Understanding Small Abdominal Tumors After Colorectal Cancer Surgery
Abdominal small tumor I had surgery for colon cancer about six months ago. There is an area extending about 15 degrees from 8 centimeters below my navel in the lower right abdomen. I can feel three lumps about the size of a pea, located in different positions in the lower right a...
Dr. Chen Sirong Reply:
Happy New Year! I'm not sure if it is related to the scarring. It sounds more like a mass in the abdominal wall. You can ask the doctor to examine it during your follow-up visit, and based on the findings, appropriate tests such as a CT scan may be arranged. Thank you for yo...[Read More] Understanding Small Abdominal Tumors After Colorectal Cancer Surgery
Understanding Lymph Nodes: When to Worry About Tumors or Infections
Cervical lymph nodes Hello Dr. Chen: Recently, I noticed three lymph nodes in the area of my Adam's apple, each less than 0.5 cm in size. They are movable, and I am unsure about their hardness—whether they are soft or hard. They are not painful. I visited an ENT clinic, and ...
Dr. Chen Sirong Reply:
Kevin / 28 / 0 Hello, I took a week off last week and apologize for the delayed response. 1. I'm not sure if I should continue the medication or just observe. A: Since I haven't seen you, I don't know if the inflammation has resolved. If the inflammation has impr...[Read More] Understanding Lymph Nodes: When to Worry About Tumors or Infections
Understanding Elevated CA19-9 Levels: What You Need to Know
Elevated CA 19-9 levels? Hello Dr. Chen: In 2009, I was found to have an elevated CA 19-9 level (64). At that time, I underwent various examinations, including MRI and endoscopy, which revealed a 9 cm benign focal nodular hyperplasia (FNH) in the liver, while the pancreas and oth...
Dr. Chen Sirong Reply:
Jeff/34/01. I have heard that if it is cancer, the CA19-9 level will significantly increase after retesting in a month. If my CA19-9 level does not change much when I test again next month, can I feel more at ease? Answer: Yes, some benign conditions can also lead to an elevati...[Read More] Understanding Elevated CA19-9 Levels: What You Need to Know
Post-Surgery Follow-Up for Stage I Rectal Cancer: Colonoscopy vs. CT Scan
Postoperative care for rectal cancer? In the follow-up after surgery for stage I rectal cancer, which is more effective for accurate diagnosis: colonoscopy or computed tomography (CT) scan? Thank you.
Dr. Chen Sirong Reply:
Gogo underwent surgery for stage I rectal cancer and is now being monitored. A colonoscopy is more accurate for follow-up. Thank you for your message, and Happy New Year, Dr. Tao. Sincerely, Chen Si-Rong.[Read More] Post-Surgery Follow-Up for Stage I Rectal Cancer: Colonoscopy vs. CT Scan
Understanding Breast Cancer: Survival Rates, Treatment, and Lifestyle Factors
Ductal Carcinoma In Situ (DCIS) Hello, I apologize for the additional questions. May I ask about the 10-year cure rate of 95%? What happens after those 10 years? If the patient is currently 50 years old, and the average life expectancy in our country is around 79 years, does this...
Dr. Chen Sirong Reply:
PAC / 20 years old / Male Hello, 1. What about 10 years later? Does it mean that the survival rate will decrease significantly after 10 years? A: No, in terms of this disease, the survival curve after ten years should be similar to that of the general population. However, I a...[Read More] Understanding Breast Cancer: Survival Rates, Treatment, and Lifestyle Factors
Understanding Ductal Carcinoma In Situ: Treatment, Survival, and Lifestyle Tips
Ductal Carcinoma In Situ (DCIS) Hello, my family member was recently diagnosed with ductal carcinoma in situ (DCIS). I would like to ask if this is considered cancer? What is the cure rate? Does "cure" mean complete recovery? What dietary, nutritional, and lifestyle cha...
Dr. Chen Sirong Reply:
Hello: 1. Is this cancer? A: Yes, it is cancer, but some insurance plans do not cover well-treatable in situ cancers. 2. Is the cure rate high? A: If proper treatment is received, the ten-year survival rate can reach ninety-five percent. 3. Does cure mean complete recovery? A: Th...[Read More] Understanding Ductal Carcinoma In Situ: Treatment, Survival, and Lifestyle Tips
Understanding Lymph Node Issues After Oral Cancer Surgery
Lymph Node Medical Issues Hello, doctor. In March of this year, I underwent surgery for early-stage oral cancer on my right cheek. Post-surgery, there were no significant issues. However, in August, I started experiencing unexplained night sweats and fever. In September, my right...
