Can Liver Cancer Be Surgically Removed If No Metastasis Is Found?
Does liver cancer metastasize? Dear Dr. Hu, This year, my friend was diagnosed with liver cancer. Both the CT scan and MRI evaluations indicate no lymphatic or distant metastasis, making surgical resection possible. Can you confirm if these examinations can reliably rule out me...
Dr. Hu Ziren Reply:
Hello, online user: Yes, if there is metastasis, surgery is not possible; however, for liver cancer surgery, in addition to assessing whether there is distant metastasis, it is also necessary to consider the tumor's location and the patient's overall function (such as a...[Read More] Can Liver Cancer Be Surgically Removed If No Metastasis Is Found?
Understanding Persistent Neck Lymph Node Pain After Chemotherapy
Is the persistent pain in the neck lymph nodes after chemotherapy an indication that it hasn't been controlled? Hello Doctor, my father is 50 years old and has stage IV gastric cancer that has metastasized to the lymph nodes in his shoulder and abdomen, as well as to a small...
Dr. Hu Ziren Reply:
Hello, online user: It is recommended to continue chemotherapy and complete the entire treatment course.[Read More] Understanding Persistent Neck Lymph Node Pain After Chemotherapy
Understanding Post-Chemotherapy and Radiation Side Effects in Colorectal Cancer
Chemotherapy and radiation therapy side effects? My sister is 39 years old and has stage III colon cancer. The doctor recommended a five-week course of chemotherapy and radiation therapy, after which the tumor shrank by 80% or disappeared. She is currently resting at home for abo...
Dr. Chen Yunfang Reply:
Hello: I cannot answer this because there are too many possible causes for the pain, such as pain from the tumor itself, pain from intestinal perforation, or pain from a wound infection or abscess (which, if not treated, could lead to sepsis and be fatal)... She needs to see a ph...[Read More] Understanding Post-Chemotherapy and Radiation Side Effects in Colorectal Cancer
Post-Liver Cancer Surgery: Evaluating Adrenal Nodules for Metastasis
Adrenal nodules discovered after liver cancer surgery? Hello Dr. Chen, In April of this year, a family member underwent surgery for liver cancer. The preoperative CT assessment indicated T2N0M0 (Hospital A), while the preoperative MRI assessment indicated T1N0M0 (Hospital B). T...
Dr. Chen Yunfang Reply:
Hello: The adrenal glands are located deep within the body and are surrounded by many highly vascularized organs and tissues, which is why fine needle aspiration is generally avoided due to potential risks. If a tumor develops in the adrenal gland, the only definitive method for ...[Read More] Post-Liver Cancer Surgery: Evaluating Adrenal Nodules for Metastasis
Understanding PET Scans in Pediatric Cancer: What Parents Should Know
Positron Emission Tomography (PET) Hello Doctor: After my child's chemotherapy, a PET scan showed a dark area, and the doctor said it was fluid in the bladder. Does this mean that the PET scan can still visualize the pelvis and coccyx? Could it obstruct the view? Since my ch...
Dr. Chen Yunfang Reply:
Hello: Positron Emission Tomography (PET) imaging uses "radioactive glucose" as a contrast agent. Therefore, cells with high metabolic activity that consume glucose (such as cancer cells, brain, myocardium, etc.) will show significant uptake and appear as bright spots. ...[Read More] Understanding PET Scans in Pediatric Cancer: What Parents Should Know
Understanding Breast Cancer Surgery and Post-Operative Treatment Options
Preoperative and postoperative treatment for breast cancer? Hello Doctor, My mother has been undergoing regular mammograms every six months and was diagnosed with breast cancer last week. The tumor is located at the 9 o'clock position in the right breast, measuring 1.2 cm,...
Dr. Lai Yicheng Reply:
Dear Madam, Thank you for your letter. Here are my responses: 1. If the malignant tumor is small, partial resection followed by adjuvant radiation therapy can be considered. However, if your mother has multiple benign fibromas in both breasts as you described, total mastectomy ...[Read More] Understanding Breast Cancer Surgery and Post-Operative Treatment Options
Understanding Beta-2 Microglobulin Levels in Lymphoma Diagnosis
Please provide your questions related to the B2-M index? Hello Dr. Hu, A month ago, I developed a cluster of five lymph nodes of varying sizes on the right side of my neck within a week. The doctor tested my cancer marker, and my Beta-2 microglobulin level was 2415 (the referen...
