Understanding Supportive Care in Advanced Cancer Treatment
Supportive therapy Hello, my mother was diagnosed with stage IV ampullary cancer after going to the hospital for diarrhea in March of this year. She has been undergoing chemotherapy since May 10 and has completed four cycles so far. During this time, she experienced slight discom...
Dr. Hu Ziren Reply:
Supportive care refers to symptom management or palliative care, indicating that the patient's condition has deteriorated and is no longer suitable for other aggressive treatments (such as the current chemotherapy).[Read More] Understanding Supportive Care in Advanced Cancer Treatment
Understanding Recurrence Risks in Breast Cancer: Key Questions Answered
I would like to ask two questions regarding recurrence issues? Dear Dr. Chen, Thank you for your previous response regarding my mother's follow-up visit after completing breast cancer treatment, specifically concerning the possibility of recurrence after the ultrasound and ...
Dr. Chen Sirong Reply:
Jerry / 44 years old / Male 1. My mother underwent a high-level PET-CT scan at Taipei Veterans General Hospital last July, and there were no signs of cancer throughout her body. Is it possible for her to have lymphatic metastasis or recurrence of breast cancer just one year late...[Read More] Understanding Recurrence Risks in Breast Cancer: Key Questions Answered
Understanding Liver Calcifications in Metastatic Colorectal Cancer Treatment
Cancer treatment My husband has metastatic colorectal cancer. He has undergone surgery to remove the colorectal tumor, and there are two tumors in the liver measuring 1 to 2 centimeters each. There are also about 7 to 8 white calcifications in the liver. He has just completed his...
Dr. Chen Sirong Reply:
Yihsin / 38 years old / Female Patient: Doctor, are liver calcifications precursors to tumors (shadows)? Doctor: No, the causes of liver cancer are usually related to infections from hepatitis B or C, excessive alcohol consumption, or long-term damage. Otherwise, what causes ca...[Read More] Understanding Liver Calcifications in Metastatic Colorectal Cancer Treatment
Stage IV Ampullary Cancer with Liver and Lung Metastasis: Treatment Insights
Stage IV ampullary carcinoma with liver and lung metastases? Hello, my mother was diagnosed with stage IV ampullary cancer after going to the hospital for diarrhea in March of this year. She is not a candidate for surgery and started chemotherapy on May 10th, having completed fou...
Dr. Hu Ziren Reply:
During cancer treatment, appetite may decrease or weight loss may occur due to the cancer itself or cancer-related therapies. However, if the decreased appetite occurs only 2-3 days after chemotherapy, it likely represents an acute side effect of the treatment. It sounds like you...[Read More] Stage IV Ampullary Cancer with Liver and Lung Metastasis: Treatment Insights
Understanding Small Intestinal Adenocarcinoma: Treatment Options and Quality of Life
Small intestine adenocarcinoma Recently, due to abdominal pain, nausea, and inability to eat, I vomited after eating and went to the hospital for a detailed examination. The diagnosis was small intestine malignant tumor, specifically small intestine adenocarcinoma, which has alre...
Dr. Hu Ziren Reply:
It is recommended to surgically remove the site of the tumor obstruction to first address issues related to eating, drinking, and bowel movements. Additionally, considering your age is relatively young, if your overall health is stable (with no significant weight loss or other ch...[Read More] Understanding Small Intestinal Adenocarcinoma: Treatment Options and Quality of Life
Understanding Metastatic Colon Cancer Treatment and Emotional Support
Cancer treatment My husband has metastatic colorectal cancer and has undergone resection of the malignant tumor at Shuanghe Hospital. He had his third chemotherapy session on July 21, with a total of five sessions planned. A CT scan is scheduled for mid-August to assess the treat...
Dr. Hu Ziren Reply:
It is recommended to have a detailed discussion with the attending physician; if necessary, you can request a consultation with an oncology psychologist, social worker, or other holistic support services![Read More] Understanding Metastatic Colon Cancer Treatment and Emotional Support
Understanding Stage 4 Colon Cancer Treatment: Chemotherapy and Targeted Therapy
Cancer treatment Dear Dr. Chen, My husband, Cheng-Chung, was diagnosed with stage IV colorectal cancer (metastatic colorectal cancer) in May 2021. A CT scan on May 11 at National Taiwan University Hospital revealed liver metastases, with multiple small tumors, approximately 7-8 ...
