Understanding High White Blood Cell Count: Beyond Blood Cancer Risks
Leukocytosis Hello Doctor: My mother is 46 years old. A few days ago, she underwent an adult health check-up and her white blood cell count was over 20,000. The doctor mentioned the possibility of leukemia. Could you please tell me what other conditions could cause elevated white...
Dr. Fan Sheng Reply:
A-Bao: There are too many possibilities to guess and answer one by one. It's best to see a hematologist for advice as soon as possible. If, unfortunately, one is diagnosed with blood cancer, it doesn't necessarily mean it's terminal. Some types of blood cancer can ...[Read More] Understanding High White Blood Cell Count: Beyond Blood Cancer Risks
Understanding Osteoradionecrosis: Complications After Oral Cancer Treatment
Radiation-induced osteonecrosis 1. Is the surgical debridement performed due to osteoradionecrosis after oral cancer surgery considered a treatment for cancer or a complication following cancer radiotherapy? ( ) Treatment for cancer (X) Complication following cancer radiotherapy ...
Dr. Chen Sirong Reply:
Hello: 1. Regarding complications after cancer radiotherapy. 2. Due to impaired local blood circulation following radiation therapy, some bone necrosis may occur, which can be treated with hyperbaric oxygen therapy. If that is not effective, surgical debridement will be necessary...[Read More] Understanding Osteoradionecrosis: Complications After Oral Cancer Treatment
Impact of Thyroid Cancer Treatment on Future Pregnancy Chances
Thyroid radiofrequency ablation Hello, I would like to ask about my situation. I was diagnosed with papillary thyroid carcinoma around November last year, and I underwent a course of radiation therapy (30 sessions totaling 6000 rads) a little over a month later. Given my current ...
Dr. Chen Sirong Reply:
Hello: It will not affect future fertility, it is suitable for pregnancy, and it will not have adverse effects on the child. It is recommended to wait at least 3 months, and 6 months is even better. I previously worked at National Taiwan University, and some nasopharyngeal cancer...[Read More] Impact of Thyroid Cancer Treatment on Future Pregnancy Chances
Understanding Brain Cancer Treatment and Radiation Effects in Taiwan
Brain cancer Hello Doctor, 1. The clinical trial for urine extract CDA2 has already begun in Taiwan. Which hospitals offer this treatment? 2. After radiation therapy for brain tumors, abnormal reactions may occur around the tumor, such as enlargement or the appearance of nume...
Dr. Chen Sirong Reply:
Hello: 1. Please search online for Professor Lai Chi-Ming. 2. Early delayed reactions occur between 1 to 12 weeks and usually resolve within the next 4 months, while late delayed reactions occur after six months. 3. Please refer to English literature. 4. It cannot be definitively...[Read More] Understanding Brain Cancer Treatment and Radiation Effects in Taiwan
Understanding Joint Stiffness After Testicular Cancer Treatment
Joint stiffness Hello Director Fan from Fengyuan Hospital, I apologize for the interruption. I would like to ask about my father, who was diagnosed with testicular cancer ten years ago. After surgery performed by a doctor at Chang Gung Memorial Hospital and undergoing chemotherap...
Dr. Fan Sheng Reply:
Dear YY: Testicular cancer is a disease that can be cured with chemotherapy. Moreover, since it has been ten years, there is no risk of recurrence. From now on, your family can live happily ever after! Sincerely, Fan Sheng[Read More] Understanding Joint Stiffness After Testicular Cancer Treatment
Understanding Tongue Cancer: Bleeding, Treatment Options, and Pain Management
I have a question to ask? Dr. Huang: I have a few questions to ask. Why does tongue cancer keep bleeding? Is this related? Since it is now in the terminal stage, can chemotherapy and radiation therapy still be administered? If so, how can we alleviate the patient's suffering...
Dr. Chen Sirong Reply:
Hello: 1. The cause of bleeding is due to the weakened surface cells of the tongue cancer, which can easily become injured and bleed from friction during eating, or due to cancer cells invading blood vessels. 2. Chemotherapy or radiation therapy can be administered. 3. To allevia...[Read More] Understanding Tongue Cancer: Bleeding, Treatment Options, and Pain Management
Managing Advanced Colon Cancer with Liver Metastasis in Elderly Patients
Malignant colorectal tumor with liver metastasis? Hello Dr. Chen, my father is 83 years old and underwent surgery at the end of July for a malignant colon tumor with multiple liver metastases, during which the right side of the colon was resected. Postoperatively, everything was ...
