Cancer, Oncology FAQ - Page 19

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Understanding Elevated CEA Levels After Colon Surgery and Chemotherapy

Postoperative and chemotherapy monitoring of abnormal CEA levels? Hello Doctor, my mother underwent a colectomy last November, and her CEA level was in the 70s at that time. After the surgery, the level did not decrease. Following the initiation of chemotherapy, the CEA level con...


Dr. Chen Yunfang Reply:
Hello: The CEA (Carcinoembryonic Antigen) level is indeed a tumor marker, but it is not specific and is not limited to colorectal cancer. Elevated levels can occur in various cancers throughout the body, such as head and neck cancer, lung cancer, breast cancer, gastric cancer, pa...

[Read More] Understanding Elevated CEA Levels After Colon Surgery and Chemotherapy


Sudden Enlargement of Armpit Lump: What You Need to Know

A lump near the armpit suddenly enlarged? Hello, Dr. Lai: I have had a hard lump about the size of a mung bean near my right armpit for a long time. Since it has not been painful and has not increased in size, I have ignored it. However, in the past three days, the lump suddenly ...


Dr. Lai Yicheng Reply:
Hello, Miss: Thank you for your inquiry. Since I cannot see your actual symptoms, I am unable to provide a comprehensive assessment. I recommend that you first consult a surgeon for evaluation before making a diagnosis. Changhua Hospital cares about you. Sincerely, Dr. Lai Yi-Che...

[Read More] Sudden Enlargement of Armpit Lump: What You Need to Know


Understanding the Link Between Thyroid Nodules and Cancer Treatment

The relationship between cancer treatment and thyroid nodules? Hello, Doctor. This year, my mother and grandmother were diagnosed with breast cancer and nasopharyngeal cancer, respectively. My mother has already started her radiation therapy, while my grandmother is still undergo...


Dr. Hu Ziren Reply:
Hello, if it is hereditary and has not changed in size, the likelihood of malignancy is usually very low. It is recommended to just monitor it.

[Read More] Understanding the Link Between Thyroid Nodules and Cancer Treatment


Hard Lump Under Surgical Scar After Axillary Lymph Node Surgery: Is It Normal?

There is a hard lump inside the scar from axillary lymph node surgery? Doctor, my wife was diagnosed with stage III breast cancer five years ago, and six months ago it was discovered that the cancer had metastasized to the lymph nodes on the other side. She underwent chemotherapy...


Dr. Hu Ziren Reply:
Hello, it is possible that there is a peripheral local recurrence after surgery. It is recommended to discuss this in detail with your attending physician.

[Read More] Hard Lump Under Surgical Scar After Axillary Lymph Node Surgery: Is It Normal?


Understanding Continuous Chemotherapy for Cancer Cells in Cerebrospinal Fluid

Cancer Treatment: Treatment for Cancer Cells in Cerebrospinal Fluid Hello Dr. Chen: My wife was diagnosed with a recurrence of breast cancer at the end of last year after six years. Cancer cells were found in her cerebrospinal fluid, and she is currently undergoing her fifth roun...


Dr. Chen Sirong Reply:
Chen Shunqing / 56 years old / Male 0. I am quite shocked to hear this. Is this true? A: In terms of Western medicine, once the disease has spread, it is considered incurable. Medications can only control it, which is a blessing. How long it can be controlled is also a blessin...

[Read More] Understanding Continuous Chemotherapy for Cancer Cells in Cerebrospinal Fluid


Understanding Neck Lumps: When to See a Specialist for Concerns

Swelling under the left ear in the neck? I have a hard lump under my left ear on the left side of my neck. Initially, I felt some swelling and pain in my neck. Later, I visited a clinic, and the doctor said it was tonsillitis and prescribed cold medication for three days. After f...


Dr. Chen Sirong Reply:
1. Which department should I see? A: Ear, Nose, and Throat (ENT) Department. 2. Does this count as cancer? A: It should be determined by a physician after an in-person examination. 3. I don't have any symptoms of fever or cold. A: Enlarged lymph nodes caused by infection...

[Read More] Understanding Neck Lumps: When to See a Specialist for Concerns


Understanding Papillary Thyroid Cancer: Diagnosis, Treatment, and Follow-Up

Papillary Thyroid Carcinoma Hello Doctor: On February 21, I was diagnosed with a 6 cm tumor on the left side of my thyroid and two tumors measuring about 1-2 cm on the right side. I underwent a surgical removal, and the pathology results showed that the right side was benign whil...


