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
Can Facial Nerve Fibromas Be Surgically Removed? Risks and Recurrence
Facial nerve fibroma As a child, I had a facial nerve neurofibroma located on the facial nerve. Can it be surgically removed? If removed, will it grow back? I also have some brown patches on my body.
Dr. Chen Yunfang Reply:
Hello: This is congenital, cannot be completely removed, and there is no need to remove it. It will remain this way for life and is not skin cancer, so please rest assured with the above response. Thank you.[Read More] Can Facial Nerve Fibromas Be Surgically Removed? Risks and Recurrence
Understanding Lung Metastasis from Gynecological Cancer: Treatment Options and Considerations
Gynecological cancer metastasized to the lungs? Hello, Doctor! My mother was diagnosed with vulvar cancer 7-8 years ago and underwent surgery to remove the tumor. It recurred two years later, requiring another surgery and radiation therapy. Last year, several tumors were found in...
Dr. Chen Yunfang Reply:
Hello: There are no textbook-standard answers to these three questions; the responses can vary for each patient even under similar circumstances. 1. The risk assessment and outcomes of surgery are not something I can explain; that should be addressed by the surgeon. 2. The dec...[Read More] Understanding Lung Metastasis from Gynecological Cancer: Treatment Options and Considerations
Understanding Lumps in the Groin: A Guide for Thyroid Cancer Patients
Hard lumps on both sides of the groin? Hello, doctor. I was recently diagnosed with thyroid cancer. Due to extreme discomfort in my body, the tumor is small but located in a dangerous position that cannot be biopsied. Therefore, the interventional radiologist suggested that my pr...
Dr. Chen Sirong Reply:
Liang, 35 years old, female 1. Diagnosed with early-stage thyroid cancer (no chemotherapy required at this time). 2. Two hard lumps felt on both sides of the groin. 3. Weight loss, fatigue, prolonged rest periods with no improvement. Severe new-onset hair loss, weight decline, i...[Read More] Understanding Lumps in the Groin: A Guide for Thyroid Cancer Patients
Understanding CT Findings: Could It Indicate Cancer Metastasis?
The CT report shows three enhancing nodules in S4b, with the largest measuring up to 21mm, suspicious for metastasis? Hello Dr. Chen, my wife was diagnosed with breast cancer and completed chemotherapy over a year ago. Recently, during a follow-up, the doctor recommended a CT sca...
Dr. Chen Yunfang Reply:
I'm sorry, but I cannot answer this question on behalf of the original treating physician.[Read More] Understanding CT Findings: Could It Indicate Cancer Metastasis?
Understanding Targeted Therapy for Stage 3B Lung Squamous Cell Carcinoma
The treatment options for stage IIIB squamous cell lung carcinoma typically include a combination of therapies. These may involve: 1. **Chemotherapy**: Often used as a primary treatment to shrink tumors and control symptoms. 2. **Radiation Therapy**: Can Hello Dr. Chen, my mothe...
Dr. Chen Sirong Reply:
Paul / 38 years old / Male 1. It is advisable to consult his attending physician first in order to provide answers based on his condition and physical status. 2. For stage IIIb, the treatment is as follows: chemotherapy combined with radiation therapy, followed by targeted th...[Read More] Understanding Targeted Therapy for Stage 3B Lung Squamous Cell Carcinoma
Impact of Antiarrhythmic Drug on Thyroid Cancer Survivors: A Patient's Concern
Questions regarding the use of antiarrhythmic medication Dronedarone after total thyroidectomy? I had a total thyroidectomy and parathyroidectomy due to thyroid cancer ten years ago, followed by iodine-131 treatment. There have been no signs of recurrence to date. I am currently ...
Dr. Hu Ziren Reply:
Approximately 10% of patients taking amiodarone may develop thyroid toxicity (thyroid storm). However, there is currently no consensus on whether it affects thyroid cancer or induces new cases of thyroid cancer, with only sporadic case reports available. Given the side effects of...[Read More] Impact of Antiarrhythmic Drug on Thyroid Cancer Survivors: A Patient's Concern
Understanding Breast Lumps: What Young Adults Should Know
Subareolar mass Hello doctor: I am a 21-year-old college student, and I have had issues with being overweight. Recently, I noticed a hard lump under my right breast that feels deep and has a slight pain. I am very worried; could it be breast cancer?
Dr. Chen Sirong Reply:
Mr. Wang / 21 years old / Male 1. 21 years old, male, rare case of breast cancer. 2. Overweight, may appear to have gynecomastia. 3. A hard lump; advised to see a general surgeon for examination. Wishing you a speedy recovery. Taoyuan Hospital, Dr. Chen Sih-Rong.[Read More] Understanding Breast Lumps: What Young Adults Should Know
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
Concerns About a Small Oral Lump: Is It Cancer?
