Hard Lump on Thigh: What You Need to Know and Where to Seek Help
There is a hard lump in the thigh? Hello Doctor, a couple of days ago while sitting, I accidentally felt a round, hard mass on the outer side of my thigh, about the size of an egg. It is not visible from the outside, and I can't really feel it when standing, but when I squat...
Dr. Lai Yicheng Reply:
Dear Ms. Jill: Thank you for your inquiry. You may consult the Dermatology and Surgery departments at Changhua Hospital. Best regards, Dr. Lai Yi-Cheng, Radiation Oncology.[Read More] Hard Lump on Thigh: What You Need to Know and Where to Seek Help
Understanding Lymphatic Swelling in the Neck: Causes and Next Steps
There is lymphatic edema in the left side of the neck? Hello, doctor. Three years ago, I discovered lymphatic swelling on the left side of my neck (about five centimeters from the thyroid position, approximately 1.5 times larger than the corresponding lymph node on the right side...
Dr. Lai Yicheng Reply:
Dear Mr. Huan, In response to your inquiry, please find the answers below: 1. Your concern about "tumors in the neck metastasizing to the oral cavity" is not a phenomenon that occurs clinically. Additionally, the description of "left cervical lymphatic swelling, ...[Read More] Understanding Lymphatic Swelling in the Neck: Causes and Next Steps
Should I Consider Preventive Mastectomy After Previous Breast Cancer?
If one breast has been removed and the opposite breast frequently shows calcifications that require monitoring, is it possible to perform a prophylactic mastectomy? Hello Dr. Lai, I am 45 years old. In 2012, I was diagnosed with stage 2A breast cancer in my left breast and underw...
Dr. Lai Yicheng Reply:
Dear Ms. Hu, In response to your inquiry, I find it challenging to answer your question. Similar to American actress Angelina Jolie, who underwent prophylactic mastectomy, there are differing opinions within the medical community, and perspectives vary. I recommend discussing th...[Read More] Should I Consider Preventive Mastectomy After Previous Breast Cancer?
Understanding Lung Adenocarcinoma: Diagnosis, Treatment, and Next Steps
Diagnosed with lung adenocarcinoma? Hello, I hope you don't mind me reaching out for advice. My mother (68 years old) was found to have four tumors during an LDCT scan (1 in the right middle lobe, 2 in the right upper lobe, and 1 in the left upper lobe). She only feels some ...
Dr. Lai Yicheng Reply:
Dear Ms. Joyce, Regarding your letter, as you described, "After surgery, three tumors were confirmed to be lung adenocarcinoma (RML*1, RUL*1, LUL*1)." Therefore, the postoperative cancer staging should be M1a. As for whether there is metastasis beyond the lungs, I reco...[Read More] Understanding Lung Adenocarcinoma: Diagnosis, Treatment, and Next Steps
Understanding Chemotherapy for Elderly Patients with Breast Cancer
About breast cancer chemotherapy? Dear Director Lai, I apologize for the intrusion. My mother is 76 years old and was diagnosed with stage II breast cancer in February of this year (with a 2.5 cm tumor in the left breast; CT and bone scans showed no metastasis). She underwent su...
Dr. Lai Yicheng Reply:
Dear Mr. Huang, I understand from your letter that according to the National Health Insurance guidelines for targeted therapy, your mother must first complete chemotherapy before being eligible for "Hecancerping." If you wish to use the targeted medication directly, no...[Read More] Understanding Chemotherapy for Elderly Patients with Breast Cancer
Understanding Long-Term Lymph Nodes: When to Seek Medical Attention
Chronic lymphadenopathy Hello, I have had multiple lymph nodes in my body for many years. For about three years, I have had them on the left side of my neck, behind my ears, and in the groin area. They have been persistent but do not cause any pain or seem to be enlarging. Some a...
Dr. Lai Yicheng Reply:
Dear Mr. Jacky, Thank you for your message. In response, lymph nodes can become enlarged when there is inflammation, infection, or the presence of tumor cells. It is recommended to consult a surgeon or a hematologist-oncologist for evaluation. A thorough examination by a physici...[Read More] Understanding Long-Term Lymph Nodes: When to Seek Medical Attention
Understanding Groin Lumps: Are They Tumors or Something Else?
There is a lump in the groin area? Hello, doctor. About a month or two ago, I noticed a growth in my groin area that is about the size of half a finger. It has a black dot on the surface, and it doesn't hurt or cause any discomfort. What could this be? Is it a tumor?
