Which Test is More Accurate for Adrenal Tumors: Ultrasound or CT Scan?
Which type of test is more accurate for adrenal tumors? Hello Doctor, I went to a health check center for an endoscopic ultrasound of the pancreas. The pancreas is fine, but the doctor mentioned a suspected 1.18 cm tumor on the left adrenal gland. I then visited the urology depar...
Dr. Hu Ziren Reply:
A CT scan is more accurate; if you have concerns, it is recommended to undergo a self-paid examination again in 3 to 6 months.[Read More] Which Test is More Accurate for Adrenal Tumors: Ultrasound or CT Scan?
Understanding Elevated Platelet Count: When to Seek Medical Attention
Elevated platelet count? Hello Doctor, during my recent health check-up, I found that my platelet count was elevated at 433 x 1000/uL. The hospital's reference range for normal values is 160-370 x 1000/uL. Here are my other lab results: WBC 8.27 x 1000/uL, Hb 16.3 g/dL, MCV ...
Dr. Chen Yunfang Reply:
Hello: If the platelet count is not very high, drinking more water can help dilute the concentration. When you have the time and opportunity, you can go see a doctor for a follow-up blood test.[Read More] Understanding Elevated Platelet Count: When to Seek Medical Attention
Sexual Activity During APL Treatment: Safety and Considerations
Sexual activity during the treatment process for Acute Promyelocytic Leukemia (APL) should be approached with caution. It is important for patients to discuss their Hello Dr. Hu, In January, I was diagnosed with APL (Acute Promyelocytic Leukemia, M3 type). After more than a mont...
Dr. Hu Ziren Reply:
1. Yes, but it is important to rest after sexual activity and maintain regular exercise and a balanced diet. 2. Ejaculation does not affect white blood cell production; in fact, moderate sexual activity can improve and adjust overall physical and mental health.[Read More] Sexual Activity During APL Treatment: Safety and Considerations
Understanding Myelo 0.5 in CML Patients: What You Need to Know
Blood test results show myelo 0.5? Hello Doctor, ^_^ I am a CML patient who has been undergoing treatment for two years. My current PCR value is -3.8. In my latest blood test report, my WBC is 7.2, but I noticed for the first time that there is a myelo value of 0.5. Could you ple...
Dr. Hu Ziren Reply:
WBC is normal and PCR is -3.8, indicating that the disease is currently maintaining a "Major Molecular Response" (MMR), meaning there is no relapse. It is recommended to continue the current treatment and regular monitoring.[Read More] Understanding Myelo 0.5 in CML Patients: What You Need to Know
Understanding Abnormal Blood Test Results in Children: What to Do Next?
Abnormal blood test results! Hello Doctor: My child recently underwent a health checkup for junior high school, and the blood test results showed abnormalities with a platelet count of 563. The school notified us to seek medical attention for a re-evaluation. We went to the hospi...
Dr. Chen Yunfang Reply:
Hello: It is true that the white blood cell and platelet counts are slightly higher than normal, but clinically, these numbers do not necessarily indicate the presence of a disease. I don't have much concern regarding these values. Let's schedule an appointment with a p...[Read More] Understanding Abnormal Blood Test Results in Children: What to Do Next?
Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights
Six months after treatment for tongue cancer, there has been recent swelling and pain in the cervical lymph nodes? A 65-year-old male, who underwent treatment for stage 0 tongue cancer six months ago, has recently experienced pain and swelling in the lymph nodes in the neck. A CT...
Dr. Yan Jingheng Reply:
Hello, 1. Pain relief medications can have different effects on individuals, but acetaminophen is generally considered the mildest pain reliever. 2. For tongue cancer surgery, if it was detected at a very early stage, monitoring after surgery may suffice. However, if the lymph no...[Read More] Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights
Addressing Concerns in Multiple Myeloma Treatment: A Patient's Journey
Questions Regarding Treatment of Multiple Myeloma Hello Dr. Hu, My mother is 67 years old and has been diagnosed with multiple myeloma through spinal cord testing, with a high IgD level (6000-7000). Other body metrics are mostly normal, with the only notable abnormality being a...
Dr. Hu Ziren Reply:
If it is caused by Sider, typically after 1-2 months of adapting to the medication treatment, symptoms will gradually improve. If it does not affect daily life, it is recommended to simply monitor the situation.[Read More] Addressing Concerns in Multiple Myeloma Treatment: A Patient's Journey
Managing Iron Deficiency Anemia: Do You Still Need Iron Supplements?
