Understanding Breast Lumps: What You Need to Know About Tumors
Breast lump Hello Doctor, I had an ultrasound examination at the oncology department, and the doctor said I have a tumor that is about 2 centimeters. I have a movable hard lump in my breast that does not hurt unless I gently squeeze it, which causes some pain. Does this definitel...
Dr. Fan Sheng Reply:
Ms. Nicole: The only course of action for now is to wait for the biopsy results to determine whether it is benign or malignant. Having children earlier and having more children should reduce the risk of breast cancer. Wishing you all the best.[Read More] Understanding Breast Lumps: What You Need to Know About Tumors
Understanding Lymph Node Metastasis: Concerns and Surgical Options
Lymphatic metastasis Dr. Chen, I apologize for asking so many questions, but I am very concerned about my mother's condition, and I hope you can understand. During her radiation therapy, she experienced a recurrence and underwent a fine needle aspiration (FNA) and a PET CT s...
Dr. Chen Sirong Reply:
Hello: 1. If it has not metastasized, there is still hope. 2. I agree with your mother's attending physician's recommendations. 3. The wound may be difficult to manage, but we can only cooperate with the doctor. 4. Life is not in immediate danger, but the concern is tha...[Read More] Understanding Lymph Node Metastasis: Concerns and Surgical Options
Understanding Acute Lymphoblastic Leukemia: Prognosis and Treatment Options
Acute Lymphoblastic Leukemia (ALL) Dear Dr. Fan, My cousin, who is about 10 years old, was hospitalized due to gastrointestinal bleeding and was diagnosed with acute leukemia. Unfortunately, due to a delay of nearly two months in Vietnam, her condition has worsened significantly...
Dr. Fan Sheng Reply:
Xiao Jing: Based on your assessment, the situation appears to be very pessimistic due to significant delays in treatment. It is challenging to administer chemotherapy to patients with renal failure, and without chemotherapy, acute lymphoblastic leukemia cannot achieve remission a...[Read More] Understanding Acute Lymphoblastic Leukemia: Prognosis and Treatment Options
Improving Cure Rates for Metastatic Liver Cancer: Interferon and Surgery Options
Metastatic liver cancer (please ask again)? I would like to ask the doctor again, currently, there are two tumors in the liver, with the larger one being approximately 3 centimeters. If interferon is used, is there a higher cure rate? Additionally, since there is currently no evi...
Dr. Fan Sheng Reply:
Mr. Chen: Interferon is a type of immunotherapy. Additionally, interleukin-2 can be considered for use. If the tumor is removed first and then interferon is administered, the chances of successful treatment should be higher. It might be worth trying.[Read More] Improving Cure Rates for Metastatic Liver Cancer: Interferon and Surgery Options
Understanding Post-Surgery Concerns in Parotid Cancer Treatment: A Patient's Guide
Electrotherapy Hello Dr. Chen, I previously inquired about my mother's salivary gland cancer issues in March and April, and I have some additional questions I hope to discuss with you. After my mother underwent a total parotidectomy, she was scheduled for 33 sessions of radi...
Dr. Chen Sirong Reply:
Hello: 1. Electrotherapy does not cause metastasis; it is the disease itself that is prone to spreading due to its high grade. 2. I still recommend performing a Fine Needle Aspiration (FNA), as the potential harm is that the procedure may damage the surrounding tissue. 3. If ther...[Read More] Understanding Post-Surgery Concerns in Parotid Cancer Treatment: A Patient's Guide
Post-Surgery Rehabilitation for Oral Cancer: Managing Complications and Nutrition
Rehabilitation after Oral Cancer Surgery Dear Dr. Chen, My father is fifty-nine years old. Last July, he underwent surgery for stage II tongue cancer, followed by thirty sessions of radiation therapy a little over a month after the surgery. Unfortunately, during a PET scan this ...
Dr. Chen Sirong Reply:
Hello: 1. Accept the reality: Currently, bone necrosis requires hyperbaric oxygen therapy. There is no need to worry about the possibility of recurrence in the future, as excessive concern can create stress for the entire family. 2. Nutritional care: Consider a liquid diet, high-...[Read More] Post-Surgery Rehabilitation for Oral Cancer: Managing Complications and Nutrition
Understanding Metastatic Liver Cancer: Treatment Options and Prognosis
Metastatic liver cancer Last spring, a melanoma was discovered in the eye, and the eye was subsequently removed. Post-surgery, the physician's examination indicated no signs of metastasis, and follow-up abdominal ultrasounds were conducted every three months. However, it was...
