Blood, Oncology FAQ - Page 24

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Is There a Link Between Childhood Leukemia and Adult Brain Tumors?

Brain tumor I have a cousin who was diagnosed with leukemia at the age of 3 or 4 and has since been cured. Follow-up results show that he has not relapsed. Now, at 24 years old, he suddenly developed a brain tumor last year, which was surgically removed, but this year, another br...


Dr. Fan Sheng Reply:
Tina: Malignant brain tumors are indeed difficult to completely resect, so the chance of recurrence is significant. As for the relationship with blood cancer, if the patient was treated for acute lymphoblastic leukemia years ago and underwent radiation therapy to the brain to eli...

[Read More] Is There a Link Between Childhood Leukemia and Adult Brain Tumors?


Are All Tumors Cancer? Understanding Liver Tumors and Their Risks

Is a tumor the same as cancer? Hello, doctor. My grandmother is over 80 years old and has poor health, suffering from severe anemia and cirrhosis due to hepatitis C. Recently, a check-up revealed a newly developed tumor in her liver. Her case has been referred to National Taiwan ...


Dr. Chen Sirong Reply:
Hello, 1. Tumors can be benign or malignant, and cancer refers specifically to malignant tumors. 2. The liver can also have benign tumors such as hemangiomas or malignant tumors such as liver cancer. 3. A one-month wait for an MRI is relatively long; it is advisable to discuss th...

[Read More] Are All Tumors Cancer? Understanding Liver Tumors and Their Risks


Could a Movable Lump Near the Anus Indicate Rectal Cancer?

Rectal cancer Hello Dr. Chen, I have a question: There is a movable lump near the anus, and there is no blood in the stool. Is it possible that this could be rectal cancer? (My mother is a rectal cancer patient.)


Dr. Chen Sirong Reply:
Hello: Based on your statement, I am unable to provide a judgment. I recommend consulting a colorectal surgeon for a diagnosis. Wishing you good health.

[Read More] Could a Movable Lump Near the Anus Indicate Rectal Cancer?


Preparing for PET Scan: Dietary and Lifestyle Guidelines Before Your Appointment

Positron Emission Tomography (PET) Hello. I underwent a hysterectomy and chemotherapy for a diagnosis of PSTT on September 10th last year. This year, I need to undergo a PET scan. What are the dietary and lifestyle restrictions I should follow one day before the PET scan? Thank y...


Dr. Chen Sirong Reply:
Hello: Positron Emission Tomography (PET) scans are primarily used for tumor detection, cardiac blood flow assessment, brain function evaluation, and myocardial metabolic function analysis. PET scans are non-invasive procedures, and the steps involved are quite simple, consisting...

[Read More] Preparing for PET Scan: Dietary and Lifestyle Guidelines Before Your Appointment


Understanding Abnormal WBC and Neutrophil Levels: What Could It Mean?

Questions about the test report? A patient has a blood test report that is normal except for abnormalities in WBC and neutrophils. The report shows: WBC: 1420/µL, NEUTROPHIL: 90%. I suspect this may be related to hematological malignancies. Thank you for your assistance.


Dr. Fan Sheng Reply:
Xiao Wu: Are you sure that both hemoglobin and platelet counts are normal? If so, an infection would be my primary consideration. Does the patient have a fever? Thank you!

[Read More] Understanding Abnormal WBC and Neutrophil Levels: What Could It Mean?


Treatment Options for Lymphoma in Patients with Metastatic Cancer

Lymphoma My mother-in-law has a history of colorectal cancer and vaginal cancer, which has now metastasized to lymph node cancer located in the lower abdomen and the lymph nodes near the blood vessels behind the intestines. Due to the proximity of the cancer to the kidneys, she i...


Dr. Chen Sirong Reply:
Hello: 1. The reasons for being unable to undergo radiation therapy may include: 1. Poor physical condition. 2. The extent of the disease is too large. However, if the issue is merely proximity to the kidneys, advanced techniques such as Intensity-Modulated Radiation Therapy (IMR...

[Read More] Treatment Options for Lymphoma in Patients with Metastatic Cancer


Tragic Chemotherapy Experience: A Family's Heartbreaking Journey

About cancer chemotherapy? On November 2, 2005, my wife was admitted to the Hematology and Oncology Department of Kaohsiung Chang Gung Memorial Hospital for chemotherapy due to cancer. The attending physician was Dr. Tang Yeh. My wife passed away on November 21, 2005. During the ...


Dr. Fan Sheng Reply:
Teacher: Due to the unique constitution of certain patients, high-dose continuous infusion of 5-FU chemotherapy can interfere with liver detoxification functions, leading to hepatic encephalopathy that affects central nervous system function. The treatment indeed involves the use...