Dr. Chen Yunfang Reply:
Hello: For stage IV colorectal cancer, according to current standard treatment, the first-line therapy consists of chemotherapy combined with the targeted drug Avastin. Based on previous research findings, the expected probability of tumor shrinkage is over 50%. The average durat...[Read More] Understanding Stage 4 Colon Cancer Treatment: Chemotherapy and Targeted Therapy
Understanding Side Effects of Ufur Capsules in Colorectal Cancer Treatment
The side effects of Ufur Rejuvenation Capsules? Hello, doctor. My mother is approximately 68 years old and was diagnosed with colon cancer during a health check last year. She underwent surgery to remove the tumor in August, and the pathology report classified it as stage 2A. She...
Dr. Chen Yunfang Reply:
Hello: 1. I cannot comment on traditional Chinese medicine as I am not familiar with it. 2. This is something you should discuss with the primary physician; I cannot answer on their behalf. 3. The answer is the same as above. Thank you.[Read More] Understanding Side Effects of Ufur Capsules in Colorectal Cancer Treatment
Exploring SLOG Therapy for Pancreatic Cancer Treatment in Taiwan
The effectiveness of SLOG therapy for pancreatic cancer? Hello, doctor. My mother is 76 years old. In July of this year, she experienced abdominal pain and was examined at Cathay General Hospital in Taipei, where she was diagnosed with pancreatic cancer with liver metastasis. My ...
Dr. Chen Yunfang Reply:
Hello: There is no standard answer to this treatment question. When it comes to medication options for advanced pancreatic cancer, which is better? Which has fewer side effects? What kind of treatment can the body still tolerate? It all depends on the current situation. I cannot ...[Read More] Exploring SLOG Therapy for Pancreatic Cancer Treatment in Taiwan
Key Questions in Cancer Treatment: Insights for Patients and Caregivers
Cancer treatment-related issues? 1. Regarding the issue of colorectal cancer with liver metastasis, after ten cycles of chemotherapy and targeted therapy, the CT scan shows no change in the metastatic tumors, but the tumor marker has decreased from fifty to thirty. How should thi...
Dr. Chen Yunfang Reply:
Hello: First of all, regarding your cancer issue, it is best to consult your oncologist for answers, as I am not familiar with your condition and cannot provide guidance. Secondly, 1. I do not understand this; I have not heard of it. 2. Chemotherapy drugs should not be taken with...[Read More] Key Questions in Cancer Treatment: Insights for Patients and Caregivers
Post-Surgery Challenges in Stage IV Colon Cancer Treatment: Key Insights
Postoperative treatment issues for colorectal cancer? My father is in his seventies and has stage IV colon cancer with liver metastasis (both lobes have tumors of varying sizes). After undergoing bowel resection, he received 8 cycles of chemotherapy and 5 cycles of targeted thera...
Dr. Hu Ziren Reply:
1. The thickening of the peritoneum indicates localized inflammation of the intestines, which may be a localized inflammatory response caused by chemotherapy. 2. The gallbladder issue was discovered incidentally and is not indicative of metastasis; the report suggests it may be...[Read More] Post-Surgery Challenges in Stage IV Colon Cancer Treatment: Key Insights
Understanding Rising CEA Levels After Breast Cancer Treatment: Is It Metastasis?
After breast cancer surgery, the CEA level increased from 3.8 at the end of chemotherapy to 5.4, with the most recent level being 6.2. Can this be confirmed as metastasis? The mother is 70 years old and was diagnosed with stage I breast cancer (which has been surgically removed) ...
Dr. Chen Yunfang Reply:
Hello: The blood cancer markers cannot definitively determine whether cancer has metastasized, especially since the CEA level is only 6, which makes it quite tenuous to draw any conclusions. Thank you for your response.[Read More] Understanding Rising CEA Levels After Breast Cancer Treatment: Is It Metastasis?
Understanding Prostate Cancer Treatment Options for Elderly Patients
Prostate cancer Hello Dr. Chen, my father is 81 years old and had a PSA level of 14.9, which led to a prostate biopsy that confirmed the presence of cancer cells. The doctor then arranged for a CT scan of the pelvic area, a chest X-ray, and a nuclear medicine scan of the entire s...