Iron supplementation for the treatment of anemia? In October, I sought treatment at the hospital due to severe hair loss. After a blood test, the doctor diagnosed me with iron deficiency anemia and prescribed iron supplements (Ferrous sulfate). After three months of treatment, my...
Dr. Chen Yunfang Reply:
Hello: 1. Are the values you mentioned for Ferritin, or are they for free iron? I'm not sure, so I cannot answer; please consult the prescribing physician. 2. Increase your intake of red meats (such as beef and lamb, which are high in iron). In contrast, white meats like chi...[Read More] Managing Iron Deficiency Anemia: Do You Still Need Iron Supplements?
Painful Lumps Underarm: When to Seek Medical Attention?
There are several lumps in the armpit that are painful when pressed? Hello Doctor, In early December last year, I discovered three small lumps under my right armpit. They appeared normal, were immobile, not itchy, but painful when pressed, with the pain intensifying the more I ...
Dr. Hu Ziren Reply:
It may just be folliculitis or lymphadenopathy caused by stress and immune dysregulation. It is recommended to drink plenty of water and adjust your schedule. If there is no improvement after the exam and the condition seems to be worsening, it is advisable to see a dermatologist...[Read More] Painful Lumps Underarm: When to Seek Medical Attention?
How Long Should You Wait for Sentinel Lymph Node Biopsy Results?
Do we have to wait a month to know the sentinel lymph node biopsy report? Hello doctor, my mother's mammogram report from the health center showed abnormalities, and she was advised to go to a major hospital for further examination. At the major hospital, the ultrasound did ...
Dr. Chen Sirong Reply:
Ms. Lin / 39 years old / Female 1. During this week's follow-up, I asked the doctor to print the pathology report. A: Do you understand the report: benign? malignant? 2. I read online that the report takes 4 to 7 business days, but some say it can be determined in 30 minut...[Read More] How Long Should You Wait for Sentinel Lymph Node Biopsy Results?
Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis
Lymphadenopathy Hello Doctor: Around October, I experienced sharp pain in my jaw and throat. Upon pressing, I discovered a hard swollen lymph node near my salivary glands, approximately 2 cm in size. In November, I was very worried and went to see an ENT specialist and an endocri...
Dr. Chen Sirong Reply:
Hello [email protected]: 1. Is it possible that my colorectal carcinoma in situ has metastasized to the cervical lymph nodes? A: "In situ" means that it is localized and does not metastasize. 2. If the ultrasound shows no issues, do I need to go to an ENT spec...[Read More] Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis
Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Low white blood cell count with abnormal differentiation? I am concerned about not wanting to frequently visit the hospital and occupy medical resources, but I also worry that if there is a real issue, it may delay treatment. Therefore, I would like to ask Dr. Chen whether my sit...
Dr. Chen Yunfang Reply:
Hello: 1. The white blood cell count is unremarkable. You can decide whether to seek medical attention; if so, you should consult a hematologist. 2. Similarly, if you choose to seek medical attention, you can also see a hematologist. 3. These abnormalities do not have any particu...[Read More] Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Understanding Your Blood Test Results: Insights for Tumor Patients
Blood test report Hello Dr. Chen, Recheck results: RBC: 5.26, HB: 12.1, HCT: 40.3, RDW: 20.7, MCV: 76.6, MCH: 25.5, MCHC: 31.5, MPV: 7.3, Fe: 48, UIBC: 392, Monocytes: 12.8. The physician at the Chinese medicine clinic stated that there is no anemia, but the report shows seve...
Dr. Chen Yunfang Reply:
Hello: I agree! You do not have anemia! Anemia is determined solely by the hemoglobin (Hb) level, and yours is 12.1, which is normal. The other abnormal values are not helpful in diagnosing your condition! They are unrelated to your dizziness and hair loss. You should consult ano...[Read More] Understanding Your Blood Test Results: Insights for Tumor Patients
Understanding Lymphocyte and Eosinophil Levels in Tumor Diagnosis
Lymphocyte 48.2 and Eosinophil 0.6? Hello, Dr. Yan! Recently, I visited the doctor due to a sore throat, and an ultrasound examination revealed a 1.2 cm lymph node in my neck. I was scratched by a cat recently; could this be cat scratch fever? I have already gone to the hospital ...
