Understanding Lymph Node Issues: Causes, Symptoms, and Treatments
Lymphatic issues Hello, Doctor: I would like to ask you about lymphatic issues. Recently, I discovered a lump on the left side of my neck, approximately 1.5 cm by 1.5 cm in size. It moves when touched and is not painful when pressed. I went to a general clinic, and the doctor sai...
Dr. Fan Sheng Reply:
It sounds like it might not be a big issue. If you're really concerned, you should consult a surgeon to have it removed for testing to obtain the most accurate diagnosis.[Read More] Understanding Lymph Node Issues: Causes, Symptoms, and Treatments
Low White Blood Cell Count and Skin Bruising: What You Need to Know
Leukopenia and subcutaneous bleeding? Hello Doctor: I have a few questions I would like to ask. 1. During my health check-up last June, my white blood cell count was low at 4.3. Will this affect my health, and how can I improve my immune system? 2. I recently saw a television ...
Dr. Fan Sheng Reply:
Ms. Hui-Ling: A white blood cell count of 4.3 is equivalent to 4300/microL, which is still within the normal range. However, since you have been experiencing persistent subcutaneous bleeding in your legs and arms, it is important to seek consultation with a hematologist as soon a...[Read More] Low White Blood Cell Count and Skin Bruising: What You Need to Know
Cost of Comprehensive Health Checkups and Blood Tests for Tumor Concerns
Regarding the cost of blood tests in hospital health check-ups? Hello, doctor! Recently, I have noticed a few round lumps (about 2 to 3) on the side of my neck and near my Adam's apple. They feel movable and are not painful. There is also a small round lump on my right shoul...
Dr. Fan Sheng Reply:
A full-body health check-up costs approximately six thousand to twelve thousand NTD out-of-pocket. Blood tests range from about four hundred fifty to eight hundred NTD.[Read More] Cost of Comprehensive Health Checkups and Blood Tests for Tumor Concerns
Understanding Blood Test Results: Signs of Tumors and Next Steps
Blood test Two weeks ago, I went to the hospital for an examination because I have been experiencing loose stools for over a year, widespread body aches (especially in the lower back), and foamy urine (which previously did not show any abnormalities in tests). The blood test resu...
Dr. Chen Sirong Reply:
1. If you have had loose stools for a year, you may consult a colorectal surgeon or a gastroenterologist. 2. For lower back pain and foamy urine, you can see a nephrologist or an orthopedic specialist. 3. If there is suspicion of a tumor, you may consider self-paying for a full...[Read More] Understanding Blood Test Results: Signs of Tumors and Next Steps
Understanding Early Stage Colon Cancer: Key Terms Explained
Microscopic description of the sigmoid colon? 1. IMA stands for Inferior Mesenteric Artery, which is a major blood vessel that supplies blood to the lower part of the colon. 2. Stromal invasion refers to the infiltration of cancer cells into the supportive tissue (stroma) surrou...
Dr. Fan Sheng Reply:
Mr. Wu: IMA stands for Inferior Mesenteric Artery, which supplies blood flow to the distal colon. Stromal invasion means that cancer cells have penetrated the intestinal wall. Wishing you all the best![Read More] Understanding Early Stage Colon Cancer: Key Terms Explained
Can Keloid Prone Individuals Develop Internal Tumors or Cancer?
Does keloid predisposition affect internal organs and lead to cancer? Dear Dr. Fan, My sister was diagnosed with malignant uterine leiomyosarcoma around this time last year. She underwent surgery to remove her uterus and one ovary, followed by six months of chemotherapy. After c...
Dr. Fan Sheng Reply:
Frank: Is it possible for keloids to develop in internal tissues? There hasn't been much research on that. However, wasn't the sarcoma in the pelvic cavity removed? Any specimen that is surgically excised is sent for pathological examination. If you request a pathology ...[Read More] Can Keloid Prone Individuals Develop Internal Tumors or Cancer?
Understanding Cancer Screening: Essential Tests and Their Effectiveness
How to know if you have cancer? I have the following questions for the doctor: 1. My mother is 75 years old and has been taking medication for hypertension and degenerative arthritis for a long time. I personally paid for cancer screening tests including liver AFP, colon CEA, o...
Dr. Chen Sirong Reply:
Hello: 1. Cancer screening blood tests are primarily designed for monitoring patients who have already been diagnosed with cancer, with the hope of early detection of recurrence. However, their significance for individuals who have never had cancer may not be as impactful, alth...[Read More] Understanding Cancer Screening: Essential Tests and Their Effectiveness
Can Severe Aplastic Anemia Be Cured or Require Long-Term Blood Transfusions?
