Cancer screening, Oncology FAQ

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Understanding Taiwan's Free Cancer Screening Eligibility and Schedule

National Health Service - Free Five Cancers Screening Hello, doctor. I would like to inquire about the free cancer screenings provided by the Ministry of Health and Welfare's National Health Service. Under qualifying conditions, individuals can receive free screenings every ...


Dr. Chen Sirong Reply:
Fang Fang / 31 years old / Male If a free check-up was used on June 15, 2022, the next eligible date would be January 1, 2024, at Taoyuan Hospital, Merry Christmas. Chen Si-Rong.

[Read More] Understanding Taiwan's Free Cancer Screening Eligibility and Schedule


Understanding Elevated CEA Levels: What You Need to Know

Carcinoembryonic antigen (CEA) levels are elevated above the standard value? Hello, Doctor! I am 32 years old and recently received my company health check results, which show that my CEA levels have been above 5 for three consecutive years; the recent results are 5.2, 5.7, and 7...


Dr. Chen Yunfang Reply:
Hello: The textbook states that blood tumor markers should not be used as a tool for cancer screening because they are not accurate. Many patients who are in the terminal stages of cancer can have normal CEA levels. Therefore, a slightly elevated CEA does not indicate anything si...

[Read More] Understanding Elevated CEA Levels: What You Need to Know


Understanding Ground-Glass Nodules: Follow-Up Recommendations and Concerns

Questions about lung CT? This year's health check-up revealed a low-dose lung CT report indicating ground-glass nodules: "Subpleural nodular ground-glass opacities with two solid small nodules located in the right upper lobe (N1: 3.4mm; N2: 2.5mm)." How often shoul...


Dr. Chen Sirong Reply:
Wang / 39 years old / Male. How often should follow-up appointments be scheduled? 1.1. If a comprehensive interpretation by a physician is not arranged during the health check-up, you can schedule an appointment with a pulmonologist at your hospital to review the imaging. If yo...

[Read More] Understanding Ground-Glass Nodules: Follow-Up Recommendations and Concerns


Understanding Lumps in the Armpit: When to Seek Further Medical Advice

There is a hard lump in the armpit? Hello Doctor: Two years ago, I discovered a lump in my right armpit while taking a shower, and I also felt pain in my chest. I went to a breast surgeon for an ultrasound, and the results were normal. Earlier this year, I noticed that the pain i...


Dr. Chen Sirong Reply:
Xiaohua / 46 years old / Female Hello: 1. I am still troubled by intermittent pain. Could you please tell me what symptoms this might indicate? A: 1.1 As a human being, it is important to undergo regular cancer screenings according to age guidelines to detect any issues early...

[Read More] Understanding Lumps in the Armpit: When to Seek Further Medical Advice


Consultation on Lymph Node Concerns: Understanding Blood Test Results

I would like to consult about lymph node issues? Hello Doctor, I previously underwent a health check-up at the hospital. My red blood cell count was 5.02 (reference range 4.20-6.20 x 10^6/uL), white blood cell count was 5.67 (reference range 4.00-11.00 x 10^3/uL), lymphocyte perc...


Dr. Chen Yunfang Reply:
Hello: 1. Agreed. 2. Once these tests are completed, can we not worry? This cannot address subjective feelings. 3. This is the responsibility of your attending physician, and I cannot answer on their behalf. 4. It can be considered normal, but the possibility of lymphoma cannot b...

[Read More] Consultation on Lymph Node Concerns: Understanding Blood Test Results


Understanding Squamous Lung Cancer: Questions and Concerns for Patients and Families

Many questions? Hello, doctor. My family members do not smoke or drink alcohol. During the day, they work in an office, and at night, they cook. One family member was diagnosed with bone metastasis from squamous lung cancer after suffering from a persistent cough that would not i...


Dr. Chen Sirong Reply:
Anonymous / 25 years old / Female 1. How often should I get an LDCT scan? Is it too frequent to have one every two to three years? A: 1.1 Please confirm if you meet the criteria for the "Taiwan Low-Dose Computed Tomography Lung Cancer Screening Consensus Statement" reg...

