Understanding Bruising and Blood Disorders: Is It Blood Cancer?
Blood disorders Hello, doctor. Recently, I noticed that I have bruises around my knees. The last time, there were about 6-7 small bruises on my knee, not large ones. They eventually faded away. Last week, I saw 4 bruises, and they went away as well. Today, I noticed one bruise on...
Dr. Lai Yicheng Reply:
Hello: Regarding your symptoms, please visit a hematology-oncology specialist and an immunology-rheumatology specialist for evaluation. The doctor will perform a physical examination and determine whether a biopsy or blood tests are necessary. Treatment, prescriptions, or diagnos...[Read More] Understanding Bruising and Blood Disorders: Is It Blood Cancer?
Understanding the Link Between Birth Control Pills and Breast Cancer Risk
The relationship between breast cancer and oral contraceptives? Hello Dr. Lai: I would like to ask you a few questions: Is it advisable for individuals with a family history of breast cancer to use oral contraceptives? Does the dosage of contraceptives have an impact on breast ca...
Dr. Lai Yicheng Reply:
Hello: Currently, epidemiological studies have not confirmed a link between the use of oral contraceptives and the risk of breast cancer. The relationship between breast cancer and genetic inheritance, as well as dietary habits, is much clearer. If you have a family history that ...[Read More] Understanding the Link Between Birth Control Pills and Breast Cancer Risk
Understanding Lymph Node Swelling: Causes and Concerns
Lymphatic issues Doctor, I have a question: I found a marble-sized lump on the right side where my jaw connects to my neck. It doesn't hurt when I touch it, but it does hurt when I press on it. I can feel it better when I tilt my head back, but it's harder to feel when ...
Dr. Lai Yicheng Reply:
Hello: Regarding your symptoms, please visit a dermatologist and an otolaryngologist for evaluation. The doctor will perform a physical examination and determine whether a biopsy is necessary. Treatment, prescriptions, or diagnoses cannot be provided without a personal examinatio...[Read More] Understanding Lymph Node Swelling: Causes and Concerns
Understanding Treatment Options for Advanced Liver Cancer in Elderly Patients
Is liver cancer metastasizing and spreading throughout the body? Dear Doctor, My mother is 89 years old. Last year, she was diagnosed with liver cancer, and after undergoing transarterial embolization and radiofrequency ablation, it was discovered that there were metastases, whi...
Dr. Lai Yicheng Reply:
Dear Sir, Regarding your inquiry, according to the National Health Insurance regulations, there are conditions that qualify for coverage. However, whether your mother’s physical condition can tolerate the side effects of targeted therapy or chemotherapy needs to be assessed thro...[Read More] Understanding Treatment Options for Advanced Liver Cancer in Elderly Patients
Managing Rising Cancer Markers: Treatment Options for Advanced Pancreatic Cancer
Elevated cancer markers? Hello, my father was diagnosed with stage IV pancreatic cancer in December, with vascular involvement making surgery impossible. His CA19-9 level is 340, and he has completed a regimen of 7 days of chemotherapy followed by 1 week off, and will continue wi...
Dr. Hu Ziren Reply:
It is recommended to discuss with the attending physician for more appropriate guidance![Read More] Managing Rising Cancer Markers: Treatment Options for Advanced Pancreatic Cancer
Understanding Lymph Node Concerns: Insights from Oncology
Alright! It's another issue with the lymph nodes? Dear Dr. Chen, I am Koko, also known as Little Koko, and I am still the person who tends to worry easily. Since my first question to you six years ago (#70858) up to now (#142086), I am grateful for your patience and the adv...
Dr. Chen Sirong Reply:
Patient: Xiao Ke & Ke Ke & Anxious Person / 38 years old / Male 1A: An ultrasound on 11/14 showed a 0.8 cm lymph node. Sometimes when I press it, it feels larger, but if I refrain from pressing it for a while, it seems to shrink. Is this normal? A: Yes, it is normal. ...[Read More] Understanding Lymph Node Concerns: Insights from Oncology
Understanding Lymph Node Swelling: Anxiety and Health Concerns
Cervical lymphadenopathy, anxiety!!! Hello, Doctor. I would like to describe my situation: I have noticed a swollen lymph node on the right side of my neck that has been present for over a month. I measured it myself, and it is about 1 centimeter in size. It feels somewhat hard a...
