Understanding Elevated Platelet Counts: What You Need to Know
Abnormally high platelet levels (increasing with each of the two tests)? Hello Doctor, three years ago I had a blood test (results below), and the only abnormal finding was a platelet count of 469. At that time, the doctor mentioned that it was fine to just monitor it. However, I...
Dr. Hu Ziren Reply:
It may just be caused by inflammation (such as a cold). It is recommended to follow up with a blood test in three months. If the levels remain elevated, consider consulting a hematologist.[Read More] Understanding Elevated Platelet Counts: What You Need to Know
Understanding Breast Pain: Could It Be a Sign of Cancer?
Recently, there has been breast pain? I'm not a doctor, but I can provide some general information. It's important to consult a healthcare professional for an accurate diagnosis and appropriate treatment. The symptoms you've described, including frequent noseblee...
Dr. Chen Sirong Reply:
Regarding a 48-year-old female patient, it is recommended to undergo advanced health screenings to ensure physical and mental well-being. Dr. Chen Si-Rong from Taoyuan Hospital.[Read More] Understanding Breast Pain: Could It Be a Sign of Cancer?
Post-Surgery Treatment Options for Stage I Breast Cancer: Key Considerations
Post-treatment for Stage I Breast Cancer? Hello Doctor, my wife was diagnosed with breast cancer earlier this year at the age of 42. The pathology report after surgery is as follows: ER: 98+ PR: 98+ Her2: 2+ FISH: Negative Ki67: 9% Tumor size: 1.9 cm. During lymph node surgery, 4...
Dr. Hu Ziren Reply:
According to the report, the type of breast cancer is associated with a low risk of recurrence. It is recommended to follow the attending physician's advice to take Tamoxifen for 5-10 years and undergo postoperative radiotherapy, with regular follow-ups. There are no dietary...[Read More] Post-Surgery Treatment Options for Stage I Breast Cancer: Key Considerations
Understanding Cancer Risks After Sedative Withdrawal: A Patient's Journey
Cancer development after withdrawal from sedative medications? I have been experiencing difficulty breathing since I accidentally took a sedative, and after two years, I was diagnosed with lung atrophy. During the diagnosis process, I underwent a hundred chest X-rays and five CT ...
Dr. Chen Yunfang Reply:
Hello: Please visit an otolaryngologist, as this falls within their area of examination. Thank you.[Read More] Understanding Cancer Risks After Sedative Withdrawal: A Patient's Journey
Do I Need Chemotherapy for Stage 1A Breast Cancer with Ki-67 at 30%?
In stage 1A breast cancer with a Ki-67 index of 30%, is chemotherapy necessary? Hello, Doctor! I just underwent a lumpectomy, and the postoperative pathology report indicates that the original tumor size was 1.3 cm, with ER positive, 80% PR positive, 70% HER-2 positive, and Ki-67...
Dr. Chen Sirong Reply:
Amily / 46 years old / Female Hello! 1. Does the data above indicate a low or high risk of recurrence? I calculated the IHC4 score, and the postoperative specimen is 1.89, while the core needle biopsy specimen is 1530. Both are classified as intermediate malignancy. It is reco...[Read More] Do I Need Chemotherapy for Stage 1A Breast Cancer with Ki-67 at 30%?
Understanding HER2 Positive Results in Breast Cancer: A Pathology Report Explained
I have undergone a total mastectomy of the right breast. Below is the pathology report. Before the surgery, the doctor mentioned that I was classified as Luminal A, but upon reviewing the report, I see that HER2 is positive. Will this change my classification to Luminal B after t...
Dr. Hu Ziren Reply:
1. The growth of cancer cells is polymorphic, meaning that the morphology of cancer cells in different areas varies. Since the preoperative biopsy only samples a small portion of the tumor, there may be discrepancies with the actual tumor morphology. Therefore, the subsequent pat...[Read More] Understanding HER2 Positive Results in Breast Cancer: A Pathology Report Explained
Chronic Throat Pain and Swelling: Could It Be Cancer?
I have had a sore throat for two years after experiencing gastroesophageal reflux? I have had a sore throat for two years and difficulty swallowing. This week, my entire neck has swollen to the point where I can't feel my chin. Could this possibly be cancer?
Dr. Hu Ziren Reply:
It is recommended to first see a gastroenterologist for an upper gastrointestinal endoscopy to check for any issues.[Read More] Chronic Throat Pain and Swelling: Could It Be Cancer?