[Read More] Understanding Squamous Lung Cancer: Questions and Concerns for Patients and Families


Is a CEA Level of 10,000 Possible? Understanding Cancer Marker Limits

Is it really possible for the CEA level to reach 10,000? Hello Director Lai, I discovered a CEA level of 1085 during my health check in August this year, and subsequently, the clinic tested it again with a value of 1500. Later, after transferring to another hospital, the results ...


Dr. Lai Yicheng Reply:
Hello, Miss La Bao: Question 1. Is there a limit to the CEA index? Carcinoembryonic antigen (CEA) is the most commonly used tumor marker for colorectal cancer. However, CEA is not exclusive to colorectal cancer; it can also be elevated in breast cancer, gastric cancer, pancre...

[Read More] Is a CEA Level of 10,000 Possible? Understanding Cancer Marker Limits


Understanding Hematuria: When to Worry and Next Steps

Urinary occult blood +/- Hello Doctor: In May, I had a health check-up for healthy adults, which showed a positive/negative result for occult blood. Yesterday, I had a urine test, and the result was the same. I later consulted a urologist, who said that my kidney function and liv...


Dr. Chen Sirong Reply:
Cindy / 40 years old / Female 1. The urine test report only shows trace blood, and everything else is normal. So, I was advised to continue regular monitoring. Doctor, do I really not need further tests? A: That's correct. If it remains the same after three months, the phys...

[Read More] Understanding Hematuria: When to Worry and Next Steps


Understanding Elevated NSE Levels: Anxiety, Inflammation, or Cancer Risk?

The NSE index is too high? Hello, doctor. I recently went to a medical laboratory for cancer screening, and one of the tests showed an elevated NSE level of 22.39. My family has no history of lung cancer, and I asked the laboratory technician about this. He mentioned that it coul...


Dr. Hu Ziren Reply:
Currently, NSE cannot be used for cancer screening or monitoring. However, if you are a smoker, it is recommended to have a follow-up test in three months. If the levels continue to rise, it is advisable to consult a pulmonologist or a hematologist for further evaluation.

[Read More] Understanding Elevated NSE Levels: Anxiety, Inflammation, or Cancer Risk?


Understanding Uncertain Tumor Results: What You Need to Know

There is a lump in the middle of the bone in the front of the lower leg? Dear Doctor, my father underwent surgery on May 24 to remove a skin mass, which was sent for pathology testing. The hospital informed us that the stitches would be removed in two weeks, along with the report...


Dr. Hu Ziren Reply:
Hello, online friend: If a skin mass is excised and the pathology report indicates squamous cell carcinoma, it is often true that most cases are metastatic. Therefore, it is recommended to wait for the results of a comprehensive examination (including a CT scan) before proceeding...

[Read More] Understanding Uncertain Tumor Results: What You Need to Know


Understanding Early Signs of Breast Cancer: What You Need to Know

Early signs of breast cancer? Hello :) 1. The data indicates that in the early stages, there are usually no symptoms or pain, but small hard lumps may be present that do not move and are not painful. (Does breast development affect the number of lumps?) If there are only small ...


Dr. Hu Ziren Reply:
Unless there is a personal history of cancer or a family history of breast cancer, it is not recommended to undergo breast cancer screening too early.

[Read More] Understanding Early Signs of Breast Cancer: What You Need to Know


Understanding the Significance of EA-IgA and VCA-IgA in Nasopharyngeal Cancer Screening

The significance of the nasopharyngeal carcinoma screening index? Hello Dr. Chen, I have seen many people online saying that a positive reaction for both EA-IgA and VCA-IgA indicates a very high probability of developing nasopharyngeal carcinoma. Does this mean that if both EA an...


Dr. Chen Yunfang Reply:
Hello: First of all, in Taiwan, many patients with nasopharyngeal carcinoma (NPC) indeed have very high EBV titers at the time of diagnosis. As cancer treatment progresses, these titers tend to decrease, and if the treatment is successful, the levels will normalize. Clinically, w...

