Brain tumor, Oncology FAQ

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Timing Growth Hormone Injections for Craniopharyngioma Patients: Key Considerations

Timing of Growth Hormone Injection in Patients with Craniopharyngioma A 7-year-old child diagnosed with precocious puberty was found to have a brain tumor. In April of this year, the child underwent surgery for a craniopharyngioma. Due to a height increase of less than 2 centimet...


Dr. Chen Sirong Reply:
Zhang S / 42 years old / Female 1. What impact does administering growth hormone injections have on craniopharyngiomas in the brain? A: I can provide you with a paper from mainland China that suggests there are no significant adverse effects. 2. If one were to administer gro...

[Read More] Timing Growth Hormone Injections for Craniopharyngioma Patients: Key Considerations


Understanding NF1-PN: Management and Risks of Neurofibromatosis Tumors

NF1-PN plexiform neurofibromas Hello Dr. Hu: My son is 12 years old now. When he was 8, we discovered that he had a tumor in his abdomen and liver. Because it is a flat lesion, we have visited 7 or 8 major hospitals, but no doctor has dared to perform surgery on him. I would like...


Dr. Hu Ziren Reply:
Pediatric oncology is a specialized field of medicine that focuses on the diagnosis and treatment of cancers in children. This branch of medicine addresses various types of pediatric tumors, including leukemia, brain tumors, neuroblastoma, Wilms tumor, and retinoblastoma, among o...

[Read More] Understanding NF1-PN: Management and Risks of Neurofibromatosis Tumors


Understanding Brain Tumor Symptoms and EEG Results: What You Need to Know

Regarding brain tumors? Hello, doctor. I would like to ask two questions. First, I have been experiencing occasional sneezing, coughing, weakness in my limbs, intermittent decline in vision and hearing, difficulty with speech and walking, frequent forgetfulness, vague headaches a...


Dr. Hu Ziren Reply:
1. It is recommended to consult a neurologist. 2. Normal EEG results cannot be used to rule out a brain tumor; in other words, to diagnose a brain tumor, a brain CT scan or MRI is necessary.

[Read More] Understanding Brain Tumor Symptoms and EEG Results: What You Need to Know


Steroid Treatment Shrinks Lymphoma: What You Need to Know

Steroids can reduce the size of lymphoma? Hello Dr. Chen, I would like to ask you about a case where a suspected brain lymphoma was investigated, and a lumbar puncture revealed a significant number of lymphocytes. Due to brain swelling and dizziness, corticosteroids were administ...


Dr. Chen Sirong Reply:
Xiao Yuan / 36 years old / Female 1. If the symptoms persist, should I seek medical attention first? A: Yes. 2. I'm very worried... If it's lymphoma, will the unclear report delay treatment? A: If a 3D stereotactic biopsy is performed to remove a brain tumor, can yo...

[Read More] Steroid Treatment Shrinks Lymphoma: What You Need to Know


Understanding Headaches and Hallucinations: Are They Signs of a Brain Tumor?

Headache due to emotional distress? Hello doctor, I have depression and I feel that when I'm in a bad mood, my head hurts "very much" and I feel "very dizzy." I also "hear a lot of voices," and I don't know what those voices are saying. Cou...


Dr. Chen Sirong Reply:
Ms. Chen / 20 years old / Female 1. You should prioritize consulting your psychiatrist. 2. Most likely, it is the effect of depression. Thank you for your letter, and I wish you mental and physical well-being. Taoyuan Hospital Dr. Chen Si-Rong

[Read More] Understanding Headaches and Hallucinations: Are They Signs of a Brain Tumor?


Understanding Persistent Fever and Breathing Issues in Brain Cancer Patients

Breast cancer metastasis to the brain, with persistent fever and shortness of breath? I'm sorry to hear about your family's situation. Here are the translated questions: Q1: The doctor said the wheezing is due to pneumonia, but why does it continue to worsen even after...


Dr. Chen Sirong Reply:
If a 25-year-old woman says: 1. This is your only family member! However, the reality is that the disease has metastasized and has progressed to stage IV. If her physical condition is poor, it can be considered terminal. Generally, even after chemotherapy and radiation therapy fo...