Dr. Chen Sirong Reply:
Hello: 1. Oral chemotherapy agents. 2. Experimental oral chemotherapy medication! 3. None. 4. Urinary issues suspected to be related to prostate problems; bilateral leg edema due to poor liver function resulting in fluid retention. Sincerely, Dr. Chen Sih-Rong, Oncology.[Read More] Managing Advanced Colon Cancer with Liver Metastasis in Elderly Patients
Early Symptoms of Liver and Lung Cancer: What to Watch For
Liver cancer and lung cancer? I recently had abnormal liver function tests and have been feeling unwell. For the past 2 to 3 months, I have been experiencing persistent phlegm. I would like to ask the doctor what the early symptoms of liver cancer and lung cancer are. Thank you, ...
Dr. Chen Sirong Reply:
Hello: Please proceed with a chest X-ray and abdominal ultrasound examination. Sincerely, Dr. Chen Si-Rong, Oncology.[Read More] Early Symptoms of Liver and Lung Cancer: What to Watch For
Impact of Iodine-131 Radiation on Children's Health: Concerns and Solutions
The effects of iodine-131 radiation on children? I am a patient with papillary thyroid carcinoma. I received my first dose of iodine-131 treatment at 30 millicuries. Due to certain factors, I came into contact with my young children five days after taking iodine-131. I am concern...
Dr. Chen Sirong Reply:
Hello: The primary treatment for thyroid cancer should be surgical resection. For residual thyroid tissue that cannot be completely removed or metastatic lesions that cannot be treated surgically, I-131 therapy is required. The principle of this treatment is that well-differentia...[Read More] Impact of Iodine-131 Radiation on Children's Health: Concerns and Solutions
Understanding My Uncle's Sudden Health Decline After Lung Surgery
What is the condition of my uncle? Hello Dr. Chen, my uncle has been diagnosed with a suspected malignant tumor in his lungs. The initial hospital advised against surgery, but after transferring to the current hospital, they recommended immediate surgical intervention. He underwe...
Dr. Chen Sirong Reply:
Hello: 1. Only the physician who personally cares for him knows. 2. It is quite common for cancer patients to take sedatives; if they are unable to speak, communication may rely on writing to assess their level of consciousness. 3. The information you provided is difficult to eva...[Read More] Understanding My Uncle's Sudden Health Decline After Lung Surgery
Understanding Bone Cancer: Causes, Myths, and Genetic Risks
Grandfather's death Hello, Doctor: I would like to ask a few questions and I hope you can forgive me for taking up your time. I heard from my dad that my grandfather was injured from a bicycle accident and did not see a doctor. Eventually, he developed bone cancer (which see...
Dr. Fan Sheng Reply:
Mr. Zhao: Falling off a bicycle should not be related to bone cancer. It is possible that grandpa has another type of cancer that has metastasized to the bones, right? Bone cancer is also not related to leukocytosis. Furthermore, it is not hereditary. Please rest assured! Sincere...[Read More] Understanding Bone Cancer: Causes, Myths, and Genetic Risks
Understanding Axillary Lymph Nodes: Causes, Impact, and Care Tips
Axillary lymph nodes Hello, Dr. Fan: Recently, I had a check-up at the National Defense Medical Center and was found to have a one-centimeter lymph node in my armpit. The doctor could not palpate it and advised me to return for a follow-up in three months. Could you please explai...
Dr. Fan Sheng Reply:
Ms. Yang: Since the doctor couldn't palpate it, how did they know there is a one-centimeter lymph node in the axilla? The causes of lymphadenopathy are primarily infection and tumors. If the lymph node continues to enlarge and is painless, caution is warranted! It may be adv...[Read More] Understanding Axillary Lymph Nodes: Causes, Impact, and Care Tips
Can Cancer Be Transmitted Through Blood or Other Means?
Transmission of Cancer Cancer is not contagious and cannot be transmitted through droplets, blood contact, or other means. Having indirect blood contact with a patient suffering from blood cancer (such as a wound coming into contact with the patient's blood) does not increas...
Dr. Chen Sirong Reply:
Hello: Because cancer is a malignant transformation of cells, it is generally not transmitted through droplets or blood contact. However, infections such as Hepatitis B and C can easily occur through blood or bodily fluids. Therefore, while contact with the blood of cancer patien...[Read More] Can Cancer Be Transmitted Through Blood or Other Means?