Dr. Yan Jingheng Reply:
Hello, as you mentioned, the (percutaneous biopsy/imaging-guided drainage procedure) will be performed in a few days. Of course, a diagnosis can only be confirmed after the biopsy results are available, so it is advisable to wait for the pathology report.[Read More] Understanding Lymphocyte and Eosinophil Levels in Tumor Diagnosis
Understanding Low WBC Count: Implications and Concerns in Oncology
Low white blood cell count (WBC)? Hello, doctor. Last week, I had a complete blood count at the clinic. My WBC (white blood cell count) was only 2900, hemoglobin was 11.5, hematocrit was 33.2, platelet count was 179, and red blood cell count was 3.67. About two weeks ago, I exper...
Dr. Hu Ziren Reply:
1. Two blood tests showed white blood cell counts below 4,000. It is advised to wait until gastrointestinal discomfort resolves and then have another blood test in three months to monitor the levels. If the count remains below 4,000, a consultation with a hematologist or a rheuma...[Read More] Understanding Low WBC Count: Implications and Concerns in Oncology
High Immunoglobulin Levels: Potential Indicators of Blood Disorders
Elevated immunoglobulin levels? The health check results show elevated immunoglobulin levels, with total protein at 6.8 g/dL, albumin at 4.6 g/dL, and globulin at 2.2 g/dL (highlighted in red). A subsequent blood test revealed IgG at 968 mg/dL, IgA at 206 mg/dL, and IgM at 261 mg...
Dr. Chen Yunfang Reply:
Hello: Free kappa 11.83, Free lambda 1.54, Kappa/lambda ratio 7.68. Only this ratio is abnormal; the standard K/L ratio is 1/1. All other values you provided are normal (however, we cannot draw conclusions as the lab report you provided is incomplete). I cannot give recommendatio...[Read More] High Immunoglobulin Levels: Potential Indicators of Blood Disorders
Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Follicular lymphoma invading the bone marrow? Hello Doctor: My mother had a car accident a year ago, and during her hospitalization, it was discovered that her spleen was enlarged. A CT scan suggested lymphoma, and a biopsy confirmed follicular lymphoma. The doctor mentioned that...
Dr. Hu Ziren Reply:
1. Patients under the age of 60-65 with normal physical function are suitable candidates for bone marrow transplantation. 2. If the patient's hematopoietic cells in the bone marrow are aging and cancer cells are proliferating rapidly, the risks associated with bone marrow tr...[Read More] Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Understanding Blood Test Results: Are Your Bone Marrow Functions at Risk?
Blood Test Report Hello doctor, my health check report this year shows: White Blood Cell count (WBC): 3300, Red Blood Cell count (RBC): 551, Hematocrit (Ht): 53.5, Hemoglobin: 17.5, Mean Corpuscular Volume (MCV): 97.1, Platelet count (Plat): 27.4. Could you please tell me if ther...
Dr. Chen Yunfang Reply:
Hello: It could be a myeloproliferative disorder. Please bring your medical examination report to the hematology outpatient clinic. Thank you![Read More] Understanding Blood Test Results: Are Your Bone Marrow Functions at Risk?
High Platelet Count in Children: When to Seek Further Medical Evaluation?
Elevated platelet count in health checkup? Hello Doctor: My child (in the first year of junior high) received a health check-up form from school yesterday. All the indices are normal, but the platelet count is 465, and there is +++ for urine occult blood. Should we go to the hosp...
Dr. Hu Ziren Reply:
Platelets themselves are also inflammatory mediators. If there is inflammation or infection (such as a cold, etc.) in the body on the day of blood draw or within a few days, platelet levels may temporarily increase. A. It is recommended to follow up in 3-6 months; if levels remai...[Read More] High Platelet Count in Children: When to Seek Further Medical Evaluation?
Long-Standing Blood Clot on Foot: What You Need to Know
There has been a hematoma on the foot for many years? The hematoma is not located on the sole of the foot but rather on the top of the foot, beneath the middle toe and the ring toe. There is a red mark on top of the hematoma. I can't recall when it first appeared, but it has...
Dr. Hu Ziren Reply:
It is likely a congenital hemangioma (commonly referred to as a birthmark, which is a type of benign vascular lesion), and observation is recommended.[Read More] Long-Standing Blood Clot on Foot: What You Need to Know