There is a swelling above the oral cavity? Hello doctor, I have a small lump the size of a grain of rice in the upper part of my mouth. I'm not sure when it appeared; it doesn't hurt, but I'm a bit worried that it might be a cancerous tumor. Additionally, I had sym...
Dr. Hu Ziren Reply:
It is recommended to see an oral surgeon or an otolaryngologist (ENT specialist)...[Read More] Concerns About a Small Oral Lump: Is It Cancer?
Understanding Lymphocyte Levels: Concerns About Blood Disorders and Cancer
Blood disorders Hello, doctor... Two weeks ago, I went to the emergency room due to dizziness, general weakness, nausea, and bloating. I have a history of gastroesophageal reflux disease (GERD). They drew several vials of blood, and the results showed mild jaundice, low potassium...
Dr. Chen Yunfang Reply:
Hello: A higher proportion of lymphocytes does not necessarily indicate blood cancer; there are many possible reasons for this in diagnosis. It is recommended that you consult a hematologist for interpretation of the report. Thank you![Read More] Understanding Lymphocyte Levels: Concerns About Blood Disorders and Cancer
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
Managing Advanced Oral Cancer: Concerns About Treatment and Progression
Terminal stage of oral cancer? Recently, my father was diagnosed with terminal oral cancer, with cancer cells located in the left gum and eroding into the left mandible. Surgery is scheduled for the 15th, but prior to that, the doctor has not prescribed any medication for him asi...
Dr. Chen Sirong Reply:
Ah, 19 years old, female. 1. The surgery date is already scheduled for the 15th. a: That's great! It's coming up quickly. 2. The doctor has not prescribed any medication for my father. Shouldn't we be concerned about the cancer cells spreading to other area...[Read More] Managing Advanced Oral Cancer: Concerns About Treatment and Progression
Understanding Lung Adenocarcinoma Treatment Options and Chemotherapy Drugs
I would like to inquire about the treatment medications for lung adenocarcinoma? Hello, doctor. My mother was recently diagnosed with lung adenocarcinoma, and I would like to know which chemotherapy drugs are covered under the national health insurance or other medications availa...
Dr. Hu Ziren Reply:
1. Please first confirm whether your mother has lung adenocarcinoma or small cell lung cancer. 2. Currently, the treatment options for lung adenocarcinoma are quite diverse and may vary based on specific genetic mutations (for example, if there is an EGFR mutation, oral medicati...[Read More] Understanding Lung Adenocarcinoma Treatment Options and Chemotherapy Drugs
Understanding Chest Lumps: Pain, Risks, and Cancer Concerns
There is a hard lump in the left chest? Hello Doctor: I am currently 20 years old, male. About a month ago, I suddenly experienced sharp pain in my left chest, similar to menstrual cramps, but it lasted for about 10 minutes and then went away, so I didn't pay much attention ...
Dr. Chen Yunfang Reply:
Hello: 1. The situation you described may not necessarily be breast cancer. If you are very concerned, you can schedule an appointment with a general surgeon for an examination. 2. Both benign and malignant tumors typically do not cause breast pain. 3. Yes, smoking and alcohol co...[Read More] Understanding Chest Lumps: Pain, Risks, and Cancer Concerns
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
Understanding Neck Lumps: When to Seek ENT or Hematology Care
Neck issues About 30 days ago, I noticed a lymph node approximately 0.5 cm in size at the posterior edge of the sternocleidomastoid muscle on the left side of my neck. At the same time, I experienced night sweats, fever, and weakness/fatigue. I initially thought it was a respirat...
Dr. Chen Sirong Reply:
1. If I visit an ENT specialist, will they generally use a fiber optic endoscope for examination? Or is it sufficient to just continue observing and taking antibiotics? A: They will likely use it. 2. If lymphatic cancer is suspected, is surgery for a biopsy the only option? Or c...[Read More] Understanding Neck Lumps: When to Seek ENT or Hematology Care
Understanding Groin Lumps: Could It Be a Malignant Tumor?
There is a lump in the groin area? A few days ago, I discovered a movable hard lump about 5 centimeters in size in my groin area that is painful when pressed. Could this possibly be a malignant tumor?
Dr. Chen Yunfang Reply:
Hello: In the case of a young individual with a groin mass, the first consideration should be whether it is an infectious process. Please consult a urologist or an infectious disease specialist. If both possibilities are ruled out, then a biopsy may be considered to differentiate...[Read More] Understanding Groin Lumps: Could It Be a Malignant Tumor?