Understanding Elevated Ca-125 Levels in Endometrial and Ovarian Cancer
Elevated Ca-125 levels? Hello, doctor. My mother (57, postmenopausal) experienced bleeding a few months ago and underwent a dilation and curettage (D&C). Afterward, she was diagnosed with endometrial cancer and underwent surgery to remove her uterus, ovaries, and lymph nodes....
Dr. Lai Yicheng Reply:
Hello Miss Joan: Could you please discuss your concerns (including medications and examinations) with your mother's attending physician, and inquire whether a PET scan is necessary? If you are still unable to clarify your doubts, you are welcome to prepare the necessary docu...[Read More] Understanding Elevated Ca-125 Levels in Endometrial and Ovarian Cancer
Understanding Enlarged Left Axillary Lymph Nodes: Causes and Treatment Options
Left axillary lymphadenopathy? Hello Dr. Lai! My boyfriend discovered a large lump under his left armpit in August 2017. Prior to this, he had experienced an influenza infection, and we are unsure if that was a triggering factor. In August, he visited the oncology department at M...
Dr. Lai Yicheng Reply:
Hello, Miss Gu. The physician cannot provide treatment without a personal examination. Please refer to similar questions in this field and consult your attending physician regarding lymph node surgery. Since edema is related to the number of lymph nodes removed, it is advisable t...[Read More] Understanding Enlarged Left Axillary Lymph Nodes: Causes and Treatment Options
Discrepancies in CT Scan Interpretations: A Tumor Case Study
The interpretations of the CT scan differ between the two hospitals? During an ultrasound at the clinic, a shadow on the liver was detected. Later, a CT scan at a regional hospital revealed a 2.6 cm liver tumor, with the radiology report suggesting it might be a hemangioma and re...
Dr. Hu Ziren Reply:
A 2.6 cm liver tumor, unless typical features of liver cancer are observed on imaging, will generally lead physicians to conservatively conclude that malignancy cannot be ruled out; therefore, it is recommended to follow up with an ultrasound in three months.[Read More] Discrepancies in CT Scan Interpretations: A Tumor Case Study
Understanding Clavicular Lumps: What You Need to Know About Possible Causes
Suspected intraclaviular mass? Dear Director Chen, I apologize for the interruption. Here's the situation: while driving home from work today, I accidentally touched something on my right clavicle that has been bothering me all night. Pressing on it causes pain in the clavic...
Dr. Chen Sirong Reply:
Patient: 36 years old, male. 1. It feels like a firmer muscle or tendon, not extremely hard, and the size is about one centimeter. A: It sounds like inflammation of the muscle or tendon. 2. I looked online and it says that a lump on the clavicle must be cancer metastasis, an...[Read More] Understanding Clavicular Lumps: What You Need to Know About Possible Causes
Understanding Lumps Behind the Ear: Are They a Sign of Cancer?
Postauricular mass Hello doctor, I have developed two lumps on the bones behind my left and right ears, which have persisted for two months. One is 0.5 cm, soft, and movable, while the other varies in size between 1 cm and 1.3 cm, is harder, and not very movable. Could this possi...
Dr. Chen Sirong Reply:
A-Yue / 17 years old / Female 1. I have developed two lumps on the bones behind my left and right ears. A: The location may be relatively uncommon. 2. One lump measures 0.5 cm, is soft, and movable. A: The characteristics described are more suggestive of a benign condit...[Read More] Understanding Lumps Behind the Ear: Are They a Sign of Cancer?
Understanding Elevated CEA Levels: Cancer Recurrence or Bone Metastasis?
Abnormal cancer markers? Hello Doctor, my mother was diagnosed with breast cancer nearly 10 years ago and underwent treatment. Five years ago, doctors confirmed that there were no tumors. She has continued to have ultrasounds every year. This year, my mother reported neck pain th...
Dr. Lai Yicheng Reply:
Dear [Recipient], Regarding your inquiry, the elevation of the CEA (Carcinoembryonic Antigen) level can be attributed to various factors. If the levels continue to rise, further investigation will be necessary. Please return to your attending physician for evaluation. Wishing y...[Read More] Understanding Elevated CEA Levels: Cancer Recurrence or Bone Metastasis?
Consulting on Dietary Supplements for Post-Breast Cancer Surgery Recovery
Consultation on Edible Health Supplements for Daily Life After Breast Cancer Surgery My mother is 56 years old and underwent breast cancer surgery six months ago, followed by a series of chemotherapy treatments. She has always had difficulty sleeping, and over time, this may lead...