[Read More] Tragic Chemotherapy Experience: A Family's Heartbreaking Journey


Understanding Pituitary Tumors: Links to Hypertension and Treatment Options

Pituitary tumor Hello, doctor! Last year, I was diagnosed with hypertension at the hospital. During an MRI in May, the cardiology department found adrenal hyperplasia, and in December, another MRI revealed a pituitary tumor. 1. Is there a relationship between the pituitary tumo...


Dr. Fan Sheng Reply:
Vicky: 1. There is indeed a significant relationship between pituitary tumors, adrenal hyperplasia, and hypertension. 2. The cause of pituitary tumors is unknown. 3. The vast majority of pituitary tumors are not cancerous. 4. Your condition may be due to a pituitary tumor secreti...

[Read More] Understanding Pituitary Tumors: Links to Hypertension and Treatment Options


Understanding Liver Checkups: Navigating Tumor Concerns and Next Steps

Liver examination During a routine health check, I was found to have fatty liver and multiple shadows on the ultrasound. The doctor interpreted this as possibly due to uneven fat distribution and recommended follow-up examinations. Later, I went to Cheng Kung University Hospital ...


Dr. Fan Sheng Reply:
Jenda: It is recommended to perform angiography to determine whether it resembles a malignant tumor or is simply a benign hemangioma. If it appears malignant, we should proceed with surgical removal.

[Read More] Understanding Liver Checkups: Navigating Tumor Concerns and Next Steps


Understanding PET Scans: A Guide for Cancer Patients and Families

What is PET (Positron Emission Tomography) imaging? Your question: Hello, my mother is a breast cancer patient. In 2000, she had her right lymph nodes removed, and in 2002, she had a recurrence and underwent a right mastectomy. Recently, she has been experiencing frequent pain ne...


Dr. Chen Sirong Reply:
Hello, positron emission tomography (PET) is one of the advanced medical technologies. Its functions include the detection of cancer, assessment of cardiac blood flow and myocardial viability, and diagnosis of brain lesions. You should consult your mother's attending physici...

[Read More] Understanding PET Scans: A Guide for Cancer Patients and Families


Unexplained Left Hand Swelling and Pleural Effusion: A Tumor Case Study

Unexplained swelling of the left hand leading to pleural effusion in the left lung? 1. Five years ago, my sister underwent an endoscopic surgery to remove a tumor approximately 5 centimeters in size from her stomach. However, after the biopsy, cancer cells were detected, leading ...


Dr. Fan Sheng Reply:
Ms. Su: If the doctor at National Taiwan University confirms that it is not lymphedema, it is possible that cancer has caused a deep vein thrombosis in the left arm that has progressed to the left subclavian vein. You may want to ask the doctor if a venography is necessary for di...

[Read More] Unexplained Left Hand Swelling and Pleural Effusion: A Tumor Case Study


Why Isn't My Hemoglobin Rising Despite Taking Iron Supplements?

Why is hemoglobin (Hb) still not increasing after taking iron supplements? Hello, my hemoglobin (Hb) has been consistently around 9.5. After going to the hospital for a check-up, I found out that I have iron deficiency, but even after taking iron supplements for a while, my Hb is...


Dr. Fan Sheng Reply:
1. It is possible that the dosage of iron supplements is insufficient or that there is ongoing blood loss. Gastrointestinal bleeding, urinary tract bleeding, and excessive menstrual bleeding in females all require examination and treatment. 2. The diagnosis can be further confi...

[Read More] Why Isn't My Hemoglobin Rising Despite Taking Iron Supplements?


Understanding Multiple Myeloma: Symptoms, Treatments, and Support Options

Issues related to multiple myeloma? Hello, Doctor: I apologize for taking up your time! My mother was diagnosed with multiple myeloma (stage II) four years ago. After undergoing chemotherapy and radiation therapy, along with diligent care, her condition has remained relatively st...


Dr. Fan Sheng Reply:
Mr. Zhang: The recurrence and progression of multiple myeloma should be determined by abnormal immunoglobulin levels from blood tests, X-ray imaging of the bones, and bone marrow aspiration and biopsy. As far as I know, the new drug Velcade must be purchased out-of-pocket, but a ...

[Read More] Understanding Multiple Myeloma: Symptoms, Treatments, and Support Options


Understanding Liver Transplant for Liver Cancer: Process, Survival, and Hepatitis B Concerns

Liver transplantation I have a friend who has liver cancer and may need a liver transplant (I've heard that if the liver blood vessels are obstructed, they might only live for three months). I would like to know what the process is like if they are fortunate enough to wait f...