Dr. Chen Sirong Reply:
Mr. Wu / 20 years old / Male About one or two months ago, I noticed a growth in the groin area that is about the size of half a finger. It has a black dot on the surface, does not cause any sensation, and is not painful. What could this be? 1. Without an actual examination, it ...[Read More] Understanding Groin Lumps: Are They Tumors or Something Else?
Understanding Neck Tumors: Seeking a Second Opinion on Diagnosis
A tumor on the neck? Hello Dr. Chen: I have had a lump on the left side of my neck for almost three years. Recently, I had a CT scan, and the doctor said they are still unsure what it is, only suggesting it might be a hemangioma. To confirm, I would need to undergo surgery for a ...
Dr. Chen Sirong Reply:
Dear [Recipient], I apologize for the delayed response as I was out of the country. 1. To achieve a definitive diagnosis for any tumor, the only reliable method is through surgical excision and histopathological examination. 2. Regarding your inquiry: Are you suggesting that I...[Read More] Understanding Neck Tumors: Seeking a Second Opinion on Diagnosis
Understanding Tumors on Both Sides of the Jaw: Are They Malignant?
There are tumors on both sides of the mandible? There are four tumors on both sides of the mandible that are movable, have recently increased in size, and sometimes cause pain while at other times do not. Could this be a malignant tumor?
Dr. Chen Sirong Reply:
Hello, Xiao Cheng / 14 years old / Male. Of course, the likelihood of cancer in adolescents is quite low. Have you informed your parents? There is a possibility of a larger tumor or a malignant condition. It would be advisable to tell your parents so they can accompany you to s...[Read More] Understanding Tumors on Both Sides of the Jaw: Are They Malignant?
Understanding Painful Lumps Behind the Ear and Neck: What to Know
A hard lump behind the ear appeared, and the next day, a hard lump was also found on the same side of the neck? A hard lump was discovered behind the ear yesterday. It is quite firm and causes pain when pressed; there is a slight pain when not pressed, but it is not very noticeab...
Dr. Chen Sirong Reply:
Ting / 21 years old / Female 1. You didn't specify what you wanted to ask. 2. You can first visit the ENT department for medical consultation. Thank you for your message, Taoyuan Hospital Chen Si-Rong[Read More] Understanding Painful Lumps Behind the Ear and Neck: What to Know
Understanding Neck Tumors: Concerns About X-Ray Radiation and Treatment Options
Neck problems Hello Dr. Chen, I would like to ask you two questions: 1. About four years ago, I noticed a lump on the upper side of my neck (it is elongated, not nodular). I consulted an ENT specialist who said it was nothing (I was concerned he might not have palpated it cle...
Dr. Chen Sirong Reply:
Hello, I would like to ask you two questions: 1A. Theoretically, the dosage used in medical practice is within an acceptable and reasonable range. 1B. This reasonable range does not imply that it will not stimulate the original tumor or any normal parts of the body to become m...[Read More] Understanding Neck Tumors: Concerns About X-Ray Radiation and Treatment Options
Persistent Neck Lump and Sore Throat: Should You Worry About Cancer?
A hard lump in the back of the neck and a sore throat lasting for a week? Last Thursday, after being exposed to the wind, I felt a pressure in my head and a slight sore throat. When I touched the back of my neck, I found a hard lump about two centimeters in diameter, located at t...
Dr. Chen Sirong Reply:
Peter / 25 years old / Male Hello, 1. I have discovered a hard lump in the back of my neck, approximately two centimeters in diameter, located at the topmost cervical vertebra. There are no signs of swelling, and it does not hurt when pressed. Could this lump possibly be a mal...[Read More] Persistent Neck Lump and Sore Throat: Should You Worry About Cancer?
Can You Keep a Dog During Stomach Cancer Chemotherapy?
Chemotherapy for gastric cancer in dogs? Hello Dr. Lai, my family member is in the late stage of stage III gastric cancer. They have had half of their stomach removed and have started their first round of chemotherapy. The hospital mentioned that it's best not to have a dog ...
Dr. Lai Yicheng Reply:
Dear Miss L: I would like to inform you that 1. The hospital advises against having a dog during chemotherapy, as they are concerned about the risk of infection due to weakened immunity during this period. Once chemotherapy is completed and immunity is restored, it is certainly...[Read More] Can You Keep a Dog During Stomach Cancer Chemotherapy?
Understanding Cancer Recurrence and Metastasis: Key Insights for Patients
Why do relapses and metastases occur? My father has stage IV oral cancer. From August of last year to March of this year, he has been in and out of the hospital. A few days ago, the ENT specialist mentioned that the cancer has metastasized to the lungs and does not recommend furt...