Seeking a Second Opinion for Thymic Cancer Treatment Options
The specialty for a second opinion on thymic cancer? I underwent a thymoma resection surgery in early January this year. Initially, it was estimated that I would not need any further radiotherapy or chemotherapy after the surgery, but the pathology report indicated metastasis. Th...
Dr. Hu Ziren Reply:
If it is only a local metastasis, radiation therapy may be sufficient; however, if there is distant or multi-organ metastasis, chemotherapy is required. It is advisable to consult an oncologist for a second opinion.[Read More] Seeking a Second Opinion for Thymic Cancer Treatment Options
Understanding Lumps in the Armpit: Causes and Concerns
There is a hard lump in the armpit? Hello doctor, I discovered a painless lump in my right armpit seven months ago. After undergoing a breast ultrasound, the doctor said that no lumps were detected on either side and that it was just breast tissue. However, I was still concerned ...
Dr. Chen Sirong Reply:
J / 26 years old / Female 1. Breast cancer is rare at 26 years old. 2. Regular breast examinations should be conducted once a year. 3. If a new lump is discovered, consult a physician again for confirmation. 4. If the physician says there is nothing to worry about, self-m...[Read More] Understanding Lumps in the Armpit: Causes and Concerns
Understanding Elevated CEA Levels: What You Need to Know
Carcinoembryonic antigen (CEA) levels are elevated above the standard value? Hello, Doctor! I am 32 years old and recently received my company health check results, which show that my CEA levels have been above 5 for three consecutive years; the recent results are 5.2, 5.7, and 7...
Dr. Chen Yunfang Reply:
Hello: The textbook states that blood tumor markers should not be used as a tool for cancer screening because they are not accurate. Many patients who are in the terminal stages of cancer can have normal CEA levels. Therefore, a slightly elevated CEA does not indicate anything si...[Read More] Understanding Elevated CEA Levels: What You Need to Know
Understanding Lymph Nodes: Symptoms and When to Seek Further Evaluation
Cervical lymph nodes On the left side of my neck, near the jaw, there are several movable lumps that feel like small balls. There is also a rubber ball-like lump in front of my earlobe. The left side of the back of my head is more prominent than the right side, and the area behin...
Dr. Chen Sirong Reply:
Daoist Priest / 28 years old / Male 1. Clear Intentions: The Daoist priest should project positive thoughts to all his body cells, allowing them to maintain a healthy state. 2. Doctors advise continued observation, which is correct; everyone is gradually moving closer to death ...[Read More] Understanding Lymph Nodes: Symptoms and When to Seek Further Evaluation
Understanding Lumps in the Armpit: Causes and When to Worry
There is a hard lump in the armpit? Hello, doctor. Seven months ago, I discovered a painless lump in my right armpit. Later, I had a breast ultrasound, and the doctor said that no lumps were found on either side, attributing it to breast tissue. However, I was still concerned and...
Dr. Chen Sirong Reply:
J / 26 years old / Female. Could this be cancer? I'm very worried. A: 1. Considering your age, breast cancer is quite rare at 26 years old. 2. In terms of size, lymph nodes larger than 1 cm have a higher likelihood of being cancerous. 3. Regarding the primary site, axillar...[Read More] Understanding Lumps in the Armpit: Causes and When to Worry
Understanding the Health Challenges of a 90-Year-Old Cancer Patient
Grandma is 90 years old and was diagnosed with stomach cancer four and a half years ago? About two weeks ago (the last weekend before the Lunar New Year), my grandmother caught a cold around the New Year, which led to throat inflammation and swelling, making it difficult for her ...
Dr. Hu Ziren Reply:
If there is a suspicion of heart problems, one can consult a cardiologist; if there is a suspicion that organ function decline (such as swallowing or coughing up phlegm) is caused by aging (dementia), one can see a neurologist.[Read More] Understanding the Health Challenges of a 90-Year-Old Cancer Patient
Understanding Tongue Base Cancer: Symptoms and Treatment Insights
Cancer Issues: Base of Tongue Cancer My father has been battling cancer for nearly three months. During the initial phase of chemotherapy, his condition was stable, and he was able to manage daily activities independently. However, on January 25th, the day after completing radiat...