Dr. Fan Sheng Reply:
Mr. Li: Liver transplantation involves the complete removal of a diseased liver affected by liver cancer and replacing it with a donated liver from another person. The surgical procedure carries certain risks, and post-surgery, long-term use of immunosuppressants is necessary to ...

[Read More] Understanding Liver Transplant for Liver Cancer: Process, Survival, and Hepatitis B Concerns


Understanding Diffuse Liver Cancer: Risks and Differences from Common Liver Cancer

What is diffuse liver cancer? I heard that a doctor in Qianzhen died from diffuse liver cancer. Is the number of people affected by diffuse liver cancer in Taiwan high? How does it differ from general liver cancer? I am a carrier of hepatitis B; am I considered a high-risk group?...


Dr. Chen Sirong Reply:
Hello, diffuse liver cancer is a type of liver cancer where cancer cells do not form a "tumor-like" structure but instead spread diffusely. It can sometimes be difficult to detect via ultrasound, leading to a possibility of misdiagnosis. Generally, patients with this ty...

[Read More] Understanding Diffuse Liver Cancer: Risks and Differences from Common Liver Cancer


Understanding Side Effects of Chemotherapy for Colorectal Cancer Metastasis

Colorectal cancer metastasizing to lung cancer and liver cancer? Hello doctor, my grandfather had surgery for colon cancer four years ago, and in the past one to two years, he has had surgeries for metastatic lung cancer and liver cancer. He started using the drug Erbitux two mon...


Dr. Chen Sirong Reply:
Hello: 1. Are platinum compounds the same as erblifux? You should know! 2. Platinum compounds refer to substances like cisplatin and oxaliplatin. 3. The side effects are as follows: (1) Bone marrow suppression: It has an inhibitory effect on the main components in the blo...

[Read More] Understanding Side Effects of Chemotherapy for Colorectal Cancer Metastasis


Can Leukemia Patients Get Married? Genetic Risks and Pregnancy Testing Explained

Can a person with leukemia get married? I have a boyfriend with whom I have a good relationship, and we have recently discussed the topic of marriage. I have been suffering from acute myeloid leukemia for 16 years and have stopped all treatments. I am a bit concerned about whethe...


Dr. Fan Sheng Reply:
Vivian: The genetic mutations associated with leukemia are limited to blood cells and should not pose any hereditary issues. However, the chemotherapy you underwent may have caused DNA damage to your germ cells. If your menstrual cycle returns to normal, it is possible for you to...

[Read More] Can Leukemia Patients Get Married? Genetic Risks and Pregnancy Testing Explained


Understanding Liver Tumor Testing: Genetic Risks and Advanced Screening Options

Regarding liver tumor testing? Hello, many of my mother's relatives have passed away due to liver cancer, including my grandmother and three uncles. Recently, my aunt was also diagnosed with a liver tumor. My mother has been undergoing regular check-ups, but she was recently...


Dr. Fan Sheng Reply:
Shayna: Based on your description, it is possible that your family may have developed familial liver cancer due to vertical transmission of hepatitis B (from mother to child). Current diagnostic tools such as ultrasound, computed tomography (CT), and angiography, combined with li...

[Read More] Understanding Liver Tumor Testing: Genetic Risks and Advanced Screening Options


The Necessity of Cranial Radiation in Pediatric Leukemia Treatment

The Necessity of Cranial Radiation Therapy in Pediatric Leukemia Patients Dear Doctor, My daughter is five years old and was diagnosed with Acute Lymphoblastic Leukemia (ALL) last year. At the time of diagnosis, her white blood cell count was approximately 170,000, and she exhib...


Dr. Fan Sheng Reply:
Mr. Apple: Indeed, cranial radiation therapy can lead to various side effects in children in terms of cognitive function, attention, height, endocrine function, and bone density. An alternative approach is to use what you referred to as Triple IT and High Dose Methotrexate therap...

[Read More] The Necessity of Cranial Radiation in Pediatric Leukemia Treatment


Understanding Unexplained Hematuria: A Guide for Concerned Families

Unknown cause I would like to ask about my father-in-law, who is 68 years old and occasionally experiences hematuria. He has visited two major hospitals for examinations, but the test results have all come back normal (including tests for the urinary system, blood sugar, kidney s...


Dr. Chen Sirong Reply:
Hello: There are many causes of hematuria, with common ones including inflammation of the urinary tract, stones, tumors, and trauma. Hematuria caused by different factors may present with various accompanying symptoms. Generally, physicians must start with the patient's medi...

[Read More] Understanding Unexplained Hematuria: A Guide for Concerned Families


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