Dr. Chen Yunfang Reply:
Hello: Will cancer occur? Will it recur? In fact, it has nothing to do with how carefully you take care of yourself or whether you practice a healthy lifestyle. Even if you eat well and sleep well every day, it remains the same. The likelihood of recurrence is largely determined ...[Read More] Understanding Cancer Recurrence and Metastasis: Key Insights for Patients
Understanding Oral Cancer Metastasis: Treatment Options and Costs
Oral cancer metastasis Hello Doctor: My father is 60 years old and was diagnosed with stage IV gingival cancer that had invaded the mandible in June of last year. He underwent surgery to remove the mandible and had lymphadenectomy, and the postoperative report showed no cancer ce...
Dr. Lai Yicheng Reply:
Dear Miss Chuang, Thank you for your letter. Here is my response: 1. Your father is currently receiving the standard treatment regimen of "cisplatin + gemcitabine" for head and neck cancer. If this treatment fails, there are many other chemotherapy agents available, s...[Read More] Understanding Oral Cancer Metastasis: Treatment Options and Costs
Managing Chemotherapy Side Effects in Elderly Patients with Rectal Cancer
Elderly patients are unable to tolerate chemotherapy? Dear Director, My father is 84 years old. After the Lunar New Year, he was diagnosed with stage 2B rectal cancer (the tumor is 4 cm from the anal opening). The attending physician assessed that the tumor is too large and reco...
Dr. Lai Yicheng Reply:
Dear Miss Hsiao-Yun, Thank you for your letter. Here is my response: Your father has a stage 2B malignant tumor in the lower rectum, and there is a possibility for "sphincter-preserving treatment." Based on our experience, preoperative radiation combined with chemother...[Read More] Managing Chemotherapy Side Effects in Elderly Patients with Rectal Cancer
Understanding Tendon Tumors: Could It Be Oral Cancer?
A tendon tumor has developed on the left side of the face? My mother has a tendon tumor on the left side of her face, which has already been surgically removed. However, according to the doctor, there were many small tumors, not just one. My mother also reports that the entire le...
Dr. Chen Sirong Reply:
Patient: 16 years old, male 1. According to the attending physician's description, it seems to be a pre-existing tendon tumor or an unspecified tumor that requires further examination or treatment. I did not fully understand the physician's explanation at that moment, ...[Read More] Understanding Tendon Tumors: Could It Be Oral Cancer?
Concerns About a Hard Lump in the Breast: Is It Cancer?
Chest lump Hello Doctor: My mother has a large hard lump in her left breast. It feels very firm and solid, and pressing on the lump is quite painful. Sometimes, even without touching it, the lump can hurt on its own, and it's very painful. The lump is located on the outer si...
Dr. Lai Yicheng Reply:
Dear Ms. Chen, Thank you for your letter. Based on your description, there is a hard lump in the left breast that occupies about two-thirds of the breast. Although I have not performed a physical examination, I believe there is a significant likelihood of malignancy. I recommend...[Read More] Concerns About a Hard Lump in the Breast: Is It Cancer?
Is Local Radiation Necessary After Total Mastectomy for Stage IIB Triple-Negative Breast Cancer?
The necessity of total mastectomy and adjuvant radiotherapy? My mother, who is 77 years old, underwent a right total mastectomy and axillary lymph node dissection on January 20. The postoperative pathology report indicated triple-negative breast cancer, stage IIB T3N0M0, with a t...
Dr. Lai Yicheng Reply:
Dear Ms. Jojo, Thank you for your letter. I would like to respond as follows: Your mother has been diagnosed with right-sided breast cancer, T3N0M0, with a tumor size of 10 cm, grade 3, triple-negative, and stage IIB. 1. Adjuvant chemotherapy and radiotherapy are the standard ...[Read More] Is Local Radiation Necessary After Total Mastectomy for Stage IIB Triple-Negative Breast Cancer?
Understanding Brain Tumor Treatment Options and Survival Rates
Thank you, Dr. Lai, for your continued questions? Dr. Lai: Thank you for your prompt response. My brother's brain tumor surgery was completed on March 15, and he was transferred to a regular ward on March 18. The doctor mentioned that it is not a metastatic tumor, but it is ...
Dr. Lai Yicheng Reply:
Dear Miss Ling, Thank you for your inquiry. I find it difficult to accurately answer your question regarding "survival rates," as this depends on the pathology report for precise determination. Different cancer cells have varying prognoses, and treatment methods also d...[Read More] Understanding Brain Tumor Treatment Options and Survival Rates