Severe Aplastic Anemia Hello, doctor. A few days ago, I asked you about this issue: Can severe aplastic anemia recover, or will it require long-term blood transfusions? Thank you for your response.
Dr. Fan Sheng Reply:
Connie: If aplastic anemia is caused by drug toxicity, there is a possibility that bone marrow function may recover after a period of time once the toxicity has resolved. However, we cannot expect a full recovery with certainty. Currently, red blood cell and platelet transfusions...[Read More] Can Severe Aplastic Anemia Be Cured or Require Long-Term Blood Transfusions?
Understanding Poor Hematopoietic Function: A Case Study in Elderly Patients
Poor hematopoietic function? Hello, my grandfather is 85 years old. Two weeks ago, he visited a clinic for a headache and received a flu vaccine. A few days later, he experienced dizziness, and that same evening after dinner, he vomited. He was then taken to the emergency departm...
Dr. Fan Sheng Reply:
Connie: This should be classified as severe aplastic anemia, which is characterized by the cessation of hematopoiesis in the bone marrow. The causes of this condition include drug toxicity and autoimmune factors, among others. However, the majority of cases remain idiopathic. Lit...[Read More] Understanding Poor Hematopoietic Function: A Case Study in Elderly Patients
Understanding Hard Mass Near the Belly Button in Advanced Liver Cancer
There is a hard lump in the lower right quadrant near the navel? Hello, my father is a terminal liver cancer patient. In February, he underwent surgery to remove a liver tumor, and now a hard mass has been found in the lower right area of his abdomen near the navel, which the att...
Dr. Chen Sirong Reply:
Hello: The condition has spread to other parts of the body, and there is a possibility of further growth. 1. Whether surgical resection is possible must be determined by a specialist based on examinations such as computed tomography (CT) angiography. 2. However, radiation therapy...[Read More] Understanding Hard Mass Near the Belly Button in Advanced Liver Cancer
Understanding Your Grandmother's Health: Tumor Concerns and Next Steps
What kind of disease is this? Dear Doctor, My grandmother is 77 years old and has a history of heart disease, hypertension, and gout. She seems to have symptoms of hemorrhoids and had a mild gastric ulcer a few years ago. Recently, she has been experiencing shortness of breath w...
Dr. Fan Sheng Reply:
Bottle: In elderly patients with anemia, if blood transfusion is not administered, there is a risk of heart failure and myocardial infarction, so it is important to raise the hemoglobin level to above 9. There are many causes of anemia; if a urinalysis shows an excess of red bloo...[Read More] Understanding Your Grandmother's Health: Tumor Concerns and Next Steps
Essential Cancer Screening Tests for Early Detection in Seniors
What tests are available to predict the likelihood of developing cancer? My mother is 72 years old and has been taking medication for hypertension and degenerative arthritis for a long time. I have paid out of pocket for cancer screening tests for her, including liver AFP, colon ...
Dr. Chen Sirong Reply:
Hello: 1. A small number of individuals undergo health screenings, including physical examinations and blood tests, which can lead to early cancer detection. While these screenings may not be beneficial for the majority, they can be immensely helpful for a few, depending on your ...[Read More] Essential Cancer Screening Tests for Early Detection in Seniors
Understanding Tumor Treatment: Concerns About Surgery and Infection Risks
Oncology 1. My father has a hard lump below his right thigh, and after examination, the doctor recommended surgery for removal, which revealed it to be a cancerous tumor. He has been undergoing radiation therapy for over a year, and recently he has been experiencing heaviness in ...
Dr. Chen Sirong Reply:
Hello: 1. Difficulty walking may be due to (1) aging, or (2) localized fibrosis at the surgical site. Although the chance of recurrence is low, it is still advisable to follow up with the original surgeon. 2. An infection with Escherichia coli in the blood should be treated by an...[Read More] Understanding Tumor Treatment: Concerns About Surgery and Infection Risks
Understanding Symptoms: Could It Be IBS or Colorectal Cancer?
Please help me? I have recently been experiencing bloating and a lack of appetite, and I feel nauseous after eating. Previously, I had blood in my stool, and now my stools have become thinner, with occasional diarrhea. I feel anemic and sometimes have difficulty passing stool. In...