Dr. Fan Sheng Reply:
Mr. Chen: The most effective treatment moving forward generally involves a combination of immunotherapy and chemotherapy. However, the chances of a cure remain pessimistic. There is also a type of therapy known as mini-transplant or non-myeloablative stem cell transplant, which u...[Read More] Understanding Metastatic Liver Cancer: Treatment Options and Prognosis
Recovery Timeline for Oral Cancer Radiation Side Effects
How long does it take for the side effects of radiation therapy for oral cancer to improve? Hello, my uncle is undergoing radiation therapy and chemotherapy for oral cancer, and he is experiencing many side effects: 1. Fibrosis around the surgical site in the neck 2. Oral mucosal...
Dr. Chen Sirong Reply:
Hello: 1. The side effects of radiation therapy will only improve 2 to 4 weeks after the treatment has concluded. 2. The pharmacokinetics of chemotherapy drugs must be determined based on the specific drug type; without knowing the drug name, one can only speculate that for weekl...[Read More] Recovery Timeline for Oral Cancer Radiation Side Effects
Is Frequent Nosebleed in Kids a Sign of Blood Cancer?
Frequent nosebleeds in children can be concerning, but they are not necessarily indicative of leukemia. Nosebleeds can occur for various reasons, including dry air, allergies, nasal trauma, or underlying conditions such as clotting disorders. If a child experiences recurrent nose...
Dr. Fan Sheng Reply:
Cynthia: Please take your son to see an otolaryngologist.[Read More] Is Frequent Nosebleed in Kids a Sign of Blood Cancer?
Essential Care Tips for Stage III Lung Cancer Patients and Families
I'm sorry, but I need the content you want translated in What should patients with stage III lung cancer pay attention to? When patients cannot accept the reality and become overwhelmed, what should family members do? What foods are beneficial? What foods should be avoided? ...
Dr. Chen Sirong Reply:
Hello: 1. Please cooperate with the physician's treatment. 2. Family support is important. Encourage the patient to undergo treatment, introduce them to other patients for mutual encouragement, and seek support from relatives, friends, or local religious organizations. 3. Do...[Read More] Essential Care Tips for Stage III Lung Cancer Patients and Families
Understanding Stage 0 Breast Cancer: Surgery and Recovery Rates
Ductal Carcinoma In Situ (DCIS) Hello Doctor: A relative has been diagnosed with stage 0 breast cancer, but the pathologist mentioned that more precise tests can only be done after surgery (mastectomy), so the symptoms are not yet fully confirmed. I am a bit worried and would lik...
Dr. Chen Sirong Reply:
Hello: 1. The biopsy confirmed stage 0 breast cancer, and the exact stage can only be determined after surgery. 2. The cure rate is related to the stage; some recent studies show that for stages 1-2, the 10-year survival rate can reach 70%-85%, while for stages 3-4, it is approxi...[Read More] Understanding Stage 0 Breast Cancer: Surgery and Recovery Rates
Understanding Neck Tumors: When to Seek Medical Attention
A tumor has developed on the neck? I previously had a tumor on my neck, which I thought was just swollen lymph nodes, so I didn't pay much attention to it. Recently, I noticed that the tumor has grown larger. I visited a dermatologist, and since I had a cold before, she advi...
Dr. Fan Sheng Reply:
Emily: You need to see a doctor right away! Consult with a hematologist and an otolaryngologist to check for the possibility of lymphoma or nasopharyngeal cancer. I hope everything turns out fine.[Read More] Understanding Neck Tumors: When to Seek Medical Attention
Understanding Lumps Under the Arm: When to Seek Medical Advice
extremely fearful I have a large lump in my armpit that feels hard and is painful to touch. Recently, it seems to have developed some pus around it, but I'm afraid to squeeze it. What could it be? Is it a lymph node tumor? Should I avoid touching it? Can I drain the pus? How...
Dr. Chen Sirong Reply:
Hello: 1. It may be folliculitis or suppurative lymphatic metastasis from breast cancer. 2. Do not attempt to touch or squeeze it yourself. 3. Please seek assistance from a general surgery outpatient clinic promptly. After a definitive diagnosis and treatment, the physician will ...[Read More] Understanding Lumps Under the Arm: When to Seek Medical Advice
Improving Oral Health During Nasopharyngeal Cancer Treatment: Tips and Advice
Nasopharyngeal cancer treatment issues? Hello Doctor: My father is currently undergoing treatment for stage II nasopharyngeal carcinoma, which includes radiation therapy and chemotherapy once a week. He is experiencing some changes in taste, along with oral mucosal lesions, causi...