Dr. Hu Ziren Reply:
Beta-2 microglobulin is a protein found on the surface of nucleated cells. Its elevation can sometimes indicate activation of immune cells in the body. Therefore, blood tests during allergic reactions may be affected to some extent.[Read More] Understanding Beta-2 Microglobulin Levels in Lymphoma Diagnosis
Understanding Post-Breast Cancer Treatment Options and Chemotherapy Insights
Breast cancer treatment Hello, Dr. Lai! I would like to inquire about the follow-up treatment for breast cancer. The report states the following: Size: 22mm, Lymph nodes: no metastasis, Margins: clear, Distant metastasis: none, Stage: IIA, Classification: Luminal B type, ER: >...
Dr. Lai Yicheng Reply:
Dear Miss Debbie, Thank you for your letter. Here is my response: HER2 is positive [+++], which indicates that targeted therapy can reduce the risk of recurrence or metastasis by one-third. If HER2 is positive [++], further FISH testing is required to confirm whether targeted ...[Read More] Understanding Post-Breast Cancer Treatment Options and Chemotherapy Insights
Understanding Cervical Cancer Treatment Options for Stage 3B Patients
Cervical cancer treatment The patient is a 72-year-old mother who has been diagnosed with stage 3B cervical cancer. The gynecologist believes that surgery is not advisable. After undergoing 28 sessions of radiation therapy and 3 sessions of chemotherapy, the tumor has slightly sh...
Dr. Lai Yicheng Reply:
Dear Mr. HDJDJKFKD, Thank you for your letter. Here are my responses: 1. After 28 sessions of radiation therapy and 3 sessions of chemotherapy, a PET scan is required. It is important to rest for 6 to 8 weeks to avoid false positives. 2. The effectiveness of the treatment will ...[Read More] Understanding Cervical Cancer Treatment Options for Stage 3B Patients
Managing Early Stage Stomach Cancer: Care Tips and Medication Effectiveness
Early-stage gastric cancer..? I would like to inquire about an elderly family member in their 60s. A few years ago, they suffered a stroke that left the left side of their body paralyzed. Recently, during a bowel movement, they noticed black stools, and upon examination, they wer...
Dr. Chen Sirong Reply:
Neighbor's younger sister / 36 years old / Female 1. I would like to ask if cancer medication is effective? A: The side effects are a matter of probability, depending on the specific medication. You can refer to the drug manufacturer's package insert for detailed info...[Read More] Managing Early Stage Stomach Cancer: Care Tips and Medication Effectiveness
Concerns About Left Neck Lymph Nodes: Understanding Potential Cancer Risks
Lymph nodes near the left clavicle in the neck? Hello, doctor. I just received my health check report, which indicates a suspected lymph node near the left side of my neck close to the clavicle. I recalled that the muscle on the left side of my neck, which I check during thyroid ...
Dr. Hu Ziren Reply:
If it doesn't get any bigger and I already have an appointment, I think I'll wait to discuss it in detail with the doctor during the appointment. :)[Read More] Concerns About Left Neck Lymph Nodes: Understanding Potential Cancer Risks
Understanding High Platelet Count: Causes, Concerns, and Next Steps
Thrombocytosis Hello Doctor, I recently received the results of my university health check, which indicated that I have thrombocytosis (586) and leukocytosis (13). I had another test done later, and although the numbers decreased, they are still high: platelets (546) and white bl...
Dr. Chen Yunfang Reply:
Hello: Please try not to worry too much; having high platelet counts is not cancer. Normally, a healthy individual's platelet count ranges from about 100,000 to 300,000. If the platelet count remains persistently elevated, such as exceeding 450,000, it could indicate two con...[Read More] Understanding High Platelet Count: Causes, Concerns, and Next Steps
Understanding Lymphoma: Early Detection and Treatment Concerns
I don't want to give up on my lymphoma issues; I want to focus on early detection and early treatment? Hello Doctor: Before I received your response, I underwent a core needle biopsy yesterday. The doctor I consulted is a hematologist-oncologist, and the report will not be a...
Dr. Hu Ziren Reply:
Hello, online friend: It sounds more like a viral infection. Typically, viral infections resolve on their own. During this time, make sure to replenish your strength (such as getting enough sleep) and maintain a normal diet, while you wait for the pathology report. By Dr. Hu Zi-r...[Read More] Understanding Lymphoma: Early Detection and Treatment Concerns
Understanding Liver Cancer: Staging, Treatment, and Care After Embolization
Liver cancer & liver tumor embolization chemotherapy Hello, Doctor: My mother was found to have an 8 cm malignant tumor during her annual health check-up. Despite undergoing various tests and imaging studies, and after a challenging process, she is scheduled for an embolizati...