Dr. Lai Yicheng Reply:
Dear [Recipient's Name], Regarding your inquiry about self-administering "Suntory Sesame E," please discuss this with your attending physician. Wishing you peace and well-being. Sincerely, Dr. Lai Yi-Cheng Department of Radiation Oncology[Read More] Consulting on Dietary Supplements for Post-Breast Cancer Surgery Recovery
Understanding Why Tumors Develop: Exploring Genetic and Health Factors
Why is it easy to develop tumors? Since being diagnosed with a benign chondroma at the age of 23, I have subsequently been found to have fibromas, a breast adenoma, ovarian cysts, and two enlarged inflamed lymph nodes in the neck. Could this be due to my constitution? There are t...
Dr. Chen Yunfang Reply:
Hello: According to statistics, the leading cause of death in Taiwan is cancer, which means that most people are likely to die from cancer in the end, although we do not know at what age this will happen. No one can guarantee that we will be alive and well tomorrow. Do you curren...[Read More] Understanding Why Tumors Develop: Exploring Genetic and Health Factors
Painful Lump in Armpit: Should You Worry About Cancer?
There is a hard lump in the armpit that is very painful? I have recently noticed a hard lump in my armpit that is painful, especially when touched. The skin surface has a slight redness, and the lump is nearly 4 centimeters in size. There is a small wound near the lump. Should I ...
Dr. Hu Ziren Reply:
It sounds like it may just be a subcutaneous abscess. I recommend that you first consult a general surgeon. Alternatively, you can keep the area dry and clean, and if it does not increase in size over a period of time, you can simply monitor it.[Read More] Painful Lump in Armpit: Should You Worry About Cancer?
Managing Stage IV Nasopharyngeal Cancer: One and a Half Years Post-Treatment
One and a half years after treatment for stage IV nasopharyngeal carcinoma? My husband has stage IV nasopharyngeal carcinoma (T4N3M0), located in the supraclavicular fossa and the longus colli muscle area. After a year and a half of treatment, he is doing well. Recently, during a...
Dr. Lai Yicheng Reply:
1. Please perform a blood test to check the EBV DNA PCR levels, and then assess for any recurrence. 2. The cervical lymph nodes have decreased from 1.2 cm to 0.6 cm and then increased to 0.96 cm; I recommend surgical excision for pathological examination. 3. Is the nasopharyn...[Read More] Managing Stage IV Nasopharyngeal Cancer: One and a Half Years Post-Treatment
Lumps Behind the Ears: Causes and Concerns About Tumors
A lump behind the ear? One day, I felt pain behind my left ear, and I kept touching it, which resulted in a lump about one centimeter in size. It doesn't hurt, but occasionally feels a bit sore and is not very hard. A few days later, I developed a lump about two centimeters ...
Dr. Hu Ziren Reply:
I'm sorry, but I need the specific content you want translated in order to assist you. Please provide the text you would like me to translate.[Read More] Lumps Behind the Ears: Causes and Concerns About Tumors
Understanding Lumps Behind the Ear: Causes and Concerns for Teens
A lump behind the ear? Hello Doctor, I am sixteen years old. One day I felt pain behind my left ear and kept touching it, resulting in a lump about one centimeter in size. It doesn't hurt, but occasionally I feel a slight soreness, and it's not very hard. A few days lat...
Dr. Hu Ziren Reply:
Hello, netizen: Usually, a lump behind the ear may be a lymph node, it could also just be an acne lesion, or it may be related to a localized infection. Therefore, it is recommended to monitor the situation and improve sleep quality.[Read More] Understanding Lumps Behind the Ear: Causes and Concerns for Teens
Understanding Ear Lumps: Causes, Concerns, and When to Seek Help
Hard lump behind the ear? Hello Doctor, I am sixteen years old. I have a lump about one centimeter on my left ear and a lump about two centimeters on my right ear (they are hard, but I'm not sure if they are movable). Initially, they were just painful and felt strange, but a...
Dr. Chen Sirong Reply:
Hello, A-Yue / 16 years old / Female 1. At sixteen years old, you are still a minor. It is advisable to inform your parents to take you for a medical consultation. 2. What could be the cause of the lump? The exact reason is uncertain. 3. Could it be cancer? The lumps are present...[Read More] Understanding Ear Lumps: Causes, Concerns, and When to Seek Help
Ensuring Safety at Home: Managing Cancer Medications with Dementia Care
The oral medication for cancer is safe? Hello, doctor! Our elder at home is suspected to have dementia. He has been receiving medical treatment and medication for dementia, but the effects are minimal. He forgets to wash his hands after taking his chemotherapy medication and ofte...
