What to Do If a Cancer Patient Has a Fever: A Guide for Caregivers
What to do if a cancer patient has a fever? Hello... My father is a kidney cancer patient. He has completed radiation therapy and chemotherapy, and today he suddenly developed a fever. What should we do? Is it okay to take regular antipyretics?
Dr. Lai Yicheng Reply:
Dear Ms. Wu, There are many reasons why cancer patients may experience fever. It could be caused by the malignant tumor itself, the treatment (including radiation therapy and chemotherapy), or other factors. However, the presence of fever should be taken very seriously, especial...[Read More] What to Do If a Cancer Patient Has a Fever: A Guide for Caregivers
Understanding Stage IV Colorectal Cancer: Monitoring and Treatment Insights
Stage III colorectal cancer with metastasis to the lungs is classified as Stage IV? Hello Doctor: 1. I was diagnosed with stage III cancer in 1998. After surgery, my CEA level was 0.19, consistently ranging from 0.16 to 0.19. After undergoing 12 sessions of chemotherapy over si...
Dr. Chen Sirong Reply:
1. (Why) It may not be possible to explain why some tumors have elevated CA19-9 levels, some have elevated CEA levels, some have both elevated, and some have neither. Monitoring can involve testing just one marker or both. 2. There is certainly a chance of metastasis within thr...[Read More] Understanding Stage IV Colorectal Cancer: Monitoring and Treatment Insights
Do I Still Need Follow-Up Care After Testicular Cancer Recovery?
Testicular cancer!!! Hello, Director: Five years ago, I was diagnosed with advanced testicular cancer. After undergoing chemotherapy and surgical treatment, along with regular follow-up appointments, my attending physician has determined that I have fully recovered and no longer ...
Dr. Fan Sheng Reply:
Old Fat Man: Due to advancements in modern medicine, stage IV testicular cancer is still considered a treatable disease. You should be completely cured! If you're still concerned, consider having tumor markers checked every six months. Congratulations![Read More] Do I Still Need Follow-Up Care After Testicular Cancer Recovery?
Why Is There a Huge Price Difference Between Insurance and Out-of-Pocket Cancer Medications?
Is there a significant price difference between self-pay and insurance-covered services? Could you please explain why there is such a significant cost difference between the same medication for stage IV lung adenocarcinoma, where one is covered by health insurance at a cost of NT...
Dr. Lai Yicheng Reply:
Dear Ms. Shih, Regarding the cost issue of "Deshuan" enteric-coated tablets 150mg mentioned in your letter, the self-pay price of the medication varies by hospital. The price for "Deshuan" enteric-coated tablets 150mg (14 tablets) at our hospital also differs...[Read More] Why Is There a Huge Price Difference Between Insurance and Out-of-Pocket Cancer Medications?
Seeking Innovative Treatments for Rectal Cancer: A Family's Plea for Help
Save the health of family members, save the whole family... Inform about the medical authorities in the relevant field and the most effective or innovative treatment methods (forwarded from the President's mailbox to the Director's mailbox)? In June 2009, my spouse expe...
Dr. Lai Yicheng Reply:
Dear Mr. Chiu, Regarding the condition of your esteemed wife mentioned in your letter, we are very concerned. You referred to the "most effective or innovative treatment methods" currently available, and our team has had preliminary discussions on this matter. In order...[Read More] Seeking Innovative Treatments for Rectal Cancer: A Family's Plea for Help
Understanding Rectal Cancer Treatment: Medication Duration and Side Effects
Treatment regimens for colorectal cancer medications? Hello Dr. Chen, I have a question I would like to ask you. I have been diagnosed with rectal cancer, which has been surgically removed, and I now have a colostomy. For my subsequent medication treatment, my doctor prescribed C...
Dr. Chen Junyi Reply:
It is advisable to discuss with the original treating physician first.[Read More] Understanding Rectal Cancer Treatment: Medication Duration and Side Effects
Understanding Brain Metastasis from Breast Cancer: Treatment and Prognosis
Breast cancer metastasis to the brain? Hello: My mother was diagnosed with stage 3 breast cancer two years ago and underwent a complete mastectomy. However, in August of this year, brain metastasis was discovered, and she also had surgery to remove it. Around November, she began ...