Dr. Hu Ziren Reply:
Hello, user: 1. So your mother underwent embolization after the surgery? 2. The staging of liver cancer is quite complex. In addition to assessing the size of the tumor and whether there is lymphatic spread, it is also important to evaluate the patient's liver function and p...[Read More] Understanding Liver Cancer: Staging, Treatment, and Care After Embolization
Is Radiation Therapy Necessary After Chemotherapy for Stage II Triple-Negative Breast Cancer?
In stage II triple-negative breast cancer, the necessity of radiation therapy after chemotherapy followed by surgery depends on several factors, including the size of the tumor, lymph node involvement, and the margins of the surgical resection. Radiation therapy is often recommen...
Dr. Chen Yunfang Reply:
Hello: You underwent chemotherapy before surgery, right? It is remarkable that no cancer cells were found in the pathology report, as the probability of this happening is usually only 30%. You are quite fortunate, as patients with such results tend to live long and well. Regardin...[Read More] Is Radiation Therapy Necessary After Chemotherapy for Stage II Triple-Negative Breast Cancer?
Addressing Lung Metastasis in Colorectal Cancer: Treatment Options and Concerns
The issue of colorectal cancer metastasizing to the lungs? Dear Doctor, I would like to ask a few questions. My father was diagnosed with colon cancer 4-5 years ago, which was staged from 1 to 2. He underwent surgery for tumor resection and received approximately 8 months of che...
Dr. Chen Sirong Reply:
Hello Doctor, Borgy / 39 years old / Female 1. Could you please change the medication? 2. If your esteemed father is physically able, there are injectable options available, as well as targeted therapies that can be used in conjunction with chemotherapy. Thank you for your cor...[Read More] Addressing Lung Metastasis in Colorectal Cancer: Treatment Options and Concerns
Understanding Radiation and Chemotherapy for Stage II B Endometrial Cancer
Radiation Therapy and Chemotherapy for Cancer Hello, my mother has been diagnosed with stage II B endometrial adenocarcinoma and will undergo radiation therapy. The side effects of radiation therapy seem quite significant. With the current linear accelerator technology, will ther...
Dr. Lai Yicheng Reply:
1. Regarding radiation therapy: The uterus and bladder are adjacent organs, so part of the bladder may fall within the radiation field, which can lead to difficulties in urination during treatment. These symptoms are temporary and reversible, and will gradually improve after trea...[Read More] Understanding Radiation and Chemotherapy for Stage II B Endometrial Cancer
Managing Side Effects of Cancer Medications: A Patient's Dilemma
Medication consultation The patient has been taking hormonal therapy for nearly a year but can no longer tolerate the side effects, including joint pain, which is making it difficult to get out of bed. They feel as though they are on the verge of a stroke and have no energy, so t...
Dr. Lai Yicheng Reply:
According to your letter, the use of Femara has resulted in joint pain, with a reported incidence of approximately 1-10% in the literature. You are ER+3 and PR+3, indicating that hormonal therapy is highly effective for you. Therefore, I recommend discussing with your attending p...[Read More] Managing Side Effects of Cancer Medications: A Patient's Dilemma
Understanding Lymphadenopathy: When to Seek Further Medical Advice
Lymphadenopathy Hello, doctor! I have a small lump on my neck. I visited a large hospital in June, and the doctor said it was a lymph node, which might disappear on its own in a few months or half a year. After that, I had a few colds, and other lymph nodes appeared on my neck, b...
Dr. Chen Yunfang Reply:
Hello: Generally speaking, it is indeed common to occasionally see swollen lymph nodes in the neck during a cold, and most of them will resolve as the illness improves. A small number may have one or two lymph nodes that do not completely disappear, but they are usually not very ...[Read More] Understanding Lymphadenopathy: When to Seek Further Medical Advice
Can Lung Cancer Patients Have Blood in Sputum Without Coughing?
Lung cancer without cough or hemoptysis? Hello, doctor. Is it possible for a lung cancer patient to not exhibit coughing symptoms but only present with hemoptysis? Thank you.
Dr. Chen Sirong Reply:
Mr. Li / 22 years old / Male Hello, is it possible for a lung cancer patient to not exhibit coughing symptoms but only present with hemoptysis? A: Yes, it is possible. Some individuals may have many symptoms, while others may have very few symptoms. Thank you for your inquiry...[Read More] Can Lung Cancer Patients Have Blood in Sputum Without Coughing?