Dr. Lai Yicheng Reply:
Dear Mr. Huang: Thank you for your inquiry. Here is the response: 1. Surgery is typically the first step in treating thyroid cancer, aiming to remove as much cancerous tissue as possible. In rare cases of localized and well-differentiated thyroid cancer, a lobectomy of the affe...

[Read More] Understanding Papillary Thyroid Cancer: Diagnosis, Treatment, and Follow-Up


Preparing for Esophageal Cancer Surgery: Essential Tips and Nutrition

Preoperative Preparation for Esophageal Cancer Surgery Hello Doctor, my father-in-law (78) underwent a CT and PET scan two days ago, which revealed a 7 cm tumor in the middle to lower esophagus, with spread to nearby lymph nodes. After consultation, a professor has agreed to perf...


Dr. Chen Sirong Reply:
Ms. Liang / 27 years old / Female. What else can I do besides drinking high-protein nutritional drinks? A: Companionship is the most important thing. Maintaining weight or even gaining weight is fine; after surgery, you will naturally lose weight. Thank you for your inquiry. Taoy...

[Read More] Preparing for Esophageal Cancer Surgery: Essential Tips and Nutrition


Is Blood Cancer Hereditary? Understanding Genetic Risks and Implications

Does leukemia run in families? Hello, if my uncle has blood cancer, is there a chance that it can be inherited by us or our mother? If so, what is the likelihood? Thank you.


Dr. Hu Ziren Reply:
User: Blood cancer is mainly related to genetics and the environment (for example, some people have genes that will definitely lead to the disease, etc.), and it is not a hereditary disease...

[Read More] Is Blood Cancer Hereditary? Understanding Genetic Risks and Implications


Understanding Neck Masses: Risks, Treatments, and Recovery Options

Neck issues Hello, my mother is around 38 years old. About a month or two ago, she noticed a lump in her neck, which has been slowly decreasing in size but hasn't completely disappeared; there is still a hard lump that seems to move slightly when swallowing. We are now worri...


Dr. Chen Sirong Reply:
Ciel / 15 years old / Female 1. My mother is around 38 years old. About a month or two ago, she had a lump in her neck, which has been slowly decreasing in size, but it hasn't completely disappeared. There is still a hard lump that seems to move slightly when swallowing. A:...

[Read More] Understanding Neck Masses: Risks, Treatments, and Recovery Options


Understanding Persistent Lymph Nodes: Concerns and Insights

Lymph nodes inside the right lower jaw? Hello Doctor, in early December, I noticed a swollen lymph node on the inside of my right jaw that was painful. I went to an ENT clinic for an examination, and the doctor diagnosed it as lymphadenitis and prescribed medication for three day...


Dr. Chen Sirong Reply:
Chuang / 23 years old / Female Hello, 1. After self-examination, I feel that today's lymph node is smaller. A: Malignant lymph nodes typically do not fluctuate in size; they tend to grow continuously. 2. Could it be that the medication for my bladder infection contains ...

[Read More] Understanding Persistent Lymph Nodes: Concerns and Insights


Understanding Groin Lumps: When to See an Oncologist

Inguinal mass Hello, doctor. On January 29th, I suddenly noticed a small hard lump in my groin area. I found that it is movable and does not protrude. After researching online, I learned that it is located where lymph nodes are. Following my family's advice, I visited a fami...


Dr. Chen Sirong Reply:
Ms. Wu / 24 years old / Female 1. Should I see an oncologist? A: Currently, it is not necessary. 2. Due to a significant family history of cancer, A: If there are changes in size, color, or firmness, then consult a doctor. Thank you for your inquiry. Taoyuan Hospital ...

[Read More] Understanding Groin Lumps: When to See an Oncologist


Understanding Soft Lumps on the Neck: When to Seek Medical Attention

There are two soft lumps on the neck? A few days ago, I noticed my neck was itchy, and when I scratched it, I felt a soft lump that wasn't protruding and only felt firm when pressed (it moves and isn't painful). When I checked my neck again, I found another similar lump...


Dr. Chen Yunfang Reply:
Hello: The description in the text is not very clear; it's hard to understand where you are referring to the lump. If you are really concerned, clinic doctors usually see more cases of colds and may not be very sensitive to cancer. I recommend visiting a hospital's hema...