[Read More] Understanding Persistent Fever and Breathing Issues in Brain Cancer Patients


Is Eyelid Twitching Linked to Tumors? Understanding the Connection

Is there a connection between eyelid twitching and tumors? Last February, my left eyelid started twitching. It wasn't continuous, but it happened multiple times every day, several times at once. Initially, I didn't think much of it, but soon after, I discovered that I h...


Dr. Hu Ziren Reply:
It may just be a coincidence or a psychological effect; otherwise, it could indicate an issue with the brain (such as a brain tumor, etc.).

[Read More] Is Eyelid Twitching Linked to Tumors? Understanding the Connection


Understanding Stage IV Astrocytoma: Survival Rates and Post-Surgery Care

A family member has been diagnosed with stage IV astrocytoma, and the doctor has given a prognosis of only 1.5 years left? Hello Dr. Lai, my family member has been diagnosed with a brain tumor (Grade IV astrocytoma), and the doctor has informed us that there is only about a year ...


Dr. Lai Yicheng Reply:
The first question is unclear, and I cannot provide advice based on it. For the second question, please avoid consuming irritating foods such as spicy, greasy, fried foods, and stewed dishes with old ginger and Chinese cabbage. For more detailed information, you may consult a nut...

[Read More] Understanding Stage IV Astrocytoma: Survival Rates and Post-Surgery Care


Managing Stage IV Esophageal Cancer with Metastasis: Key Considerations

Stage IV esophageal cancer with metastasis to other sites? Hello, Doctor! At the beginning of July, my father (56 years old) suddenly experienced weakness in his left leg. After examination at the hospital, it was found that there were 3-4 tumors of varying sizes in his brain. Fu...


Dr. Lai Yicheng Reply:
Dear Ms. Wu, Thank you for your letter. Here are the responses to your inquiries in order: 1. Currently, nutrition is being administered primarily via a nasogastric tube. Oral intake should be avoided to prevent aspiration pneumonia due to potential esophageal obstruction from ...

[Read More] Managing Stage IV Esophageal Cancer with Metastasis: Key Considerations


Understanding Right Posterior Brain Tumors: Symptoms and Concerns

Right posterior part of the brain? I have noticed a small, slightly raised lump on the back of my right brain that does not move. I hadn't felt it for a while, but recently I have been able to feel it again! When I sleep on my right side, my right hand tends to get numb, and...


Dr. Chen Sirong Reply:
Patient: 26 years old, female 1. I have noticed a small, slightly raised lump on the back of my right brain that does not move. I hadn't felt it for a while, but recently I have noticed it again. A: If it comes and goes, it is likely benign. If there are symptoms, surgi...

[Read More] Understanding Right Posterior Brain Tumors: Symptoms and Concerns


Understanding Brain Tumors: Symptoms, Treatment, and When to Seek Surgery

Brain tumor Hello, doctor. I have neurofibromatosis and have undergone several surgeries for tumors in the past. I have had a brain tumor for three years now; initially, there was only one, but during a follow-up last year, it increased to three—one in each hemisphere and one in ...


Dr. Hu Ziren Reply:
Hello, user: 1. May I ask which type you are diagnosed with (Neurofibromatosis type 1, type 2, or type 3 [Schwannomatosis])? 2. Regardless of the type, it can potentially affect the intracranial and spinal cord or peripheral nerves. It sounds like your symptoms, in addition to in...

[Read More] Understanding Brain Tumors: Symptoms, Treatment, and When to Seek Surgery


Understanding Left Temporal Brain Tumors: Symptoms, Treatment, and Prognosis

Brain tumor (left temporal lobe) measuring 5x7x4 cm? A few months ago, family members began to experience declines in memory and cognitive abilities. After imaging studies, the doctor diagnosed dementia caused by a stroke. They have been taking medication, but within less than a ...


Dr. Chen Sirong Reply:
Alice / 33 years old / Female 1. Is it malignant? A1. A biopsy is necessary to determine if it is truly malignant. A2. If it is located in the brain, surrounded by bone, and causing pressure on the cranial nerves, even if the pathology is benign, the symptoms can be unbear...

[Read More] Understanding Left Temporal Brain Tumors: Symptoms, Treatment, and Prognosis


Understanding Brain Tumor Treatment Options and Survival Rates

Thank you, Dr. Lai, for your continued questions? Dr. Lai: Thank you for your prompt response. My brother's brain tumor surgery was completed on March 15, and he was transferred to a regular ward on March 18. The doctor mentioned that it is not a metastatic tumor, but it is ...