[Read More] Understanding the Significance of EA-IgA and VCA-IgA in Nasopharyngeal Cancer Screening


Could Intermittent Proteinuria Indicate Multiple Myeloma Risk?

Is intermittent proteinuria possible in multiple myeloma? Hello, I am currently 19 years old and have been experiencing intermittent proteinuria for the past four years, during which I have undergone regular monitoring (at laboratories and large hospitals). My kidney function and...


Dr. Lai Yicheng Reply:
Hello Mr. Cai, Thank you for your letter. Here are my responses: 1. Regarding your inquiry about the intermittent presence of protein in your urine and its possible relation to multiple myeloma, this is unlikely. The hallmark of multiple myeloma is persistent proteinuria. The p...

[Read More] Could Intermittent Proteinuria Indicate Multiple Myeloma Risk?


Can Stopping Betel Nut Consumption Reduce Cancer Risk?

Shoulder pain If I used to chew betel nut but no longer do, will I get cancer? I went to a clinic for an examination, and the doctor said everything is fine.


Dr. Lai Yicheng Reply:
Hello, sir: It is recommended that you visit an otolaryngology department for an examination or go to major hospitals for cancer screening. Our hospital offers free head and neck as well as otolaryngology cancer screenings for individuals aged 30 and above. You are welcome to com...

[Read More] Can Stopping Betel Nut Consumption Reduce Cancer Risk?


Comprehensive Cancer Screening: Key Questions and Insights

Cancer screening Hello Dr. Lai: 1. How can a comprehensive cancer screening be performed? 2. Is it necessary to conduct separate screenings for each organ? 3. What is the accuracy of the results? 4. What do cancer markers signify? Thank you for your responses, Doctor!


Dr. Lai Yicheng Reply:
Hello, Xiao Ma: In response to your questions, I provide the following answers: 1. Currently, major hospitals are conducting various cancer screenings, which include blood tests, computed tomography (CT) scans, and positron emission tomography (PET) scans, tailored to individual ...

[Read More] Comprehensive Cancer Screening: Key Questions and Insights


Early Detection of Cancer: Key Strategies and Insights from Oncologists

How to detect cancer early? How can doctors detect cancer early?


Dr. Chen Sirong Reply:
1. By self-examination to check for any lumps, changes in size, or discoloration of moles. 2. Through a comprehensive health check-up. 3. By specialized cancer screening using positron emission tomography (PET) or whole-body magnetic resonance imaging (MRI). Thank you for ...

[Read More] Early Detection of Cancer: Key Strategies and Insights from Oncologists


Understanding Risks of Alcohol Injection for Elderly Liver Cancer Patients

Liver cancer consultation Dr. Chen: Hello! Thank you for your response. My grandmother has tested positive for hepatitis B antigen. In April, her AFP was 200, in May it was 400, in September it was 500, and in November it was 1000. The doctor informed us that surgery and emboliza...


Dr. Chen Sirong Reply:
Rita: Based on the report, it should be liver cancer, so there is no need for a biopsy since the doctor has already informed you that surgery or embolization is not possible. Of course, he may have already discussed what treatment options he recommends. Below, I provide a piece o...

[Read More] Understanding Risks of Alcohol Injection for Elderly Liver Cancer Patients


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


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 Rising CEA Levels: Implications for Cancer Screening

The CEA levels in the health checkup have been increasing year by year? Doctor: Hello. I am 52 years old and underwent surgery for a benign meningioma 25 years ago. My father passed away from colorectal cancer a few years ago, and my mother had endometrial cancer but is doing wel...


Dr. Fan Sheng Reply:
Mr. Wang An: 1. The normal reference ranges may vary each year due to differences in testing equipment or reagents. 2. A CEA level below 4 is generally considered normal. However, in the presence of cancer, CEA levels may not necessarily rise. Given your family history of colorec...

[Read More] Understanding Rising CEA Levels: Implications for Cancer Screening


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