Cancer treatment, Oncology FAQ

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Should HER2-Positive Breast Cancer Patients Continue Treatment After One Year?

For HER2-positive breast cancer, after one year of treatment with trastuzumab (Herceptin), it is important to evaluate the patient's individual situation, including the response to treatment and any potential side effects. Continuing treatment may be recommended based on the...


Dr. Hu Ziren Reply:
It is recommended to consider the following options: 1. The PET scan shows a very faint residual lesion in the left chest wall; should consideration be given to resecting the residual lesion to enhance treatment efficacy? 2. Continue maintenance therapy with anti-cancer treatment...

[Read More] Should HER2-Positive Breast Cancer Patients Continue Treatment After One Year?


Can Exercise Help Relieve Itchy Skin from Cancer Treatment Side Effects?

Medication side effects: Does exercise help with dry and itchy skin? Hello doctor, my aunt (67) is undergoing targeted therapy for breast cancer, and her hands and feet are very red and itchy. The last time she scratched, she broke the skin, and the wound hasn't healed yet. ...


Dr. Chen Sirong Reply:
Patient: 67 years old, female 1. I think moderate exercise might be helpful? A: Exercising and sweating is great! You can refer to online articles: "Exercise!" Endorphins are the most powerful and effective antidepressants. We can't avoid exercising just because...

[Read More] Can Exercise Help Relieve Itchy Skin from Cancer Treatment Side Effects?


Understanding Rising CEA Levels After Breast Cancer Treatment

Elevated CEA levels? Hello Doctor, I would like to inquire: "A family member had a CEA level of 3.6 on December 11, 2023, at the time of diagnosis with stage III breast cancer. Surgery was performed on January 3, 2024, but during the follow-up appointment three months later ...


Dr. Hu Ziren Reply:
The normal range for CEA is 0-5. The values are interpreted by the machine. If the result is within the normal range (<5) and there are no significant abnormalities in imaging, it is recommended to simply monitor the situation.

[Read More] Understanding Rising CEA Levels After Breast Cancer Treatment


Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights

Six months after treatment for tongue cancer, there has been recent swelling and pain in the cervical lymph nodes? A 65-year-old male, who underwent treatment for stage 0 tongue cancer six months ago, has recently experienced pain and swelling in the lymph nodes in the neck. A CT...


Dr. Yan Jingheng Reply:
Hello, 1. Pain relief medications can have different effects on individuals, but acetaminophen is generally considered the mildest pain reliever. 2. For tongue cancer surgery, if it was detected at a very early stage, monitoring after surgery may suffice. However, if the lymph no...

[Read More] Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights


Choosing the Right Supplements for Bone Health After Cancer Treatment

Medication consultation Hello Doctor: Recently, I received a cancer bone treatment, and my hematologist prescribed bone-strengthening chewable tablets (one in the morning and one in the evening), while my orthopedic doctor prescribed calcium syrup (10-15cc daily). I would like to...


Dr. Chen Yunfang Reply:
Hello: There is no specific standard amount, and it's hard to say which is better. I can't provide a definitive answer; just eat whatever works for you! You can choose one that you prefer. Thank you.

[Read More] Choosing the Right Supplements for Bone Health After Cancer Treatment


Improving Mouth Opening After Stage III Oral Cancer Treatment: Tips and Techniques

Stage III Oral Cancer Hello: In July of this year, I underwent a stage III oral cancer surgery that involved the removal of oral tissue and neck lymph nodes. I completed 33 sessions of radiation therapy and 8 sessions of chemotherapy by the end of September. Currently, I am in re...


Dr. Chen Sirong Reply:
Mr. Wu / 35 years old / Male. I don't know what your doctor has taught you, but one suggestion is to stack tongue depressors to a thickness of 1.5 cm and then add another piece (to hold in your mouth). This means to practice more. Of course, it doesn't mean you should b...

[Read More] Improving Mouth Opening After Stage III Oral Cancer Treatment: Tips and Techniques


Switching Liver Cancer Treatment: From Lenvatinib to A+B Therapy

First-line medications for advanced liver cancer? Hello Dr. Hu, My father has been diagnosed with liver cancer that has metastasized to the bones. He has been taking Lenvatinib (Lenvima) for over two years. Recently, the National Health Insurance Administration has approved cov...


Dr. Hu Ziren Reply:
It is not possible to switch from the National Health Insurance (NHI) Reza Wa to NHI A+B according to the regulations of NHI coverage. However: 1. If Reza Wa is still effective, it is recommended to continue using it; 2. If Reza Wa is deemed ineffective, you may consider switchin...

