Exploring Potential Bone Metastasis in Endometrial Cancer Patients
Suspected bone metastasis from endometrial cancer? Hello Doctor: I had surgery for endometrial cancer last May, and the pathology report indicated stage III. By February, all my treatments were completed, but my tumor markers have not decreased (still in the 70s). There are sever...
Dr. Chen Sirong Reply:
Patient: Jin Ding / 67 years old / Female Hello: 1. What other methods can be used to find the cause? A: 1A. The most proactive approach is a biopsy (the advantage is definitive confirmation). 1B. The next option is imaging diagnostics: 1.1. Out-of-pocket po...[Read More] Exploring Potential Bone Metastasis in Endometrial Cancer Patients
Can a 10cm Liver Tumor Be Treated? Understanding the Risks and Options
Is it possible to treat a 10 cm liver tumor? My father, aged 46, is a carrier of hepatitis B and does not have a habit of drinking alcohol. Our family maintains a normal lifestyle, diet, and routine, and he regularly takes reishi mushroom supplements for liver health. He also goe...
Dr. Hu Ziren Reply:
1. Chronic hepatitis B carriers are inherently at risk for liver cancer. 2. It is recommended to discuss treatment options with the attending physician. 3. In some cases, alpha-fetoprotein levels may not necessarily be elevated in liver cancer (approximately 25% of cases).[Read More] Can a 10cm Liver Tumor Be Treated? Understanding the Risks and Options
Exploring Treatment Options for Stage III Esophageal Adenocarcinoma
Stage III esophageal adenocarcinoma? Hello Doctor, my father was diagnosed with stage III esophageal adenocarcinoma in mid-April. There is only some space left in the upper part of his stomach, and the gastric wall at the gastroesophageal junction has thickened. In early May, a c...
Dr. Lai Yicheng Reply:
Ms. Shiori: Based on the condition you described, your father will primarily continue with chemotherapy, supplemented by radiation therapy. Dr. Lai Yi-Cheng, Department of Radiation Oncology, Changhua Hospital.[Read More] Exploring Treatment Options for Stage III Esophageal Adenocarcinoma
Managing Cancer and Mental Health: Prioritizing Care for Patients
Lung cancer metastasis to the brain? Hello Doctor: My boyfriend is Malaysian, and his mother has been diagnosed with stage IV lung cancer that has metastasized to the brain. She has just completed radiation therapy for the brain. Initially, she was supposed to receive a treatment...
Dr. Hu Ziren Reply:
Hello, online user: In the case of lung cancer with brain metastasis, and recent treatments including cranial radiotherapy and systemic chemotherapy, if the patient has no history of mental illness, it is advisable to first rule out the worsening of brain metastasis or acute side...[Read More] Managing Cancer and Mental Health: Prioritizing Care for Patients
Understanding Uncertain Tumor Results: What You Need to Know
There is a lump in the middle of the bone in the front of the lower leg? Dear Doctor, my father underwent surgery on May 24 to remove a skin mass, which was sent for pathology testing. The hospital informed us that the stitches would be removed in two weeks, along with the report...
Dr. Hu Ziren Reply:
Hello, online friend: If a skin mass is excised and the pathology report indicates squamous cell carcinoma, it is often true that most cases are metastatic. Therefore, it is recommended to wait for the results of a comprehensive examination (including a CT scan) before proceeding...[Read More] Understanding Uncertain Tumor Results: What You Need to Know
Understanding Lumps Under the Armpit: When to Seek Medical Advice
There is a hard lump in the armpit? Hello, Doctor. Recently, I noticed a small lump in my armpit, about 0.5 centimeters in size. It is not very prominent and cannot be seen in the mirror; I can only feel it by touch. It has a soft texture, is immovable, and feels similar to a mos...
Dr. Chen Yunfang Reply:
Hello: The axilla is still considered an extension of breast tissue, and any related lumps should be evaluated by a breast surgeon. It is advisable to have the surgeon who diagnosed your mother with breast cancer take a look. Thank you![Read More] Understanding Lumps Under the Armpit: When to Seek Medical Advice
Understanding Hereditary Risks of Bone Cancer: A Patient's Inquiry
Genetic issues? Hello Doctor, I am 25 years old. When I was 15, I was diagnosed with bone cancer (osteosarcoma) located in my left knee. During a follow-up appointment in my senior year of college, about 9 years after my last treatment, it was found to have metastasized to my lun...