Dr. Chen Sirong Reply:
Hello: 1. Please consult your attending physician in detail. 2. Oral issues: (1) To prevent more severe symptoms, use symptom relief measures. (2) For treatment, use a topical powder. (3) For pain relief, sublingual administration of Temgesic can be used; for severe pain, a trans...[Read More] Improving Oral Health During Nasopharyngeal Cancer Treatment: Tips and Advice
Understanding Primary Central Nervous System Lymphoma: Risks and Prognosis
Primary Central Nervous System Lymphoma My father-in-law is 75 years old. He originally had nine tumors in his brain, the largest being 6 centimeters. He was diagnosed with primary central nervous system lymphoma last July and underwent 25 sessions of radiation therapy (without c...
Dr. Chen Sirong Reply:
Hello: 1. There is a possibility of recurrence. 2. There is also a possibility of metastasis to other organs. 3. Highly malignant. Sincerely, Dr. Chen Sih-Rong, Oncology.[Read More] Understanding Primary Central Nervous System Lymphoma: Risks and Prognosis
Understanding High-Grade Mucoepidermal Carcinoma of the Parotid Gland: Key Insights
Mucoepidermoid Carcinoma of the Parotid Gland Hello Dr. Chen, my mother's pathology report from her parotid gland surgery has finally come out, confirming it is a high-grade mucoepidermal carcinoma of the parotid gland. The superficial tumor is cancerous and somewhat connect...
Dr. Chen Sirong Reply:
Hello: 1.a. Lymphatic vessels should indicate that there are cancer cells in the nearby lymphatic vessels, which can spread to nearby lymph nodes, then to the thoracic duct, and eventually throughout the body. b. There is no need to consider whether there are methods to know; in ...[Read More] Understanding High-Grade Mucoepidermal Carcinoma of the Parotid Gland: Key Insights
Understanding Tumors: What to Do When You Find a Lump
About tumors? Dear Dr. Chen, my mother discovered two hard lumps near her collarbone on April 5th, this past Tuesday. They do not hurt when pressed, and one of them is about the size of half of my thumb. Question 1: Is it possible that these lumps are tumors? Question 2: Whic...
Dr. Chen Sirong Reply:
Hello: 1. It is possible, and it could be a malignant cancer such as lung cancer, laryngeal cancer, or nasopharyngeal cancer that has metastasized to the supraclavicular lymph nodes. 2. Sincerely, Dr. Chen Sih-Rong, ENT, Pulmonology, and Oncology.[Read More] Understanding Tumors: What to Do When You Find a Lump
Understanding the Connection Between Tuberculosis and Bone Cancer
Cancer Dear Doctor: My mother is 80 years old and was very healthy until last year when she suddenly experienced lower back pain. After consulting a postal doctor, she was advised to get imaging done, which revealed tuberculosis in her lungs. She did not have a cough or pain. Aft...
Dr. Chen Sirong Reply:
Hello: 1. What is the diagnosis? Has it been confirmed by National Taiwan University Hospital? 2. I believe the possible diagnoses are a. lung cancer with bone metastasis b. primary bone cancer originating from the sacrum c. bone metastasis with an unknown primary site. 3. In cas...[Read More] Understanding the Connection Between Tuberculosis and Bone Cancer
Understanding Recurrent Sinus Cancer: Causes, Treatment, and Risks
Why does one keep developing sinus cancer? Doctor: Hello~~~ My father previously had sinus cancer and underwent two surgeries to successfully remove it. However, recently, he has discovered cancer in the forehead area, near the eyebrows, and it has been causing persistent pain. I...
Dr. Fan Sheng Reply:
Xiaomi: This situation likely indicates that residual cancer cells have regrown. If surgery is not an option, we should consider radiation therapy and chemotherapy. Wishing you a smooth treatment process.[Read More] Understanding Recurrent Sinus Cancer: Causes, Treatment, and Risks
Understanding Cancer Risk and Treatment Progress in Family History
About cancer? My grandmother died of lung cancer, my maternal grandmother died of colon cancer, and my father died of liver cancer. Currently, my mother is undergoing chemotherapy for stage IV breast cancer. Doctor, does this increase my likelihood of developing cancer? Another q...
Dr. Chen Sirong Reply:
Hello: 1. The current probability of developing cancer is about 1 in 3.5 to 4 people, but others may also succumb to heart disease, diabetes, etc., so try to stay positive! 2. For changes in cancer markers, it is advisable to consult the physician currently treating her. Sincerel...[Read More] Understanding Cancer Risk and Treatment Progress in Family History