Understanding Groin Lumps: Causes and Concerns for Your Health
Several protrusions in the groin area? Recently, I have noticed some lumps on both sides of my groin, and my thighs feel sore. I'm not sure if it's because I'm too thin (over 160 cm tall and in my 40s kg range), which makes it easier to feel them. My shoulders also...
Dr. Chen Sirong Reply:
1. Lymph nodes in the groin can become enlarged due to malignant tumors or bacterial and viral infections. For example, a bacterial infection from a broken skin condition like athlete's foot can cause redness and swelling that spreads to the groin, or sexually transmitted in...[Read More] Understanding Groin Lumps: Causes and Concerns for Your Health
Understanding Lymph Node Issues: Are They a Sign of Cancer?
Lymphatic issues 1. I have a slender lymph node on the left side of my neck and under both armpits, approximately 2.5 centimeters in length. It moves when pressed and is not painful. What could this be? Is it possible that it is cancer? 2. If I have blood drawn, will it be able...
Dr. Fan Sheng Reply:
Silly old man: Is 31 considered old? As you mentioned, the biggest fears are lymphoma or HIV, so please go to the hospital for a consultation, get a blood test, and have a biopsy done.[Read More] Understanding Lymph Node Issues: Are They a Sign of Cancer?
Understanding Lymphadenopathy: What You Need to Know About Swollen Lymph Nodes
Lymphadenopathy Hello Dr. Chen, I have a small lump on each side of my neck and groin that moves when pressed. They are not painful and are about 1.5 centimeters in size. I went to the hospital for an examination, and the doctor said they are lymph nodes. After a blood test, the ...
Dr. Chen Junyi Reply:
It is recommended to consult an otolaryngologist.[Read More] Understanding Lymphadenopathy: What You Need to Know About Swollen Lymph Nodes
What to Do If a Cancer Patient Has a Fever: A Guide for Caregivers
What to do if a cancer patient has a fever? Hello... My father is a kidney cancer patient. He has completed radiation therapy and chemotherapy, and today he suddenly developed a fever. What should we do? Is it okay to take regular antipyretics?
Dr. Lai Yicheng Reply:
Dear Ms. Wu, There are many reasons why cancer patients may experience fever. It could be caused by the malignant tumor itself, the treatment (including radiation therapy and chemotherapy), or other factors. However, the presence of fever should be taken very seriously, especial...[Read More] What to Do If a Cancer Patient Has a Fever: A Guide for Caregivers
Understanding Stage IV Colorectal Cancer: Monitoring and Treatment Insights
Stage III colorectal cancer with metastasis to the lungs is classified as Stage IV? Hello Doctor: 1. I was diagnosed with stage III cancer in 1998. After surgery, my CEA level was 0.19, consistently ranging from 0.16 to 0.19. After undergoing 12 sessions of chemotherapy over si...
Dr. Chen Sirong Reply:
1. (Why) It may not be possible to explain why some tumors have elevated CA19-9 levels, some have elevated CEA levels, some have both elevated, and some have neither. Monitoring can involve testing just one marker or both. 2. There is certainly a chance of metastasis within thr...[Read More] Understanding Stage IV Colorectal Cancer: Monitoring and Treatment Insights
Understanding Prolonged APTT with Normal PT: Insights for Patients
APTT prolonged, PT normal? Hello Doctor, in mid-April last year (2010), I noticed petechiae on my arm, which was the second occurrence I remembered. Therefore, I went to the hospital for a blood test, and the results were normal at that time (including PT, APTT, bleeding time, et...
Dr. Fan Sheng Reply:
Mr. Lin: After scratching, small red spots appear in the scratch marks, which usually suggests a possible decrease in platelet count. Have you had your platelet levels checked? If the platelet count is indeed low and the APTT is prolonged, one possible consideration is an autoimm...[Read More] Understanding Prolonged APTT with Normal PT: Insights for Patients
Impact of Chemotherapy Dose Reduction on Treatment Efficacy: Key Considerations
Chemotherapy dose reduction? Hello, doctor. I would like to ask you a few questions. Thank you for your answers. 1. There is an elderly patient currently undergoing chemotherapy, with an expected total of about eight cycles. They are now around the third or fourth cycle, but th...