Dr. Chen Yunfang Reply:
Hello: Bone cancer is mostly prevalent in young people. As for whether it can be inherited, I believe the answer is likely no. Your parents probably have not had bone cancer either, right? Currently, aside from a few rare cancers that may have a genetic component (which is actual...[Read More] Understanding Hereditary Risks of Bone Cancer: A Patient's Inquiry
Understanding Painful Lumps in the Right Neck: When to Seek Help
Right cervical lymphadenopathy? Last week, I developed two lumps on the right side of my neck that are painful, sore, and numb to the touch. I visited an otolaryngologist, who prescribed anti-inflammatory medication. At that time, I also had a cold and cough, so the doctor mentio...
Dr. Chen Sirong Reply:
An / 24 years old / Male 1. If I go to a large hospital for an appointment, which department should I register for an examination? A: Otolaryngology (ENT) 2. I am a delivery driver, I chew betel nut and smoke. Is this lump caused by unhealthy lifestyle habits? A: Chewing ...[Read More] Understanding Painful Lumps in the Right Neck: When to Seek Help
Navigating Breast Cancer Treatment Options for a 90-Year-Old Grandmother
My grandmother, who is over 90 years old, has been diagnosed with stage II breast cancer. What are the concerns regarding her subsequent treatment? Recently, it was discovered that my 90-year-old grandmother has stage II breast cancer, PR+ER+Her2+(currently undergoing FISH testin...
Dr. Chen Sirong Reply:
Meg, 30 years old, female. 1. After examination, there is no metastasis, but due to age and the inherent risks of surgery, she chooses to forgo surgical intervention. Can she opt for direct hormonal therapy and targeted therapy with government insurance coverage for trastuzumab...[Read More] Navigating Breast Cancer Treatment Options for a 90-Year-Old Grandmother
Assessing End-Stage Multiple Myeloma: Symptoms and Treatment Options
End-stage assessment of multiple myeloma? Dear Doctor, My father was diagnosed with stage II multiple myeloma six years ago at the age of 65. He did not undergo a stem cell transplant but chose treatment with CyBorD (cyclophosphamide, bortezomib, and dexamethasone). For the firs...
Dr. Chen Yunfang Reply:
Hello: 1. The original physician from Hospital L has returned, and the physician from Hospital Z has asked you to go back to the original hospital for treatment, so it’s quite clear where to go. 2. The symptoms of multiple myeloma are primarily related to the bone marrow. As the ...[Read More] Assessing End-Stage Multiple Myeloma: Symptoms and Treatment Options
Understanding Lymph Node Issues in Lymphoma: Key Questions Answered
Lymph Node Issues - Follow-up Questions Thank you for your previous response, Doctor. I have a question to ask. You mentioned that removing a lymph node can only confirm whether that specific node is problematic. However, another doctor told me that lymphoma is systemic, so it do...
Dr. Chen Yunfang Reply:
Hello: 1. "Seeing is believing" is 100% certain, while "based on experience" is not necessarily so. 2. The same issue is a matter of probability; the best diagnostic method would be to excise all lymph nodes throughout the body, regardless of size, and send...[Read More] Understanding Lymph Node Issues in Lymphoma: Key Questions Answered
Understanding Early Signs of Breast Cancer: What You Need to Know
Early signs of breast cancer? Hello :) 1. The data indicates that in the early stages, there are usually no symptoms or pain, but small hard lumps may be present that do not move and are not painful. (Does breast development affect the number of lumps?) If there are only small ...
Dr. Hu Ziren Reply:
Unless there is a personal history of cancer or a family history of breast cancer, it is not recommended to undergo breast cancer screening too early.[Read More] Understanding Early Signs of Breast Cancer: What You Need to Know
Understanding Lymph Node Issues: When to See a Specialist
Lymph node issues? Hello Doctor, I had a biopsy of the groin lymph nodes last October, which turned out to be benign. In February, I had a PET scan for a chest nodule, and there were no significant issues. However, recently I have been feeling more and more lymph nodes, so I went...
Dr. Chen Yunfang Reply:
Hello: First of all, the excision of subcutaneous lymph nodes is a procedure that any general surgeon can perform; you can choose anyone. Those who claim to have special expertise are simply indicating that they are particularly specialized in this area. Lymph node excision is so...[Read More] Understanding Lymph Node Issues: When to See a Specialist
Why Doctors Advise Against Lymph Node Removal: Understanding Risks and Concerns
Why do doctors generally not recommend surgery? Is it because there may be potential complications? Hello Doctor, in early December 2016, I felt pain inside my right lower jaw. I thought about massaging it and found a lymph node. After taking medication at a nearby ENT clinic, it...