[Read More] Switching Liver Cancer Treatment: From Lenvatinib to A+B Therapy


Seeking a Second Opinion for Thymic Cancer Treatment Options

The specialty for a second opinion on thymic cancer? I underwent a thymoma resection surgery in early January this year. Initially, it was estimated that I would not need any further radiotherapy or chemotherapy after the surgery, but the pathology report indicated metastasis. Th...


Dr. Hu Ziren Reply:
If it is only a local metastasis, radiation therapy may be sufficient; however, if there is distant or multi-organ metastasis, chemotherapy is required. It is advisable to consult an oncologist for a second opinion.

[Read More] Seeking a Second Opinion for Thymic Cancer Treatment Options


Understanding Tongue Base Cancer: Symptoms and Treatment Insights

Cancer Issues: Base of Tongue Cancer My father has been battling cancer for nearly three months. During the initial phase of chemotherapy, his condition was stable, and he was able to manage daily activities independently. However, on January 25th, the day after completing radiat...


Dr. Hu Ziren Reply:
During cancer treatment, if acute changes occur, it may be due to acute complications caused by the treatment (such as infections, dehydration, or hypercalcemia, etc.). It is recommended to promptly take the patient to the emergency department for further management.

[Read More] Understanding Tongue Base Cancer: Symptoms and Treatment Insights


Post-Breast Cancer Treatment: The Role of Menopause-Inducing Injections

Post-breast cancer treatment - menopausal injection? Hello Doctor: ER: 95% PR: 95% HER2: 0 Ki-67: 5% Tumor size: 1.4 cm, sentinel lymph nodes negative. Surgery was completed in mid-September, and radiation therapy started in mid-October, with no chemotherapy. When the breast surg...


Dr. Chen Yunfang Reply:
Hello: First of all, taking only Tamoxifen is not enough! Secondly, it is quite unusual not to undergo adjuvant chemotherapy after surgery; theoretically, it should be done. However, this may be your personal choice, which I respect. That's all. Thank you.

[Read More] Post-Breast Cancer Treatment: The Role of Menopause-Inducing Injections


Understanding Early Nasopharyngeal Cancer Treatment Options

Treatment-related Hello Doctor, my father had a blood test two weeks ago which showed abnormal EBV levels, and he underwent a CT scan at the hospital, followed by a biopsy (the doctor mentioned it was very small, so it was completely removed). The report confirmed a diagnosis of ...


Dr. Chen Sirong Reply:
Yang / 25 years old / Female Hello, 1. If the pathology results indicate nasopharyngeal carcinoma cells, is radiation therapy necessary? A: 1.1 Yes, 1.2 Surgery is not an option for nasopharyngeal tumors; radiation therapy is the only treatment available. 1.3 Generally, fo...

[Read More] Understanding Early Nasopharyngeal Cancer Treatment Options


Is Genetic Testing Necessary for Stage 1 Breast Cancer Patients?

Is genetic testing necessary for stage I breast cancer? Hello Doctor: I have questions regarding the follow-up treatment for breast cancer. The pathology report shows Ki-67: 5%, ER: positive 95%, PR: positive 95%, HER-2: negative. I have undergone a partial mastectomy and sentine...


Dr. Chen Yunfang Reply:
Hello: The standard treatment for breast cancer is fully covered by health insurance. For T1CN0M0 stage I, after surgery, six cycles of FEC (a second-generation chemotherapy regimen) are administered, which is free of charge. Following that, radiation therapy and hormonal therapy...

[Read More] Is Genetic Testing Necessary for Stage 1 Breast Cancer Patients?


Navigating Drug Resistance in Post-Surgery Colorectal Cancer Treatment

Colorectal cancer resistance to treatment After my family member's surgery for colorectal cancer, they had a KRAS mutation and underwent all lines of chemotherapy. The first-line treatment was the most effective, but the tumor only shrank initially and then showed no further...


Dr. Chen Yunfang Reply:
Hello: 1. I am not your attending physician and cannot provide answers to your questions. 2. What is often not mentioned in online advertisements and promotional content is that it requires a significant amount of money, and it is completely outside of the National Health Insu...

[Read More] Navigating Drug Resistance in Post-Surgery Colorectal Cancer Treatment


Understanding Cancer Treatment: CTC vs. NGS and Drug Resistance

Cancer Consultation 1. What is the benefit of performing a circulating tumor cell (CTC) test, or would it be more meaningful to conduct next-generation sequencing (NGS)? 2. Previously, during first-line treatment, the CEA level dropped to 5, but after switching to the 23rd line...