Dr. Chen Junyi Reply:
Dose adjustments should be based on individual circumstances, side effects, and treatment response.[Read More] Impact of Chemotherapy Dose Reduction on Treatment Efficacy: Key Considerations
Understanding Fluctuations in Cancer Markers: A Case Study on Liver Cancer
Could you please clarify what specific information you are seeking regarding blood tests? The blood cancer marker for liver cancer was over 500 during the May check-up (indicating metastasis from colon cancer to the liver), then it rose to 4800 during the June check-up (which was...
Dr. Chen Junyi Reply:
It is likely due to changes in the tumor condition.[Read More] Understanding Fluctuations in Cancer Markers: A Case Study on Liver Cancer
Unexplained Bruises and Itching: Understanding Possible Causes
Itchy followed by bruising? Hello Doctor: In the past month, I have experienced unexplained bruising on both my left and right arms, each occurring once. Initially, the affected area felt itchy, and after lightly scratching it, I noticed some blood streaks. I could also feel a sm...
Dr. Fan Sheng Reply:
Hello: It sounds like it could be a case of subcutaneous bleeding. Please visit the hematology clinic to check your platelet count and coagulation function. Additionally, make sure to consume plenty of fresh fruits and vegetables to supplement your vitamin C intake. Thank you![Read More] Unexplained Bruises and Itching: Understanding Possible Causes
Treatment Recommendations for Relapsed AML (M2) in Older Patients
The treatment recommendations for Acute Myeloid Leukemia (AML, M2) typically include: 1. **Induction Therapy**: The standard initial treatment often involves a combination of chemotherapy agents, such as cytarabine and an anthracycline (e.g., daunorubicin or idar Hello, Dr. Fan....
Dr. Fan Sheng Reply:
Hello, Xiao Zhen: 1. In my opinion, the rock candy white fungus and lotus seed soup has no therapeutic effect on leukemia, but it also does not have any negative impact. 2. Currently, various hospitals have established smoking cessation clinics, and I recommend consulting with...[Read More] Treatment Recommendations for Relapsed AML (M2) in Older Patients
Understanding Side Effects of Radiation Therapy After Pituitary Tumor Surgery
What are the side effects of radiation therapy after surgery for a pituitary tumor? My grandfather is 70 years old. He had a pituitary tumor that was originally 2 centimeters. After surgery, a follow-up MRI showed it is about 1 centimeter. The doctor said he needs to undergo radi...
Dr. Chen Sirong Reply:
Hello, Kang. I believe your doctor has already explained to your parents and grandfather about the pituitary tumor and radiation therapy. Perhaps you have also searched online for information. I suggest that if you really want to understand: 1. First, understand that radiation t...[Read More] Understanding Side Effects of Radiation Therapy After Pituitary Tumor Surgery
Is Post-Surgery Death from Liver Cancer a Medical Error or Unforeseen Outcome?
Is it considered negligence if a patient dies three months after undergoing surgery for liver cancer? The rapid spread of the situation raises the question: was the patient's passing an unforeseen error or a human oversight? Prior to the surgery, blood tests for liver functi...
Dr. Chen Junyi Reply:
The detection of minimal residual disease is currently a challenging aspect of medical technology.[Read More] Is Post-Surgery Death from Liver Cancer a Medical Error or Unforeseen Outcome?
Understanding Multiple Myeloma: Concerns About Bone Marrow Testing
Regarding multiple myeloma and bone marrow aspiration issues? Hello Doctor: My mother is 55 years old. She has not recovered from a spinal injury due to a fall, and blood tests revealed signs of ischemia. She was then referred to a hematologist, and blood tests indicated a suspic...
Dr. Fan Sheng Reply:
Mr. Hsieh: If blood tests indicate a suspicion of multiple myeloma, a bone marrow biopsy is necessary for a definitive diagnosis. Typically, a needle is inserted into one of the areas above the ischium on both sides of the hips. However, this is not a procedure for extracting cer...[Read More] Understanding Multiple Myeloma: Concerns About Bone Marrow Testing
Understanding Neck Lumps: When to Worry About Cancer Risks
Neck mass Hello Doctor: I just felt a small hard lump on the left side of my neck, around the area of the Adam's apple. It hurts when I press on it, and I think it feels like bone. Coincidentally, I visited an ENT today for a sore throat due to a cold, and the doctor perform...