Dr. Chen Sirong Reply:
Patient D / 23 years old / Male 1. Basically agrees with the assessments made by the two physicians you consulted. 2. This area is not my specialty in oncology; you may also consider Traditional Chinese Medicine to adjust your constitution. 3. Unless the lymph nodes grow la...[Read More] Understanding Lymph Node Swelling: Anxiety and Health Concerns
Understanding Lymph Node Enlargement: Symptoms and Concerns
Abnormal lymphadenopathy? About two to three months ago, I noticed a small hard lump behind my ear. At the time, I didn't think much of it, and it disappeared after about two weeks. However, in the past month or two, I have felt lymphadenopathy in my jaw area, which is also ...
Dr. Chen Sirong Reply:
Zhao, a 16-year-old male, presents with multiple hard nodules, significant fever, and night sweats. It is advised to seek immediate medical attention at a major hospital, specifically the Cancer Center at Taoyuan Hospital, under the care of Dr. Chen Si-Rong.[Read More] Understanding Lymph Node Enlargement: Symptoms and Concerns
Understanding Groin Lumps: Causes, Concerns, and Cancer Risks
There is a lump in the groin area? Hello doctor, I would like to ask about a hard lump near my groin area. It doesn't hurt when I press on it, and there is a black dot at the center. Once, I was able to squeeze out some pus. It has appeared before, then went away after a whi...
Dr. Hu Ziren Reply:
Pain and pus discharge may indicate localized subcutaneous tissue inflammation or folliculitis. It is recommended to maintain personal hygiene in the affected area![Read More] Understanding Groin Lumps: Causes, Concerns, and Cancer Risks
Understanding Suspected Papillary Thyroid Cancer: Treatment Options and Recovery
Suspected papillary thyroid carcinoma? Hello, two years ago I had an ultrasound that showed a nodule over 1 cm in size, and I was advised to monitor it. Last year, I underwent a biopsy, and the report indicated suspected papillary thyroid carcinoma. Does "suspected" mea...
Dr. Chen Sirong Reply:
QQ / 30 years old / Female Hello, 1. Last year, I had a biopsy, and the report indicated suspected papillary thyroid carcinoma. Does "suspected" mean I definitely need surgery? A: A repeat biopsy may not necessarily rule it out, as it’s possible that the needle samp...[Read More] Understanding Suspected Papillary Thyroid Cancer: Treatment Options and Recovery
Understanding Persistent Armpit Lumps: When to Seek Medical Advice
There is a lump in the armpit? After breastfeeding for 1 to 2 months, I experienced a blocked milk duct with a lump under my armpit that was painful but eventually resolved. However, I later noticed another hard lump under my armpit, approximately 2 centimeters in size, which is ...
Dr. Chen Sirong Reply:
Rong, 26 years old, female. I have an unexplained lump in my armpit about 2 cm in size (not painful) that has been present for almost a year with no signs of disappearing. Which specialty should I consult? General Surgery or Breast Surgery? Thank you for your response, and I wish...[Read More] Understanding Persistent Armpit Lumps: When to Seek Medical Advice
Is Shoulder and Neck Pain After Chemotherapy a Sign of Bone Metastasis?
Is the unusual pain in the shoulder, neck, and armpit after the third chemotherapy session for breast cancer a sign of bone metastasis? Multiple tumors in the right breast (1.8 cm, and ductal carcinoma in situ) with three lymph nodes affected. After surgical removal, an eight-cyc...
Dr. Lai Yicheng Reply:
Hello, Ms. Lee: Question: Should I get follow-up examinations for signs of metastasis? Response: Bone metastasis commonly occurs in the axial skeleton, such as the spine, pelvis, ribs, and skull, as well as the ends of long bones (such as the femur and humerus). Patients often ...[Read More] Is Shoulder and Neck Pain After Chemotherapy a Sign of Bone Metastasis?