Dr. Chen Junyi Reply:
The metastasis of breast cancer to the brain depends on the behavior of the breast cancer tumor itself.[Read More] Understanding Brain Metastasis from Breast Cancer: Treatment and Prognosis
Should My Brother Undergo Surgery for Stage IV Tongue Cancer?
Should surgery be performed? My brother, who is 55 years old, was diagnosed with stage IV base of tongue cancer in July. After undergoing 35 sessions of radiation therapy and four months of chemotherapy, he developed severe throat ulcers that led to significant bleeding, necessit...
Dr. Chen Junyi Reply:
Wound healing may require a discussion regarding the possibility of residual tumor presence, and detailed aspects may need to be addressed.[Read More] Should My Brother Undergo Surgery for Stage IV Tongue Cancer?
Preventing Intestinal Adhesions After Sigmoid Colon Cancer Surgery: Tips and Insights
Small bowel adhesions following sigmoid colon cancer? Hello Dr. Chen, I would like to ask about postoperative care for patients with sigmoid colon cancer. After starting oral chemotherapy a few days post-surgery, if a patient suddenly develops intestinal adhesions, how can this b...
Dr. Chen Junyi Reply:
This may not be related to chemotherapy; please consult a colorectal surgeon.[Read More] Preventing Intestinal Adhesions After Sigmoid Colon Cancer Surgery: Tips and Insights
Understanding Post-Surgery Pain in Breast Cancer Patients: What to Expect
Post-surgery for breast cancer Hello Doctor: My mother is 59 years old. In June of this year, a hard lump was found in her left breast, which was diagnosed as breast cancer with metastasis to the lymph nodes. She underwent surgery to remove both the tumor and the lymph nodes. How...
Dr. Chen Junyi Reply:
It may be beneficial to seek assistance from a rehabilitation specialist for issues arising from the surgery.[Read More] Understanding Post-Surgery Pain in Breast Cancer Patients: What to Expect
Is Chemotherapy Safe for My 81-Year-Old with Stage III Colon Cancer?
Stage III colorectal cancer My mother-in-law is 81 years old and has just undergone surgery for stage III colon cancer. She has a stent in her heart. Is chemotherapy suitable for her? If she undergoes it, will it pose a threat to her life? How long might it take for her condition...
Dr. Chen Junyi Reply:
Older individuals with poor health should consider the option of oral medications to reduce the risk of recurrence.[Read More] Is Chemotherapy Safe for My 81-Year-Old with Stage III Colon Cancer?
Managing Stage IV Hypopharyngeal Cancer: Addressing Suspected Lung Metastasis
For a patient with stage IVa hypopharyngeal cancer undergoing concurrent chemoradiotherapy (CCRT) who has developed suspicious pulmonary nodules on a CT scan, the next steps in management should include: 1. **Further Imaging**: Consider additional imaging studies, such as a PET ...
Dr. Chen Junyi Reply:
Generally, a workup for the lungs is still performed, and targeted therapy can address lung issues, but ongoing monitoring is still necessary.[Read More] Managing Stage IV Hypopharyngeal Cancer: Addressing Suspected Lung Metastasis
Choosing the Best Treatment Options for Prostate Cancer in Seniors
Regarding treatment options for prostate cancer: Regarding prostate cancer treatment options for my father, who is 70 years old with no cardiovascular disease or diabetes, he underwent a biopsy in July 2010, which resulted in T2bN0M0 and a Gleason score of 7. We hope to minimize ...
Dr. Chen Junyi Reply:
The CyberKnife may be a better option.[Read More] Choosing the Best Treatment Options for Prostate Cancer in Seniors
Understanding Fluctuations in Cancer Markers: A Case Study on Liver Cancer
Could you please clarify what specific information you are seeking regarding blood tests? The blood cancer marker for liver cancer was over 500 during the May check-up (indicating metastasis from colon cancer to the liver), then it rose to 4800 during the June check-up (which was...