Dr. Lai Yicheng Reply:
Dear Miss Ling, Thank you for your inquiry. I find it difficult to accurately answer your question regarding "survival rates," as this depends on the pathology report for precise determination. Different cancer cells have varying prognoses, and treatment methods also d...

[Read More] Understanding Brain Tumor Treatment Options and Survival Rates


Understanding Brain Tumors: Concerns and Survival Rates for Patients

Please help me? Hello, Doctor. My brother is 32 years old and went to the emergency room due to dizziness and discomfort, where he was diagnosed with a brain tumor. He is scheduled for surgery to remove the tumor tomorrow. There are three small tumors and one large tumor measurin...


Dr. Lai Yicheng Reply:
Dear Ms. Ling, I acknowledge your letter and would like to respond as follows: 1. Your brother has three small and one large tumor in the left hemisphere of the brain, with the largest measuring 4.5 cm. This is associated with a high likelihood of metastasis, as primary brain t...

[Read More] Understanding Brain Tumors: Concerns and Survival Rates for Patients


Could It Be a Tumor? Understanding Post-Surgery Symptoms and Concerns

Could it be a tumor? Hello, doctor. Due to long-term fatigue and excessive sleepiness, I have sought medical attention multiple times. After examinations, I was diagnosed with severe obstructive sleep apnea. Following a maxillomandibular advancement surgery, I began experiencing ...


Dr. Chen Sirong Reply:
Is it possible for a 45-year-old male to have a tumor in the head, specifically in the ENT region? I apologize for not being able to assist you in finding the right specialty to determine the cause. I can only address the possibility of cancer. You have already consulted a physic...

[Read More] Could It Be a Tumor? Understanding Post-Surgery Symptoms and Concerns


Post-Gamma Knife Treatment: What to Expect During Recovery Period

Observation period after Gamma Knife treatment? Hello Dr. Chen: My mother has lung adenocarcinoma that has metastasized to the brain. She has been on targeted therapy (Tagrisso) for about nine months. At the end of August, we discovered that the brain tumor had slightly increased...


Dr. Chen Sirong Reply:
1. How long is the observation period after treatment? Typically, follow-up examinations are conducted one month after treatment to assess the reduction of the tumor. This means that the tumor may continue to shrink for 1-2 months post-treatment. Therefore, the observation period...

[Read More] Post-Gamma Knife Treatment: What to Expect During Recovery Period


Insurance Coverage for Stereotactic Surgery for Pituitary Tumors

Computer-assisted surgery or Gamma Knife for pituitary tumor resection? Dr. Chen, may I ask if there is health insurance coverage for this? Thank you for clarifying.


Dr. Chen Sirong Reply:
Yuan Qingxi / 58 / 0 Hello, I just returned from Germany after attending a medical conference yesterday, so I apologize for the delayed response. According to the National Health Insurance medical expense payment standards, the following indications allow for the application of ...

[Read More] Insurance Coverage for Stereotactic Surgery for Pituitary Tumors


Understanding Gamma Knife Treatment for Brain Tumors and Memory Risks

Brain tumor issues My friend underwent an examination due to headaches and memory decline, and it was discovered that she has a tumor in the parietal lobe of her brain. She is worried that surgery will affect her memory, which has led to increased anxiety, and she has stopped see...


Dr. Chen Junyi Reply:
You can consult with a neurosurgeon regarding Gamma Knife radiosurgery or CyberKnife at institutions like National Taiwan University.

[Read More] Understanding Gamma Knife Treatment for Brain Tumors and Memory Risks


Do Brain Tumors Always Require Surgery? Exploring Treatment Options

Does a brain tumor always require surgery? Is it because a brain tumor is located in the temporal lobe that it affects memory? Is surgery necessary? I've heard that after surgery, there is a possibility of losing recent memories; is that true? Is it feasible to use gamma kni...


Dr. Chen Junyi Reply:
The term "zhuān yè" refers to the "frontal lobe." Please prepare your information and feel free to visit my clinic for a discussion. Thank you.

[Read More] Do Brain Tumors Always Require Surgery? Exploring Treatment Options


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


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