Dr. Chen Yunfang Reply:
Hello: 1. NGS testing is out-of-pocket, and I estimate it costs tens of thousands of NT dollars. If a rare genetic mutation is detected, using the latest imported targeted therapies can be significantly more expensive (it's not uncommon to spend over a hundred thousand NT ...

[Read More] Understanding Cancer Treatment: CTC vs. NGS and Drug Resistance


Understanding Advanced Colon Cancer Treatment Options and Challenges

Colorectal cancer treatment As a child seeking advice for my father: My father, in his seventies, was diagnosed with colon cancer that had metastasized to the liver at the time of discovery. After surgically removing the tumor at the junction of the colon and rectum, he began che...


Dr. Chen Yunfang Reply:
Hello: Some questions are not ones that I, as a general physician, can or should answer; you need to ask your father's primary physician. Therefore, I will only address some research-related inquiries: 2. All Ras gene mutations indicate that targeted therapies for a specific...

[Read More] Understanding Advanced Colon Cancer Treatment Options and Challenges


Managing Esophageal Stricture and Motility Issues After Cancer Treatment

Esophageal sclerosis and impaired peristalsis? Hello Dr. Chen: My father is 72 years old and was diagnosed with stage III esophageal cancer two years ago. He underwent stereotactic body radiation therapy, chemotherapy, and has not had surgery. Currently, both CT scans and PET sca...


Dr. Chen Sirong Reply:
Tina / 42 years old / Female 1. Besides medications that aid peristalsis and the esophageal stent (which the physician does not recommend for your father), are there any other suggested treatment options? A: 1.1 It is uncertain whether esophageal balloon dilation would be benef...

[Read More] Managing Esophageal Stricture and Motility Issues After Cancer Treatment


Managing Side Effects of Nasopharyngeal Cancer Treatment: Key Considerations

Radiation therapy for nasopharyngeal carcinoma is reduced? My father was diagnosed with stage IV nasopharyngeal carcinoma, but there was no distant metastasis; however, there was involvement of the lymph nodes in the head and neck region and the left optic nerve. Initially, he un...


Dr. Chen Sirong Reply:
1. What are the consequences of stopping radiation therapy? A: The tumor may grow and compress the optic nerve, potentially leading to blindness in the left eye. It could invade the brain, nose, and lymph nodes in the neck, causing recurrence and growth that may lead to skin ulce...

[Read More] Managing Side Effects of Nasopharyngeal Cancer Treatment: Key Considerations


Understanding Tumor Status After Cancer Treatment: What Does No Change Mean?

Tumor issues after treatment completion? My father was diagnosed with stage IV nasopharyngeal carcinoma last year, with no distant metastasis. He began radiation therapy and chemotherapy, completing all treatments in October of last year, and has been undergoing regular follow-up...


Dr. Hu Ziren Reply:
It indicates that the tumor has been cured or there is no local recurrence. However, cancer may relapse or metastasize during the follow-up period of 2 to 5 years after treatment. Therefore, it is still recommended to have regular follow-up appointments.

[Read More] Understanding Tumor Status After Cancer Treatment: What Does No Change Mean?


Understanding Chemotherapy Side Effects: Persistent Cough After Breast Cancer Treatment

Questions about the side effects of chemotherapy for breast cancer? My mother is 50 years old and last year, after suffering from a persistent cough, a lump was discovered in her chest. Upon consulting a doctor, she was diagnosed with stage II HER2-positive breast cancer. She has...


Dr. Chen Yunfang Reply:
Hello: Paclitaxel does not cause coughing as a side effect; at least, I have not experienced it in the 10 years I have used it. Therefore, I am not sure about the condition and cannot determine what is causing the cough. You should discuss this with your primary treating physicia...

[Read More] Understanding Chemotherapy Side Effects: Persistent Cough After Breast Cancer Treatment


Understanding Surgical Biopsy Techniques for Breast Cancer Treatment

Surgical biopsy techniques for breast cancer? Hello Doctor, my mother had a breast ultrasound at the clinic on January 17, which showed a tumor in her right breast. The doctor performed a surgical biopsy to remove a portion of the tissue for testing, and the report indicated that...


Dr. Chen Sirong Reply:
Tin / 31 years old / Female Hello, 1. It is recommended to follow the decision made by your attending physician: A) to perform surgery to remove the tumor on February 10, and B) to proceed with chemotherapy afterward. You may not fully understand whether the physician means a ...

[Read More] Understanding Surgical Biopsy Techniques for Breast Cancer Treatment


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