Dr. Chen Sirong Reply:
J / 52 years old / Male Hello! 1. The doctor recommended laser treatment to remove the prostate. A: This procedure is likely not aimed at prostate cancer but rather at benign prostatic hyperplasia (BPH). What I mean is: for BPH, laser treatment is applicable; for prostate canc...[Read More] Understanding Prostate Cancer Treatment Options for Elderly Patients
Evaluating the Necessity of Continuing Experimental Cancer Treatments
The necessity of continuing to participate in clinical trials? Hello Dr. Chen: The patient's second sister (59 years old) has stage IV breast cancer. The doctor did not perform surgery due to metastasis, so she is undergoing chemotherapy and concurrent radiation therapy to t...
Dr. Chen Yunfang Reply:
Hello: 1. If you join a clinical trial, you must adhere to the trial regulations. I cannot advise you on whether to withdraw from the trial, as this is an agreement between you and the principal investigator, and outsiders cannot know the specific details involved. 2. Psychol...[Read More] Evaluating the Necessity of Continuing Experimental Cancer Treatments
Understanding Lynparza for Fallopian Tube Cancer: Costs and Treatment Options
Ovarian cancer and Lynparza (olaparib) issues? 1) Can patients with fallopian tube cancer use Lynparza (olaparib) out-of-pocket? What is the approximate cost range? What are the criteria for insurance coverage? 2) For a patient with stage III fallopian tube cancer who has relaps...
Dr. Chen Yunfang Reply:
Hello: 1. First, to answer the most important question, these new targeted therapies (Olaparib, Rucaparib, Niraparib), as well as the older targeted drug Avastin, are currently not covered by health insurance in Taiwan. The chances of them being covered in the future are also l...[Read More] Understanding Lynparza for Fallopian Tube Cancer: Costs and Treatment Options
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
Understanding Fentanyl Patch: Risks of Anxiety and Addiction
Fentanyl transdermal patch Hello Doctor, I would like to ask you a question. I have been using a fentanyl transdermal patch, 50 mcg, continuously for the past six months. However, in the last two months, I have frequently experienced restlessness and an inability to sit still. Ca...
Dr. Chen Sirong Reply:
Anna / 23 years old / Female 1. Restlessness and inability to sit still: a: I am unsure what condition you have. For example, is it a specific type of cancer? What stage is it? Are you taking any other medications that could be causing these physical and psychological reactions?...[Read More] Understanding Fentanyl Patch: Risks of Anxiety and Addiction
Monitoring Liver Cancer Recurrence: TACE and RFA Success with MRI
Hepatocellular carcinoma TACE and RFA treatment? Hello Dr. Hu, my family member has been diagnosed with liver cancer. After surgical resection, it recurred more than a year later with two small tumors (S1 & S7). They underwent TACE (for S1) and TAE + RFA (for S7). Following t...
Dr. Hu Ziren Reply:
It is advisable to consult a specialist in liver cancer who performs TACE or RFA for more appropriate guidance! 1. MRI with Primovist can be considered for follow-up every 6 to 12 months. 2. Follow-up after cancer treatment should last at least 5 years, as the risk of recurren...[Read More] Monitoring Liver Cancer Recurrence: TACE and RFA Success with MRI
Can Radiation and Chemotherapy Be Combined for Cancer Treatment?
Can radiation therapy and chemotherapy be done together? Hello, Director Lai. I have a matter I am unsure about. My wife was diagnosed with stage 3 breast cancer, which recurred three years later and metastasized to the lymph nodes on the other side. After two years of chemothera...
Dr. Lai Yicheng Reply:
Dear Mr. Lee, Regarding your question, radiation therapy and chemotherapy can be administered simultaneously. It is important to take advantage of the optimal treatment window and not delay therapy any further. If you experience any side effects during the treatment process, pl...[Read More] Can Radiation and Chemotherapy Be Combined for Cancer Treatment?
Differences Between Erbitux and Vectibix in Stage IV Colorectal Cancer Treatment
The differences between Erbitux (cetuximab) and Vectibix (panitumumab) lie primarily in their molecular structure, indications, and specific mechanisms of action. Erbitux is a chimeric monoclonal antibody that targets the epidermal growth factor receptor (EGFR) and is primarily...
Dr. Hu Ziren Reply:
1. It is usually necessary to check for BRAF mutations. 2. Both options have similar efficacy, so there is no particular preference for one over the other; it is recommended to discuss any further questions in detail with your treating physician.[Read More] Differences Between Erbitux and Vectibix in Stage IV Colorectal Cancer Treatment