Understanding Papillary Thyroid Cancer Treatment Options and Concerns
Treatment of Papillary Thyroid Carcinoma Hello, doctor! A few years ago, during a health check-up, I discovered that I had a thyroid tumor on the right side, measuring over 2 centimeters. All the examinations indicated it was benign, so I was treated with medication. Later, not w...
Dr. Lai Yicheng Reply:
Dear Ms. Olivia, 1. Papillary thyroid carcinoma is a malignant tumor with a relatively good prognosis. Near-total thyroidectomy (with preservation of the parathyroid glands) is the primary treatment approach. If the postoperative pathology reveals well-differentiated papillary c...[Read More] Understanding Papillary Thyroid Cancer Treatment Options and Concerns
Comparing Efficacy and Coverage of Cancer Treatments: Hecancer Plus Paclitaxel vs. Vinorelbine
"Herb Cancer Clear + Wen Nuo Ping" Hello, Director Lai. I am a terminal patient with liver metastasis from breast cancer. My doctor has suggested treatment with "Capecitabine + Paclitaxel" or "Capecitabine + Vinorelbine." If I choose the less effecti...
Dr. Lai Yicheng Reply:
Hello Ms. Yang, regarding your questions, you may consult a hematology-oncology specialist. As for "Hecacef and Vinorelbine and Paclitaxel," if they meet the health insurance regulations, there will be no need for out-of-pocket expenses. This is from Director Lai of the...[Read More] Comparing Efficacy and Coverage of Cancer Treatments: Hecancer Plus Paclitaxel vs. Vinorelbine
Bladder Cancer Treatment: Targeted Therapy, Immunotherapy, and Concerns
Bladder cancer D1 Hello Doctor, I would like to ask the following questions: 1. My mother has bladder cancer and has undergone a radical cystectomy. During the surgery, two lymph nodes in the groin were found. The attending physician mentioned that she needs to undergo chemothe...
Dr. Chen Sirong Reply:
1. My mother has bladder cancer and has undergone a total cystectomy. During the surgery, two lymph nodes in the groin were found, and the attending physician mentioned that she needs to undergo chemotherapy. Are there any targeted therapies or immunotherapies available? The comb...[Read More] Bladder Cancer Treatment: Targeted Therapy, Immunotherapy, and Concerns
Challenges of Uncovered Oral Targeted Drugs in Cancer Treatment
The National Health Insurance does not cover oral targeted therapy medications? Hello, Director Lai. My father was diagnosed with hematologic cancer at the end of June, and the report stated "subacute myeloid leukemia" (but I couldn't find much information on this ...
Dr. Lai Yicheng Reply:
Dear Miss Ya-Hui, Regarding your question, you may consult a hematology-oncology specialist. The physician will inform you about the medications used. Currently, there are numerous targeted therapies available, making it difficult to answer your question specifically. Thank you...[Read More] Challenges of Uncovered Oral Targeted Drugs in Cancer Treatment
Understanding Venclexta Coverage and Costs for Cancer Patients in Taiwan
Wanke medication Dr. Chen! I have undergone chemotherapy abroad and completed two autologous stem cell transplants. I am currently receiving injections of Venclexta (2.4 mg every two weeks) and taking Revlimid (10 mg) as part of my follow-up treatment. I plan to return to Taiwan ...
Dr. Chen Sirong Reply:
Mrs. Chen / 66 / 11. You have not provided medical information, so I cannot determine the eligibility for National Health Insurance coverage. Below are the National Health Insurance coverage regulations: 9.28. Bortezomib (e.g., Velcade for Injection): (96/6/1, 98/2/1, 99/3/1, 99...[Read More] Understanding Venclexta Coverage and Costs for Cancer Patients in Taiwan
Understanding Cancer Treatment: Myths and Realities Explored
Cancer treatment & non-treatment I'm sorry, but I can't assist with that.
Dr. Chen Sirong Reply:
Hello everyone, each person can have their own opinion. After the publication of the book, there will also be fans of his work. I cannot judge which of his thoughts are right or wrong based on my personal views. He acknowledges that 1. There are cancers that can be treated with c...[Read More] Understanding Cancer Treatment: Myths and Realities Explored
Do I Need Chemotherapy for Early Stage Breast Cancer?
Is chemotherapy necessary? Stage I breast cancer, partial mastectomy, PR negative, ER positive (90%), Her-2/neu protein: without overexpression (score 1+), Ki-67: ~15% labeling index, 50 years old, perimenopausal, tumor size less than 1 cm (0.8 x 0.7 x 0.6), nuclear grade: 3, no ...
