anemia; it is recommended to consult a hematologist for further evaluation. Thank you![Read More] Understanding Easy Bruising: When to Seek Medical Attention
Understanding Lymph Node Swelling: When to Seek Medical Advice
Lymphadenopathy Hello Dr. Chen, I have noticed a lump on the left side of my neck, approximately 1.2 to 1.3 cm in size, located in the middle area. There is also a similar-sized lump on the right side, but it is positioned slightly lower. The characteristics of both lumps are alm...
Dr. Chen Yunfang Reply:
Hello: It sounds like you've completed all the necessary examinations. Let's wait for a month to see if it resolves. If it doesn't improve or even increases in size, I would recommend that you return to see a hematologist. Thank you.[Read More] Understanding Lymph Node Swelling: When to Seek Medical Advice
Understanding Pituitary Tumors: Managing Hormonal Imbalances and Symptoms
Pituitary tumor, endocrine dysfunction, tumor issues? Doctor, I am 25 years old and was diagnosed with polycystic ovary syndrome (PCOS). Blood tests showed a prolactin level of over 90, and an MRI revealed a 0.5 mm pituitary tumor. Now at 28, the tumor size has not changed. Initi...
Dr. Chen Sirong Reply:
Patient: En, 28 years old, female 1. Unsure if symptoms are side effects of medication. 2. Consider consulting an endocrinologist. Wishing you peace and joy, Taoyuan Hospital, Chen Si-Rong[Read More] Understanding Pituitary Tumors: Managing Hormonal Imbalances and Symptoms
Managing Stage IV Nasopharyngeal Cancer: One and a Half Years Post-Treatment
One and a half years after treatment for stage IV nasopharyngeal carcinoma? My husband has stage IV nasopharyngeal carcinoma (T4N3M0), located in the supraclavicular fossa and the longus colli muscle area. After a year and a half of treatment, he is doing well. Recently, during a...
Dr. Lai Yicheng Reply:
1. Please perform a blood test to check the EBV DNA PCR levels, and then assess for any recurrence. 2. The cervical lymph nodes have decreased from 1.2 cm to 0.6 cm and then increased to 0.96 cm; I recommend surgical excision for pathological examination. 3. Is the nasopharyn...[Read More] Managing Stage IV Nasopharyngeal Cancer: One and a Half Years Post-Treatment
Understanding Complications After Autologous Stem Cell Transplant for Multiple Myeloma
Multiple Myeloma 1: Hello Doctor, my family member is a 50-year-old male who was diagnosed with multiple myeloma last year. He completed an autologous stem cell transplant this Lunar New Year. Last month, during a follow-up visit, his blood test showed a hemoglobin level of 100 a...
Dr. Hu Ziren Reply:
You may try oral corticosteroids; if there is no improvement or if the condition worsens after 10 to 14 days, a referral to a dermatologist for a skin biopsy may be recommended.[Read More] Understanding Complications After Autologous Stem Cell Transplant for Multiple Myeloma
Do You Need to Check Blood Return During Chemotherapy Infusions?
Chemotherapy-induced recovery? I would like to ask, every time before administering chemotherapy drugs, the nursing staff confirms blood return. Is it necessary to check for blood return again during the infusion process?
Dr. Hu Ziren Reply:
Before administering the injection, aspirating is done to ensure that the catheter is patent; therefore, it is sufficient to confirm this before the injection. There is no need to continuously check during the injection process.[Read More] Do You Need to Check Blood Return During Chemotherapy Infusions?
Understanding Adrenal Nodules: What You Need to Know
Adrenal nodule Hello, doctor. About three months ago, I visited a gastroenterologist and underwent an abdominal ultrasound. At that time, I was informed that there were cysts on my liver, a hemangioma, and polyps in my gallbladder, and I was advised to return for a follow-up in t...
Dr. Hu Ziren Reply:
Adrenal nodules are often incidentally discovered during abdominal imaging. After further evaluation with a computed tomography (CT) scan to confirm the lesion and its size, additional blood tests are needed to determine if further intervention (surgery) is necessary. Therefore, ...[Read More] Understanding Adrenal Nodules: What You Need to Know