[Read More] Understanding Soft Lumps on the Neck: When to Seek Medical Attention


Understanding Hard Lumps Near the Anus: Causes and Concerns

Hard lump near the anus? Hello, I have a hard lump less than 1 cm in size located about 2 cm from my anus towards my testicles. It doesn't hurt when pressed down, but it is uncomfortable. I have had it for about one to two months, and it remains the same size. Occasionally, ...


Dr. Hu Ziren Reply:
Hello, internet user: Since you often experience constipation and bleeding from anal fissures, this small hard lump may be an anal abscess (or even a fistula) caused by the fissure. It is advisable to see a general (colorectal) surgeon for an examination as soon as possible!

[Read More] Understanding Hard Lumps Near the Anus: Causes and Concerns


Understanding Oral Symptoms: Red Spots on Tongue and Cancer Concerns

Oral issues There are red spots on the tip of the tongue, with some areas being deeper or lighter in color, and sometimes they even disappear. Is it normal to have some white areas at the base of the tongue? Could this be oral cancer? I usually go to sleep after 11 PM every day.


Dr. Hu Ziren Reply:
Didi: There shouldn't be any major issues. Just maintain normal sleep and lifestyle habits, and don't worry too much. :)) By Dr. Hu Ziren

[Read More] Understanding Oral Symptoms: Red Spots on Tongue and Cancer Concerns


Can Cancer Patients Eat Soy Products? Understanding Dietary Choices

Breast Cancer Diet Can cancer patients consume soy products?


Dr. Chen Sirong Reply:
1. Breast cancer patients may be stimulated by female hormones, so they should avoid consuming extracted and refined soy isoflavones. 2. Other cancers that are not influenced by female hormones will not be affected. 3. Many foods contain phytoestrogens, and there is no need to ...

[Read More] Can Cancer Patients Eat Soy Products? Understanding Dietary Choices


Choosing Chemotherapy Drugs for Triple-Negative Breast Cancer

Chemotherapy drug options for triple-negative breast cancer? Hello Doctor, my mother was diagnosed with triple-negative breast cancer last December, approximately 2.4 cm in size. The lymph node biopsy did not show any cancer cells because the tumor is located too close to the nip...


Dr. Lai Yicheng Reply:
Dear Ms. Clare, Thank you for your letter. I appreciate your concern for your mother; you are a caring daughter. Regarding the choice of chemotherapy drugs for triple-negative breast cancer that you mentioned, there are some discrepancies with your mother's attending physic...

[Read More] Choosing Chemotherapy Drugs for Triple-Negative Breast Cancer


Switching from Injectable to Oral Chemotherapy for Stomach Cancer: Is It Possible?

Switching from injectable chemotherapy for gastric cancer to oral administration? Hello Dr. Chen, My father (60 years old) underwent a partial gastrectomy due to gastric cancer. The doctor recommended adjuvant chemotherapy (5-FU), and he has completed the eighth cycle out of twe...


Dr. Chen Yunfang Reply:
Hello: Chemotherapy for gastric cancer has a moderate emetogenic potential. Generally, patients may experience some nausea after administration, but it is not usually severe or intolerable. If your father's constitution is sensitive and he experiences more than just 2-3 days...

[Read More] Switching from Injectable to Oral Chemotherapy for Stomach Cancer: Is It Possible?


Understanding Chemotherapy Effectiveness in Stage II Cervical Cancer

Chemotherapy for cervical cancer My grandmother is around 72 years old. Last summer, she was diagnosed with stage II cervical cancer and subsequently underwent chemotherapy. However, during her last chemotherapy session, the doctor mentioned that there are still cancer cells in h...


Dr. Hu Ziren Reply:
If there are still residual cancer cells, it may be considered to change the current chemotherapy regimen and switch to second-line drug treatment. Thank you!

[Read More] Understanding Chemotherapy Effectiveness in Stage II Cervical Cancer


Evaluating Adrenal Nodules: Essential Tests for Malignancy Confirmation

Adrenal nodule If Dr. Hu's family member has a post-operative CT scan that reveals an adrenal nodule smaller than 1 cm, and there is a concern for malignant tumor metastasis to the adrenal gland, what tests should be performed to confirm its nature?


Dr. Hu Ziren Reply:
Hello, online user: It is advisable to have a physician first assess whether the condition is functional or non-functional, as the treatment approach will depend on the presence of functionality. If metastasis is suspected, it is essential to identify the primary site (for exampl...

[Read More] Evaluating Adrenal Nodules: Essential Tests for Malignancy Confirmation


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