Dr. Chen Sirong Reply:
Hello: 1. The likelihood of developing colorectal cancer at the age of 13 is very low. 2. Irritable bowel syndrome may be more likely. 3. You should consult a colorectal surgeon or a gastroenterologist. 4. After treatment for colorectal cancer, some patients may experience recurr...[Read More] Understanding Symptoms: Could It Be IBS or Colorectal Cancer?
Understanding Pathology Slides: Seeking Second Opinions on Tumor Diagnosis
Pathological section Hello, Dr. Fan! My mother recently had a mass in her oral cavity. Previous blood tests and biopsies could not determine the type of malignant tumor, and it was only after the tumor was excised and subjected to pathological culture that it was identified as La...
Dr. Fan Sheng Reply:
Cycualice: Seeking a second opinion from another expert is a reasonable approach. The formal procedure involves requesting a copy of the pathology report from the original hospital, then consulting with another hospital's outpatient department. The pathologist at this new ho...[Read More] Understanding Pathology Slides: Seeking Second Opinions on Tumor Diagnosis
Understanding Neck Lumps: Concerns for Cancer Patients and Symptoms to Watch
Neck mass? Hello, about 8-9 years ago, my mother was diagnosed with rectal cancer. After surgery, her condition was good, and there were no visible issues. However, four years ago, it was discovered that the cancer had metastasized to her lungs, and after another surgery, she bec...
Dr. Fan Sheng Reply:
Doris: Based on your description, lymphatic metastasis from rectal cancer remains the primary concern. It is advisable to perform blood tests for tumor markers related to rectal cancer, conduct a chest X-ray, and perform a liver ultrasound to check for any metastatic lesions else...[Read More] Understanding Neck Lumps: Concerns for Cancer Patients and Symptoms to Watch
Post-Thyroid Tumor Surgery Care: What to Expect and Monitor
Thyroid tumor surgery Hello Doctor, my husband is 42 years old and has been experiencing discomfort in his throat for many years. Earlier this year, during a cold, he visited an otolaryngologist who discovered a tumor on his thyroid gland. He was referred to the hospital for furt...
Dr. Fan Sheng Reply:
Hello: Thyroid tumors can be classified as benign or malignant. For benign tumors, it is sufficient to remove the tumor. However, for malignant tumors, it is necessary to remove almost the entire thyroid gland, and sometimes the surrounding lymph nodes must also be excised. There...[Read More] Post-Thyroid Tumor Surgery Care: What to Expect and Monitor
Understanding Retinal Pigment Deposits: Potential Links to Cancer and Diagnosis
Retinal pigment deposition I have been diagnosed with retinal pigment deposits in my right eye by an ophthalmologist, who informed me that this could be a precursor to colon cancer. However, my blood tests conducted by a gastroenterologist came back normal. Is there a possibility...
Dr. Fan Sheng Reply:
ELMER: There is a hereditary form of colorectal cancer known as Familial Adenomatous Polyposis (FAP). Within FAP families, there is a subtype called Gardner's syndrome. Patients with Gardner's syndrome develop multiple thickened lesions in the retinal pigment epithelium...[Read More] Understanding Retinal Pigment Deposits: Potential Links to Cancer and Diagnosis
Understanding Treatment Options for Conjunctival Lymphoma in the Eyes
Conjunctival lymphoma? My aunt was recently diagnosed with conjunctival lymphoma in both eyes, with the tumor in the left eye being larger and more prominent. She was then referred to a hematology-oncology specialist for further evaluation, including blood tests, ultrasound, bone...
Dr. Fan Sheng Reply:
Conjunctival lymphoma is not absolutely contraindicated for radiation therapy; a radiation oncologist can be consulted to assess its feasibility, treatment success rate, and potential risks. Since most of these lymphomas are of low grade, oral chemotherapy can achieve good therap...[Read More] Understanding Treatment Options for Conjunctival Lymphoma in the Eyes
Understanding Neck Tumors: Symptoms, Diagnosis, and Concerns
Neck tumor Hello Dr. Chen: I have been experiencing headaches for over a week, and then I developed a lot of phlegm in my throat along with some pain. Shortly after, I noticed a lump about 1 cm in size on the right side of my neck. I visited an ENT specialist who examined my naso...
Dr. Chen Sirong Reply:
Hello: 1. It is sufficient to see an otolaryngologist once a month for examination. 2. Try drinking a large glass of water with an expectorant before bed. 3. Medication may reduce the size; it is said to be caused by an infection, so don't overthink it. Sincerely, Dr. Chen S...[Read More] Understanding Neck Tumors: Symptoms, Diagnosis, and Concerns