Dr. Fan Sheng Reply:
A-Bao: Is a CT scan out-of-pocket? I suggest consulting the National Health Insurance Administration. For lymphatic issues, I recommend directly excising one for testing. Thank you![Read More] Understanding Lymph Node Issues After Oral Cancer Surgery
Understanding Left-Sided Skull Base Tumors: Insights and Treatment Options
Left-sided skull base tumor Dear Dr. Chen, My mother has been diagnosed with a left-sided skull base tumor. Although it is not a recurrence or metastasis of the nasopharyngeal carcinoma she had 23 years ago, it is still caused by epithelial cancer cells and has expanded to invad...
Dr. Chen Sirong Reply:
Ms. Zhao / 32 / 1 Hello 1.1 When asked what stage the cancer is, the answer is: If it has reached the skull, it is at least stage 3, possibly stage 4. 1.2 Is the survival rate for this tumor the same as that for nasopharyngeal cancer? A: It is not nasopharyngeal cancer, so the su...[Read More] Understanding Left-Sided Skull Base Tumors: Insights and Treatment Options
Understanding Nasopharyngeal Cancer and Left Neck Tumors: Key Concerns
Nasopharyngeal carcinoma with a left-sided posterior neck mass? Hello Dr. Chen, My mother is 64 years old and was diagnosed with stage II nasopharyngeal carcinoma 23 years ago. She underwent cobalt-60 radiation therapy at that time, and her condition has been under control sinc...
Dr. Chen Sirong Reply:
Ms. Zhao / 32 / 1 Hello! 1.1 The medical history has lasted for 23 years, with regular check-ups and blood tests at the hospital every year showing no issues. Is there a high chance that this tumor is due to a recurrence of nasopharyngeal carcinoma? A: The likelihood is low, but ...[Read More] Understanding Nasopharyngeal Cancer and Left Neck Tumors: Key Concerns
Debunking Myths: Do Cancer Treatments Really Accelerate Tumor Growth?
The internet is spreading misinformation regarding cancer treatment (forwarded from the Minister's mailbox)? Hello, may I ask if the following shared content is accurate information? The United States has finally acknowledged that surgery or chemotherapy can actually acceler...
Dr. Lai Yicheng Reply:
Hello, Miss: Please do not trust reports circulating on the internet regarding cancer treatment. It is important to follow the diagnosis and judgment of professional physicians. Many reports are not accurate, so please discuss with a qualified doctor. ~Changhua Hospital cares abo...[Read More] Debunking Myths: Do Cancer Treatments Really Accelerate Tumor Growth?
Understanding Axillary Lymph Node Enlargement: When to Seek Further Evaluation
Axillary lymphadenopathy Hello Doctor: I have a history of asthma. Recently, I had a persistent cough, so I visited a pulmonologist. After blood tests and an X-ray, the doctor diagnosed me with a Mycoplasma infection causing bronchitis, and prescribed antibiotics and cough medica...
Dr. Chen Sirong Reply:
Hello! Inflammation and cancer can both cause lymphadenopathy. Lymph nodes affected by cancer tend to continue enlarging and becoming harder, while inflamed lymph nodes are generally softer and often resolve on their own, although a small percentage may persist. However, it can b...[Read More] Understanding Axillary Lymph Node Enlargement: When to Seek Further Evaluation
Managing Eyelid Swelling After Nasopharyngeal Cancer Treatment: What to Do?
Nasal cavity cancer with eyelid edema? Hello, Dr. Chen! I have been suffering from nasopharyngeal carcinoma for over ten years. Recently, for more than two months, I have had swelling in the upper eyelid of my left eye. I have visited several clinics, but the ointments and eye dr...
Dr. Chen Sirong Reply:
1. Personally, I do not believe that the ophthalmologist is correct; typically, electrotherapy would not be applied to the eyelid area. 2. I recommend returning to the ophthalmology department and treating it as a common case of eyelid swelling. 3. It would be more appropriate ...[Read More] Managing Eyelid Swelling After Nasopharyngeal Cancer Treatment: What to Do?
Understanding Late-Stage Lung Cancer: Symptoms, Treatment, and Prognosis
Terminal lung cancer Hello, my mother was diagnosed with lung cancer in 2010 due to pleural effusion, but she was classified as stage III and could not undergo surgery, so she was treated with chemotherapy, including cisplatin-based chemotherapy, and has also received oral target...
Dr. Lai Yicheng Reply:
Hello: Since I have not seen your mother's pathology report, CT imaging, etc., I currently do not know the extent of her lung cancer. If the cancer cells have spread, chemotherapy will be the primary treatment. Even in the advanced stages of cancer, chemotherapy can still be...[Read More] Understanding Late-Stage Lung Cancer: Symptoms, Treatment, and Prognosis
Understanding Neck Lymph Nodes: When to Worry About Changes
Cervical lymph nodes Dear Dr. Chen, I apologize for reaching out again. I would like to ask the following questions: 1. I have noticed a lump in my neck that seems to be a lymph node for the past three months. Its size has remained relatively the same, and it hasn't notice...