Understanding Lymph Node Tumors: Symptoms, Risks, and Urgent Care
Lymphoma Hello Dr. Chen: My uncle has developed a tumor on the side of his neck, which is growing larger. He has lost a lot of weight and has a very poor appetite; he used to eat four bowls of rice but can now only manage a spoonful of porridge. For some reason, his skin has turn...
Dr. Chen Sirong Reply:
Hello: Based on your description, your uncle's neck tumor may be malignant, but a hospital examination is necessary to confirm this. If his eating condition remains poor, it is recommended to visit the relevant department for nutritional injections and further disease confir...[Read More] Understanding Lymph Node Tumors: Symptoms, Risks, and Urgent Care
Choosing the Best Treatment for Rare Sphenoid Sinus Cancer
[Urgent Question] What treatment options should be chosen for sphenoid sinus cancer? I'm very sorry to hear about your mother's situation. It's important to consult with a medical professional who can provide personalized advice based on her specific condition.
Dr. Chen Sirong Reply:
Hello: 1. I personally recommend photon knife treatment, and multiple sessions of photon knife therapy. 2. The probability of side effects increases; regarding the specific side effects, imaging studies are necessary to understand the exact location before determining them. 3. Th...[Read More] Choosing the Best Treatment for Rare Sphenoid Sinus Cancer
Understanding Life Expectancy with Untreated Stage 3 Breast Cancer
If I really have breast cancer? Hello Doctor: After the physician's diagnosis, I may have stage III breast cancer (biopsy not yet performed). If I do have it and do not plan to undergo treatment, how long might I still live? Thank you!
Dr. Fan Sheng Reply:
Dear Sammi: Stage III breast cancer can still be treated or have a significant impact on extending life, and there are many things you can still do. Don't lose hope. Keep fighting![Read More] Understanding Life Expectancy with Untreated Stage 3 Breast Cancer
Can Lymphoma Cause Pleural Effusion After Chemotherapy?
Can lymphoma cause pleural effusion? Can lymphoma cause pleural effusion? Secondly, after completing chemotherapy for lymphoma, if the follow-up shows a cancer marker level of 360 (within normal range) and blood tests are also normal, why would there still be pleural effusion?
Dr. Fan Sheng Reply:
Mr. Huang: Lymphoma can indeed cause pleural effusion. After completing chemotherapy for lymphoma, normal cancer marker levels do not guarantee a complete cure. However, patients with weakened immune systems are also at a higher risk for tuberculosis. Therefore, it is recommended...[Read More] Can Lymphoma Cause Pleural Effusion After Chemotherapy?
Unusual Urination Symptoms After Rectal Cancer Surgery: What to Know
Urinary excretion of foreign objects? Thank you, Dr. Lin, for your previous response. I have some additional concerns regarding my father's health: 1. On one occasion, my father experienced dark-colored urine accompanied by severe pain. We suspect it might be related to hi...
Dr. Lin Zongzhe Reply:
Hello: 1. If the urine appears dark, a urinalysis and microscopic examination can be performed first to determine the subsequent management. 2. If you feel uncomfortable after surgery, you can ask the physician to prescribe some medications for symptom control. Patients should pa...[Read More] Unusual Urination Symptoms After Rectal Cancer Surgery: What to Know
Early Stage Right Ureter Cancer in Dialysis Patients: Surgical Options
Right ureteral cancer (forwarded from the Director's mailbox) Hello doctor: I am a kidney patient with early-stage right ureter cancer undergoing peritoneal dialysis. Should I have surgery?
Dr. Lin Zongzhe Reply:
Hello: The most important treatment method for early-stage ureteral cancer is indeed surgery. The risks associated with the surgery can be assessed by the attending surgeon and the anesthesiologist. This is a response from Dr. Lin Tsung-Che, an oncologist at Taoyuan Hospital, Dep...[Read More] Early Stage Right Ureter Cancer in Dialysis Patients: Surgical Options
Understanding Oral Cancer: Treatment Options and Recovery Insights
Could you please clarify your request? Hello, I read several articles about "oral cancer" today. What confuses me is that over 80% of cases are attributed to so-called "bad habits" (like chewing betel nut), while the remaining 20% are related to hygiene issues...
Dr. Fan Sheng Reply:
Ms. Weng: Tongue cancer can be life-threatening, and the survival rate refers to the proportion of patients who survive. An 80% one-year survival rate means that after one year, 80% of the patients are still alive. If your father’s tongue cancer has already metastasized to the ly...[Read More] Understanding Oral Cancer: Treatment Options and Recovery Insights