Dr. Hu Ziren Reply:
During cancer treatment, if acute changes occur, it may be due to acute complications caused by the treatment (such as infections, dehydration, or hypercalcemia, etc.). It is recommended to promptly take the patient to the emergency department for further management.[Read More] Understanding Tongue Base Cancer: Symptoms and Treatment Insights
Understanding Hard Lumps in Armpit Lymph Nodes: Is It Cancer?
There is a hard lump in the axillary lymph nodes? I discovered a hard lump in my axillary lymph nodes about six months ago, accompanied by pain. I went to the hospital, and an ultrasound showed two tumors, each approximately two centimeters in size, with one showing signs of infl...
Dr. Chen Sirong Reply:
S/37 years old/female 1. This blood test cannot determine if it is malignant. 2. Generally speaking, malignant tumors tend to grow continuously. Given your situation, from August until now, which is approximately six months, if it has remained stable, the likelihood of malign...[Read More] Understanding Hard Lumps in Armpit Lymph Nodes: Is It Cancer?
Understanding Your Wife's Early-Stage Breast Cancer Biopsy Results
Inquire about the breast cancer tumor biopsy report issues? Hello Dr. Hu, my wife recently underwent a health check at her company, and an abnormality was found in her breast. A biopsy confirmed it to be stage I breast cancer, with the tumor size estimated at about 0.7 cm based o...
Dr. Hu Ziren Reply:
A Ki-67 index of 60% indicates that the tumor proliferation rate is very high, suggesting that it could have grown from 0.7 cm last year to 0.9 cm this year. A Ki-67 level greater than 20% typically signifies poorly differentiated cancer, which is associated with a rapid doubling...[Read More] Understanding Your Wife's Early-Stage Breast Cancer Biopsy Results
Understanding High Platelets and Low Lymphocytes: What It Means for Your Health
Elevated platelet count and decreased lymphocyte count? I just received my health check report from December last year and noticed some red flags in the blood test results. I would like to consult Dr. Hu regarding the following: (1) I have had slightly elevated platelet counts ...
Dr. Hu Ziren Reply:
For the general public: When reviewing a blood report, it is sufficient to pay attention to whether the WBC, HB, and PLT values are within the normal range. Note: 1. WBC differential count (WBC DC) -- The percentages of Neutrophils (Seg), Lymphocytes, Eosinophils, and Basophils a...[Read More] Understanding High Platelets and Low Lymphocytes: What It Means for Your Health
Does Blood Transfusion Cause PSA Levels to Rise in Prostate Cancer?
The issue of elevated PSA levels after blood transfusion? Hello, due to abnormal hematopoietic function caused by stage IV prostate cancer, the patient has been experiencing anemia and received blood transfusions for three consecutive days. After three days, a blood test revealed...
Dr. Chen Sirong Reply:
Huang, 70 years old, male. 1. Will this condition continue indefinitely? A: The likelihood of this condition worsening is higher, as the PSA has nearly doubled. The reason is that the long-term hormone therapy has just become ineffective; it is less likely to be caused by a bl...[Read More] Does Blood Transfusion Cause PSA Levels to Rise in Prostate Cancer?
Understanding Recurrence in Early Stage Breast Cancer: Key Insights and Concerns
Breast cancer stage I relapsed one year after treatment without chemotherapy? Hello, Doctor! I was diagnosed with breast cancer in November 2021 and underwent a right mastectomy with reconstruction. Post-surgery, it was found that there was a 0.1 cm invasive cancer in the lymph n...
Dr. Chen Sirong Reply:
Evans, 43 years old, female. Due to the lack of personal insurance, the medical burden is really heavy. A: It is possible to choose treatment options covered by the National Health Insurance, but the general public tends to want to follow the doctor's advice if they can affo...[Read More] Understanding Recurrence in Early Stage Breast Cancer: Key Insights and Concerns
Understanding PET Scan Results for Lung Cancer: A Guide for Patients
Positron Emission Tomography (PET) Hello, Director. Please help me review my mother's PET scan report; I don't understand it. Thank you. **PET Scan Report:** **Indication:** The 49-year-old woman is diagnosed with right middle lung cancer, stage IA1 (pT1aNx), status p...
Dr. Chen Sirong Reply:
Home / 48 years old / Female 0: It should be based on the explanation from her attending physician. 1. There were mildly increased FDG uptake in the right middle lung (SUVmax: 1.1) and right chest wall (SUVmax: ~1.7), probably post-operative changes. There is a post-operative rea...[Read More] Understanding PET Scan Results for Lung Cancer: A Guide for Patients