Dr. Chen Yunfang Reply:
Hello: Since you have seen so many specialists, it's best to follow their advice and just observe. Clinically, lymph nodes that are recognized to have malignant changes typically have a diameter greater than 1 cm, and most cancers are around 2-3 cm in size. So, is your lymph...[Read More] Why Doctors Advise Against Lymph Node Removal: Understanding Risks and Concerns
Understanding Iron Deficiency Anemia: Treatment Challenges and Concerns
Iron deficiency anemia cannot restore hemoglobin levels? Hello Dr. Chen, I have been experiencing issues since over five years ago, with my blood test reports showing normal hemoglobin levels and white blood cell counts around 13,000. Two years ago, I underwent partial gastrecto...
Dr. Chen Yunfang Reply:
Hello: If you have undergone gastric resection, it may partially affect the absorption of oral iron supplements, so it is common to switch to injectable iron. How long it takes to improve anemia depends on the dosage of iron you receive each time and the frequency of injections, ...[Read More] Understanding Iron Deficiency Anemia: Treatment Challenges and Concerns
Managing Lateral Lymph Node Metastasis in Papillary Thyroid Cancer: Surgery or I-131?
For lateral lymph node metastasis of papillary thyroid carcinoma, is surgery recommended or is iodine-131 treatment preferred? 1. What is the ideal level of thyroglobulin (TG)? 2. Given the bilateral lateral neck lymph node metastasis, should surgery be performed or should anothe...
Dr. Chen Sirong Reply:
Marian / 21 years old / Male Q1: What is the ideal TG value? A: For patients on thyroid hormone replacement, a TG < 1 indicates successful treatment, while a TG > 5 raises suspicion for recurrence. For those not on thyroid hormone replacement, a TG < 5 indicates succe...[Read More] Managing Lateral Lymph Node Metastasis in Papillary Thyroid Cancer: Surgery or I-131?
Understanding Adjuvant Therapy Options for Colorectal Cancer Patients
Adjuvant medication Hello, Dr. Lai! I recently underwent a colonoscopy, and it was found that there are two flat polyps extending horizontally at the cecum: one measuring approximately 1.5 cm x 0.7 cm and the other in a V-shape measuring about 2 cm x 0.5 cm. Visually, they are di...
Dr. Lai Yicheng Reply:
Dear Ms. K.K., Thank you for your inquiry. Here are the responses: 1. All diagnoses should be based on the pathological report from laboratory tests. If it is not a malignant tumor, polypectomy may suffice. However, if it is unfortunately malignant, the pathological report from...[Read More] Understanding Adjuvant Therapy Options for Colorectal Cancer Patients
Oral Chemotherapy for Stage II Colon Cancer: Risks and Benefits for Elderly Patients
Oral chemotherapy drugs Hello Dr. Chen, my mother is 86 years old and underwent a right hemicolectomy for a tumor at the end of March. She has now been discharged and is back home. However, the pathology report indicates that although it is stage II, the cell differentiation is p...
Dr. Chen Sirong Reply:
Mr. Zhang / 47 years old / Male Hello, 1. I would like to ask the doctor about the differences between not taking oral chemotherapy drugs and taking them for a stage II colorectal cancer postoperative patient. A: Personally, I believe that the differences in taking or not taki...[Read More] Oral Chemotherapy for Stage II Colon Cancer: Risks and Benefits for Elderly Patients
Is Surgery Necessary After Radiation for Stage 3B Cervical Cancer?
Radiation Therapy Hello, the patient is a 73-year-old woman diagnosed with stage 3B cervical cancer. She has undergone 28 sessions of external beam radiation therapy and 3 sessions of chemotherapy during the radiation treatment. Due to hospital equipment limitations, she did not ...
Dr. Chen Sirong Reply:
Anonymous / 49 years old / Male Is surgery a necessary option at this stage and age if further brachytherapy is not performed, or is monitoring sufficient? A: 1. If no adjuvant brachytherapy is performed, it means that the radiation dose is insufficient, as the effective dose ...[Read More] Is Surgery Necessary After Radiation for Stage 3B Cervical Cancer?
Understanding Breast Lumps: When to Seek Medical Advice
Breast lump Hello Doctor, I have noticed that since my university days, I could feel spindle-shaped hard lumps in both of my breasts that seemed like lymph nodes. At that time, I consulted a doctor who said there was no problem. Recently, while showering, I found that the one on ...
Dr. Hu Ziren Reply:
Hello, netizen: The incidence of male breast cancer is approximately less than 1%, so it may just be gynecomastia (relative development of breast tissue in males). Therefore, it is suggested to simply observe. :) By Dr. Hu Zi-ren[Read More] Understanding Breast Lumps: When to Seek Medical Advice