Understanding Retroperitoneal Tumors: Diagnosis and Management Insights
Retroperitoneal tumor Hello! In early October, during a physical examination, an abdominal ultrasound revealed left hydronephrosis. I was hospitalized in the urology department for an intravenous pyelogram (IVP), abdominal CT, and MRI (all with contrast injection), as well as ure...
Dr. Lai Yicheng Reply:
1. Can MRI determine whether a lesion is benign, malignant, or inflammatory? Answer: No, MRI cannot determine this. The indications for MRI include: head, cerebrovascular conditions, various spinal nerve disorders, tumors, abdominal, liver, spleen, pancreas, kidney lesions, pelvi...[Read More] Understanding Retroperitoneal Tumors: Diagnosis and Management Insights
Is a CEA Level of 10,000 Possible? Understanding Cancer Markers and Implications
Is it really possible for the CEA level to reach 10,000? Hello Dr. Lai, I discovered a CEA level of 1085 during my health check in August this year, and subsequently, a re-test at the clinic showed a value of 1500. Later, after transferring to another hospital, the test results i...
Dr. Lai Yicheng Reply:
Are there other potential underlying conditions in this situation? 1. CEA is a convenient but not an "ideal" marker. The diversity of influencing factors makes it impossible to specify which type of cancer it indicates. It is primarily used for monitoring. Is there a li...[Read More] Is a CEA Level of 10,000 Possible? Understanding Cancer Markers and Implications
Understanding Yttrium-90 Treatment Challenges in Liver Metastasis
Yttrium-90 therapy issues The patient has colorectal cancer with liver metastasis. After evaluation by the physician, it was determined that Yttrium-90 (Y-90) radioembolization therapy could be used to target the liver tumors. The first phase of the treatment went smoothly; howev...
Dr. Lai Yicheng Reply:
Hello Ms. Wu: The problem statement is unclear, making it difficult to provide suggestions. A personal consultation is recommended. If you are unable to visit our hospital, please discuss and communicate with your attending physician to clarify any confusion. Dr. Lai from the Dep...[Read More] Understanding Yttrium-90 Treatment Challenges in Liver Metastasis
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 Groin Lumps: Folliculitis vs. Lymph Node Swelling
Inguinal mass Hello Doctor: Recently, both sides of my groin have suddenly swollen up to about 0.5 cm, are red, and painful. When I squeeze them, they bleed. The dermatologist diagnosed it as folliculitis. Could you please clarify: 1. What is the difference in tactile sensation b...
Dr. Chen Sirong Reply:
Zhuo / 19 years old / Male is advised to consult a dermatologist at Taoyuan Hospital, Cancer Center, Dr. Chen Si-Rong.[Read More] Understanding Groin Lumps: Folliculitis vs. Lymph Node Swelling
Understanding Prolonged Lymph Node Swelling: Causes and Concerns
Prolonged lymphadenopathy? Dear Doctor: I have been experiencing persistent tinnitus in one ear for the past year (24 hours a day). I am currently undergoing various tests. Due to frequent ear cleaning, I have had recurrent fungal infections in my ear for several months, and I ha...
Dr. Chen Sirong Reply:
Male, 34 years old. 1. Could the various health issues I've been experiencing recently be the reason for this persistent lymphadenopathy? A: It can be said that, but many people experience benign lymph node hyperplasia that does not resolve. 2. Should this condition be t...[Read More] Understanding Prolonged Lymph Node Swelling: Causes and Concerns
Understanding Lymph Nodes: Concerns and Clarifications for Patients
Annoying lymph nodes Hello Dr. Chen, I am the person who consulted you regarding #138469. In April, I underwent a neck CT scan, but I still felt uneasy, so on November 14, I had a neck ultrasound, blood tests, and a chest X-ray. All reports came back normal. The ultrasound report...
Dr. Chen Sirong Reply:
1. The doctor mentioned that the lymph node I discovered is located closer to the neck in the fourth zone (above the posterior border of the sternocleidomastoid muscle and the upper belly of the omohyoid muscle), not in the supraclavicular area. Can you confirm if that lymph node...[Read More] Understanding Lymph Nodes: Concerns and Clarifications for Patients
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