Dr. Lai Yicheng Reply:
Hello, Ms. Sandwich Cookie. Regarding the safety of oral medications for cancer treatment, it is advisable to consult your hospital's pharmacist for a more secure recommendation. Thank you for reaching out. Best regards, Dr. Lai Yi-Cheng, Department of Radiation Oncology, Ch...[Read More] Ensuring Safety at Home: Managing Cancer Medications with Dementia Care
Assessing Lumps: Should I Return to Taiwan for Medical Evaluation?
Body mass. Case: 126359 Follow-up? Hello Doctor, I reached out to you two weeks ago. I still haven't been able to make an appointment abroad, so I'm asking you again to assess whether I need to return to Taiwan for medical treatment immediately. Currently, my condition ...
Dr. Chen Sirong Reply:
Steven Chiu / 25 years old / Male Hello: Typically, cancer tends to grow slowly and only shrinks if steroids are used, so the likelihood of this being good news is probably greater than 95%. However, doctors online cannot provide a definitive answer without a personal examinatio...[Read More] Assessing Lumps: Should I Return to Taiwan for Medical Evaluation?
Understanding Sudden Lumps: When to Seek Medical Attention
Sudden onset of a lump? Hello Doctor, I am currently seeking a brief consultation as it is quite inconvenient to receive medical care abroad. I would like to assess whether I need to return to Taiwan for immediate treatment. My current condition is as follows: I have developed ...
Dr. Chen Sirong Reply:
Steven Chiu / 25 years old / Male Hello, 1. The lymphadenopathy is located on both sides of the groin, the jawline, and the right ear. This is quite widespread. There is still a possibility of lymphoma. From a physician's perspective, if I advise you to observe for a perio...[Read More] Understanding Sudden Lumps: When to Seek Medical Attention
Managing Stage IV Esophageal Cancer with Metastasis: Key Considerations
Stage IV esophageal cancer with metastasis to other sites? Hello, Doctor! At the beginning of July, my father (56 years old) suddenly experienced weakness in his left leg. After examination at the hospital, it was found that there were 3-4 tumors of varying sizes in his brain. Fu...
Dr. Lai Yicheng Reply:
Dear Ms. Wu, Thank you for your letter. Here are the responses to your inquiries in order: 1. Currently, nutrition is being administered primarily via a nasogastric tube. Oral intake should be avoided to prevent aspiration pneumonia due to potential esophageal obstruction from ...[Read More] Managing Stage IV Esophageal Cancer with Metastasis: Key Considerations
Understanding Papillomas: Monitoring and Dietary Considerations
Papilloma of the breast Hello Doctor: I had a breast ultrasound at the hospital, and the result showed a 0.6 cm benign papilloma. Do I need to have follow-up examinations every six months or once a year? Can I consume breast enhancement foods with a papilloma? Are there any foods...
Dr. Hu Ziren Reply:
1. I'm not sure why you want to have a breast ultrasound. If there is no personal or family history of breast cancer, self-breast examination is recommended. However, if you are still concerned, you may consider undergoing an ultrasound-guided biopsy to rule out the possibil...[Read More] Understanding Papillomas: Monitoring and Dietary Considerations
Understanding Lymph Node Metastasis in Breast Cancer: Treatment Options
Breast cancer metastasis to lymph nodes? Doctor, I apologize for bothering you, but I have a question. My wife has metastatic breast cancer that has spread to the lymph nodes and is resistant to treatment. Can she receive mogamulizumab? Is it effective? Thank you, doctor.
Dr. Hu Ziren Reply:
Mabthera (Rituximab) is ineffective.[Read More] Understanding Lymph Node Metastasis in Breast Cancer: Treatment Options
Understanding Gastrointestinal Stromal Tumors: Survival and Treatment Options
Gastrointestinal stromal tumors (GISTs) Hello: My mother-in-law (60 years old) underwent resection of a gastrointestinal stromal tumor (GIST) measuring over 20 centimeters two years ago. During the surgery, many small tumors were also discovered in the abdominal cavity. The docto...
Dr. Hu Ziren Reply:
1. The causes of death are similar to those of common cancers, but some may experience gastrointestinal bleeding or even rupture. 2. If there is a recurrence, surgical resection usually only serves to manage complications and tumor growth. 3. If medications can prolong the ti...[Read More] Understanding Gastrointestinal Stromal Tumors: Survival and Treatment Options