Dr. Chen Junyi Reply:
It is likely due to changes in the tumor condition.[Read More] Understanding Fluctuations in Cancer Markers: A Case Study on Liver Cancer
Understanding Your Health Concerns: Signs and Symptoms to Watch For
Fear of developing cancer? Doctor, may I ask you a question? I am currently in the third year of junior high school and have been smoking for about three to four months. Recently, I have noticed a few things: 1. I have been coughing frequently. On August 10th, around midnight, I ...
Dr. Chen Junyi Reply:
These issues may require an evaluation starting with a family medicine specialist. Thank you.[Read More] Understanding Your Health Concerns: Signs and Symptoms to Watch For
Understanding Elevated Cancer Markers: Prognosis and Survival Insights
Blood test? My father has metastatic colorectal cancer that has spread to the liver. Initially, in November of last year, his cancer marker was only 3. Since then, he has undergone three surgeries for colorectal cancer and has not had the opportunity for chemotherapy, resulting i...
Dr. Chen Junyi Reply:
It should refer to the recurrence rate of tumors, which should be viewed from a relative personal perspective.[Read More] Understanding Elevated Cancer Markers: Prognosis and Survival Insights
Understanding Stage II Esophageal Cancer: Surgery, Recovery, and Follow-Up Care
Stage II Esophageal Cancer Hello Dr. Chen: My father was hospitalized on July 22 for in-depth examinations and was diagnosed with stage II esophageal cancer without metastasis to other areas. The doctor has recommended surgical treatment. I would like to ask: 1. What is the progn...
Dr. Chen Junyi Reply:
Thank you for your question. After complete resection of stage II esophageal cancer, if it is squamous cell carcinoma, no further treatment is typically required, and only follow-up is necessary. Dietary recommendations may include yellow and green vegetables.[Read More] Understanding Stage II Esophageal Cancer: Surgery, Recovery, and Follow-Up Care
Post-Surgery Treatment Options for Stage 0 Breast Cancer Patients
Breast cancer treatment Dear Doctor: For a patient with stage 0 carcinoma in situ (tumor size 3 cm, postoperative lymph node involvement less than 1%, chromosomal abnormalities 1-9%) who has undergone a total mastectomy, is there still a need for further treatment (such as 5 year...
Dr. Chen Junyi Reply:
It may depend on the status of the hormone receptors.[Read More] Post-Surgery Treatment Options for Stage 0 Breast Cancer Patients
Should Breast Cancer Patients Avoid Fermented Foods Like Yogurt?
Should breast cancer patients limit their intake of fermented foods? What about yogurt? Hello Doctor: My mother is 68 years old. She was diagnosed with breast cancer last August, which recurred (she had a mastectomy and chemotherapy 11 years ago). Recent examinations show that th...
Dr. Chen Sirong Reply:
1. Fermented foods refer to products made using fermentation agents, such as steamed rice cakes. 2. Yogurt is not considered a fermented food. 3. Yogurt is simply an acidified food. 4. The beneficial bacteria added to yogurt are not the same as those found in fermentation a...[Read More] Should Breast Cancer Patients Avoid Fermented Foods Like Yogurt?
Using Hypnosis to Support Cancer Patients with Depression
Inquiry about hypnosis? Hello Dr. Chen, my mother is in the terminal stage of cancer and is currently receiving treatment at Linkou Chang Gung Memorial Hospital. I recently saw your report in the newspaper about how hypnosis can help patients. My mother has been suffering from de...
Dr. Chen Sirong Reply:
Grace: I, along with fellow enthusiasts, have established the Faxi Mind-Body-Spirit Cultural Center, which offers several services: 1. Hypnosis Volunteer Services: A team of volunteers trained in hypnosis from the Faxi Mind-Body-Spirit Cultural Center has been formed. To avoid ...[Read More] Using Hypnosis to Support Cancer Patients with Depression