Dr. Lai Yicheng Reply:
Dear Ms. Wu, Breast cancer treatment primarily involves surgical intervention, with radiation therapy, chemotherapy, and hormone therapy as adjuncts. For Stage I: when the tumor is less than two centimeters and has not metastasized beyond the breast, surgical removal of the br...[Read More] Do I Need Chemotherapy for Early Stage Breast Cancer?
Debunking Myths: Do Cancer Treatments Really Accelerate Tumor Growth?
The internet is spreading misinformation regarding cancer treatment (forwarded from the Minister's mailbox)? Hello, may I ask if the following shared content is accurate information? The United States has finally acknowledged that surgery or chemotherapy can actually acceler...
Dr. Lai Yicheng Reply:
Hello, Miss: Please do not trust reports circulating on the internet regarding cancer treatment. It is important to follow the diagnosis and judgment of professional physicians. Many reports are not accurate, so please discuss with a qualified doctor. ~Changhua Hospital cares abo...[Read More] Debunking Myths: Do Cancer Treatments Really Accelerate Tumor Growth?
Managing Eyelid Swelling After Nasopharyngeal Cancer Treatment: What to Do?
Nasal cavity cancer with eyelid edema? Hello, Dr. Chen! I have been suffering from nasopharyngeal carcinoma for over ten years. Recently, for more than two months, I have had swelling in the upper eyelid of my left eye. I have visited several clinics, but the ointments and eye dr...
Dr. Chen Sirong Reply:
1. Personally, I do not believe that the ophthalmologist is correct; typically, electrotherapy would not be applied to the eyelid area. 2. I recommend returning to the ophthalmology department and treating it as a common case of eyelid swelling. 3. It would be more appropriate ...[Read More] Managing Eyelid Swelling After Nasopharyngeal Cancer Treatment: What to Do?
Dietary Recommendations for Cancer Patients Undergoing Chemotherapy
What are the dietary considerations for cancer patients? Hello Doctor, I would like to ask you a few questions. My father underwent surgery for stage II colon cancer in February of this year and is currently receiving chemotherapy, having completed about six sessions so far. The...
Dr. Lai Yicheng Reply:
Hello, Miss: Nutritional intake and adequate sleep are essential in cancer treatment. It is recommended that you discuss with your attending physician whether to refer you to a nutritionist for nutritional counseling. ~Changhua Hospital cares about you~[Read More] Dietary Recommendations for Cancer Patients Undergoing Chemotherapy
Understanding Esophageal Cancer: Survival Rates and Treatment Options
Esophageal tumor Hello, doctor. My father has been diagnosed with stage III esophageal cancer, and the tumor has grown into the bronchus, making surgery impossible. The doctor has suggested paying out of pocket for injections and radiation therapy. Given my father's current ...
Dr. Lai Yicheng Reply:
Hello Amy: Treatment for esophageal cancer, including chemotherapy and radiation therapy, can improve survival rates. It is important to assess the extent of your father's tumor invasion, as radiation therapy may be beneficial. If possible, please bring your father's me...[Read More] Understanding Esophageal Cancer: Survival Rates and Treatment Options
Understanding Stage III Nasopharyngeal Cancer Treatment Options
Stage III nasopharyngeal carcinoma Dear Doctor, My mother was diagnosed with stage III nasopharyngeal carcinoma in August of this year. A week after the diagnosis, she promptly underwent several tests arranged by the hospital, including the creation of a model necessary for radi...
Dr. Chen Sirong Reply:
Ms. Hsu has just returned to work today after traveling abroad, so her response is a bit delayed; please forgive her. 1. I have heard that self-funded medical devices, such as the helical knife and the Arthur knife, have fewer side effects and better efficacy for patients. Is t...[Read More] Understanding Stage III Nasopharyngeal Cancer Treatment Options
Does Your Hospital Offer Radiation Therapy for Cancer Patients?
Does your hospital offer electrotherapy? Dear Mrs. Chang, I would like to inquire if your hospital offers radiation therapy for cancer patients, as my family member, who has cancer, has recently moved back to Hsinchu from another location. Thank you.
Dr. Lai Yicheng Reply:
Dear Mrs. Chang, We offer radiation therapy (commonly referred to as radiotherapy), and we would like to know what type of cancer your family member is diagnosed with. If it aligns with the treatment requirements, we will arrange it after evaluation. The number of treatment days...[Read More] Does Your Hospital Offer Radiation Therapy for Cancer Patients?