Dr. Chen Junyi Reply:
You can observe patiently for 1-2 weeks, and if there is no improvement, promptly consult an oncologist.[Read More] Understanding Neck Lumps: When to Worry About Cancer Risks
Understanding Fever and Lung Shadows in Leukemia Patients: Key Considerations
excuse me? A leukemia patient who is hospitalized due to fever and has lung shadows detected, despite having received pneumonia, influenza, and H1N1 vaccines, with normal rapid tests and experiencing wheezing, may be experiencing several potential issues. The lung shadows could i...
Dr. Fan Sheng Reply:
LKK: The patient was hospitalized due to fever and a shadow was found in the lungs, which is likely pneumonia. Strong broad-spectrum antibiotics are needed for treatment. Thank you.[Read More] Understanding Fever and Lung Shadows in Leukemia Patients: Key Considerations
Understanding Osteoclastoma: Is It a Malignant Tumor?
What is an osteoclastoma? Hello Dr. Chen: I apologize for bothering you. I have a female friend who is only 28 years old. Last year, she had a tumor in the area of her left ulna and underwent resection surgery at Kaohsiung Medical University and I-Shou University Hospital. Howeve...
Dr. Chen Junyi Reply:
Giant cell tumor of bone (GCT) is a lytic tumor primarily composed of mononuclear cells and multinucleated giant cells, classified as a primary bone tumor that lies between malignant and benign. It is also known as osteoclastoma. It is not to be confused with multiple myeloma or ...[Read More] Understanding Osteoclastoma: Is It a Malignant Tumor?
Unexplained Bruising During Weight Loss: Is It a Sign of Blood Disorders?
Bruise I have been dieting for a while, and recently I have been experiencing unexplained bruising on my body. I am concerned that my weight loss may have led to nutritional deficiencies resulting in blood disorders (such as anemia, low platelet count, or white blood cell issues)...
Dr. Chen Junyi Reply:
Please go to the hematology department for a blood draw.[Read More] Unexplained Bruising During Weight Loss: Is It a Sign of Blood Disorders?
Navigating Stage 3 Lung Cancer Treatment: Key Questions and Concerns
Issues regarding treatment for stage 3 lung cancer...! A decision on whether to proceed with targeted therapy needs to be made in the next two days? The father is 60 years old and has been experiencing swelling in the jaw and neck (so severe that the neck is almost not visible) a...
Dr. Chen Junyi Reply:
In theory, treatment should proceed only after obtaining a definitive pathological report. However, due to the more tolerable side effects of targeted therapy, the attending physician may decide to initiate treatment in critical situations.[Read More] Navigating Stage 3 Lung Cancer Treatment: Key Questions and Concerns
Understanding Rectal Adenocarcinoma: Diagnosis, Treatment, and Care
Rectal adenocarcinoma Dear Doctor, Recently, an elder in my family visited the doctor due to blood in the stool, initially thinking it was caused by hemorrhoids (which they already have). However, during the endoscopy, a polyp approximately 2 cm in size was found 4 cm from the a...
Dr. Chen Sirong Reply:
1. Currently, pathological slides for malignant tumors require confirmation from two physicians, so the chance of error is extremely low. After surgery, only the staging has changed; the physician predicts a clinical stage of T2N0M0, while the definitive pathological staging post...[Read More] Understanding Rectal Adenocarcinoma: Diagnosis, Treatment, and Care
Post-Operative Care for Colorectal Cancer: Dietary Guidance and Recovery Tips
Postoperative Care for Colorectal Cancer Dear Dr. Chen, My father recently underwent surgery for colon cancer, and it has been two weeks since the operation. After the surgery, he received IV fluids for supplementation, and his weight has not decreased. About 3-4 days post-surge...
Dr. Chen Sirong Reply:
Dear Yu-Hsin, 1. Carbohydrates, proteins, and fats are three essential nutrients that cannot be overlooked. Fish soup provides a source of fat, so that should not be an issue. Postoperatively, if there are no signs of bowel obstruction, theoretically, both porridge and soft rice...[Read More] Post-Operative Care for Colorectal Cancer: Dietary Guidance and Recovery Tips