Dr. Chen Sirong Reply:
1. You can rest assured. 2. When you mention "enlargement," how long are you referring to? Some enlargement can be due to infection; if it resolves within 1-2 weeks or returns to its original size, that's acceptable. However, I wouldn't suggest waiting 2-3 mo...[Read More] Understanding Neck Lymph Nodes: When to Worry About Changes
Dietary Recommendations for Cancer Patients Undergoing Chemotherapy
What are the dietary considerations for cancer patients? Hello Doctor, I would like to ask you a few questions. My father underwent surgery for stage II colon cancer in February of this year and is currently receiving chemotherapy, having completed about six sessions so far. The...
Dr. Lai Yicheng Reply:
Hello, Miss: Nutritional intake and adequate sleep are essential in cancer treatment. It is recommended that you discuss with your attending physician whether to refer you to a nutritionist for nutritional counseling. ~Changhua Hospital cares about you~[Read More] Dietary Recommendations for Cancer Patients Undergoing Chemotherapy
Understanding Pleural Effusion in Breast Cancer: Symptoms and Treatment Options
About breast cancer causing pleural effusion? I would like to ask: Seven years ago, a relative was diagnosed with a tumor in the chest, which was surgically removed and followed by chemotherapy. Recently, they suddenly started experiencing shortness of breath while walking and pe...
Dr. Chen Sirong Reply:
1. Is this considered lung cancer? A: This is breast cancer with lung metastasis. 2. Additionally, recently it has become more severe; after taking the medication (XELODA) prescribed by the doctor, I experience intermittent sharp pain and numbness on the left side of my abdomen...[Read More] Understanding Pleural Effusion in Breast Cancer: Symptoms and Treatment Options
Could My Hip Pain Indicate Bone Cancer Symptoms?
Are these the symptoms of osteosarcoma? Recently, I've been experiencing some pain near the hip joint in my thigh, which has become more pronounced this morning. The pain is especially noticeable when I move the joint, and I often feel discomfort in my calf muscles (like a w...
Dr. Chen Sirong Reply:
A-Bao / 16 years old / Male 1. The physician did not perform an X-ray because no obvious mass was palpated. 2. It sounds like your symptoms are intermittent rather than constant, which makes it less likely that there is a tumor persistently causing discomfort. 3. Considerin...[Read More] Could My Hip Pain Indicate Bone Cancer Symptoms?
Managing Esophageal Tumor Treatment: Balancing Chemotherapy and Radiation
Esophageal tumor treatment Hello Doctor, my family member has esophageal cancer and has started undergoing out-of-pocket chemotherapy and radiation therapy. They have completed two cycles of chemotherapy and eight sessions of radiation therapy, but their throat has started to fee...
Dr. Lai Yicheng Reply:
Dear Family Member, The side effects of electrotherapy can vary depending on the condition. It is recommended that you discuss the continuation of treatment with your physician. You can also talk to your doctor about prescribing medication to alleviate pain from the side effects...[Read More] Managing Esophageal Tumor Treatment: Balancing Chemotherapy and Radiation
Understanding the Risks and Benefits of Spinal Tap for Cancer Diagnosis
Spinal tap examination Dear Dr. Fan, My mother previously visited Fengyuan Hospital for an examination due to elevated white blood cell counts. You recommended that she be hospitalized for a spinal tap (lumbar puncture) to investigate further. However, she is concerned about pot...
Dr. Fan Sheng Reply:
Hello: We recommend performing a "bone marrow" examination, which involves taking a sample of the hematopoietic bone marrow from the iliac crest. Although a local anesthetic will be administered, there may still be some discomfort during the procedure, but it is general...[Read More] Understanding the Risks and Benefits of Spinal Tap for Cancer Diagnosis
Understanding Esophageal Cancer: Survival Rates and Treatment Options
Esophageal tumor Hello, doctor. My father has been diagnosed with stage III esophageal cancer, and the tumor has grown into the bronchus, making surgery impossible. The doctor has suggested paying out of pocket for injections and radiation therapy. Given my father's current ...
Dr. Lai Yicheng Reply:
Hello Amy: Treatment for esophageal cancer, including chemotherapy and radiation therapy, can improve survival rates. It is important to assess the extent of your father's tumor invasion, as radiation therapy may be beneficial. If possible, please bring your father's me...[Read More] Understanding Esophageal Cancer: Survival Rates and Treatment Options