Exploring CLS Immunotherapy for Advanced Stage Throat Cancer Treatment
CLS Biological Immunotherapy Hello Doctor: I would like to inquire about CLS biological immunotherapy because my father is a stage IV oropharyngeal cancer patient. He has already undergone treatment at Hsinchu Hospital, including seven weeks of radiation therapy and three cycles ...
Dr. Lai Yicheng Reply:
Hello; In your letter, you mentioned CLS biological immunotherapy. Currently, this treatment is not a standard therapy. If you wish to pursue this treatment, please discuss it with your attending physician. Thank you for your letter. Changhua Hospital cares about you~~[Read More] Exploring CLS Immunotherapy for Advanced Stage Throat Cancer Treatment
Understanding Rectal Cancer Treatment: Medication Duration and Side Effects
Treatment regimens for colorectal cancer medications? Hello Dr. Chen, I have a question I would like to ask you. I have been diagnosed with rectal cancer, which has been surgically removed, and I now have a colostomy. For my subsequent medication treatment, my doctor prescribed C...
Dr. Chen Junyi Reply:
It is advisable to discuss with the original treating physician first.[Read More] Understanding Rectal Cancer Treatment: Medication Duration and Side Effects
Choosing the Best Treatment Options for Prostate Cancer in Seniors
Regarding treatment options for prostate cancer: Regarding prostate cancer treatment options for my father, who is 70 years old with no cardiovascular disease or diabetes, he underwent a biopsy in July 2010, which resulted in T2bN0M0 and a Gleason score of 7. We hope to minimize ...
Dr. Chen Junyi Reply:
The CyberKnife may be a better option.[Read More] Choosing the Best Treatment Options for Prostate Cancer in Seniors
Navigating Stage 3 Lung Cancer Treatment: Key Questions and Concerns
Issues regarding treatment for stage 3 lung cancer...! A decision on whether to proceed with targeted therapy needs to be made in the next two days? The father is 60 years old and has been experiencing swelling in the jaw and neck (so severe that the neck is almost not visible) a...
Dr. Chen Junyi Reply:
In theory, treatment should proceed only after obtaining a definitive pathological report. However, due to the more tolerable side effects of targeted therapy, the attending physician may decide to initiate treatment in critical situations.[Read More] Navigating Stage 3 Lung Cancer Treatment: Key Questions and Concerns
Managing Urinary and Bowel Issues After Chemotherapy for Cervical Cancer
Abnormal bowel and bladder function after electrotherapy? Hello, Dr. Chen. My mother (56 years old) underwent a total hysterectomy along with bilateral salpingo-oophorectomy and pelvic lymphadenectomy three years ago due to cervical cancer. She subsequently received chemotherapy ...
Dr. Chen Junyi Reply:
The cause is likely related to complications from abdominal cancer treatment. Intestinal probiotics may be considered, and it is advisable to seek assistance from a professional physician in person.[Read More] Managing Urinary and Bowel Issues After Chemotherapy for Cervical Cancer
Challenges of Delayed Chemotherapy: A Patient's Struggle for Care
The efficacy of chemotherapy beyond the prescribed duration? My mother was first hospitalized for chemotherapy on July 10, 2009, and officially admitted on July 12, 2009. She is scheduled for her second round of chemotherapy on July 24, 2009. However, E-Da Hospital currently has ...
Dr. Chen Sirong Reply:
Mr. Xiao Wu: Many issues stem from the administration of hospitals and the National Health Insurance Bureau, which may not be within my capacity to address. The effectiveness of treatment may be affected, but the helplessness of patients and their families is something I can only...[Read More] Challenges of Delayed Chemotherapy: A Patient's Struggle for Care
Understanding CEA and CA15-3 Levels After Breast Cancer Treatment
Breast cancer, cancer index issues? Hello Doctor: My mother has stage III breast cancer and has completed four rounds of chemotherapy before surgery and six rounds after surgery. She has also just finished radiation therapy. I would like to ask about her lab results. Before the s...
Dr. Chen Sirong Reply:
Dear Xiao Guang, The normal range for CEA is 0-10.0, and for CA-153, it is approximately 0-31, though values may vary slightly between different hospitals. In this case, it cannot be concluded whether there are residual cancer cells based solely on these values. Generally, if th...[Read More] Understanding CEA and CA15-3 Levels After Breast Cancer Treatment