Can Artificial Blood Vessels Be Removed Without Chemotherapy?
Can an artificial blood vessel be removed without chemotherapy? Hello, my mother is 53 years old and has stage IV endometrial cancer. She underwent chemotherapy after having an artificial blood vessel placed, but her white blood cell count has been consistently low, causing delay...
Dr. Chen Sirong Reply:
Si-Rong / 53 years old / Female 1. He asked if it is possible to remove the artificial blood vessel. A: 1.1 Recommendations may vary by hospital; Taoyuan Hospital typically suggests waiting for 2 years without recurrence before removal. 1.2 Of course, if he is certai...[Read More] Can Artificial Blood Vessels Be Removed Without Chemotherapy?
Understanding Triple-Negative Breast Cancer: Risks, Treatments, and Prognosis
Breast cancer inquiry? Hello Doctor, I would like to ask you a question regarding my mother, who is currently 61 years old. She was recently diagnosed with breast cancer (Luminal B type, grade 2) and has just undergone a partial mastectomy and sentinel lymph node biopsy (4 nodes)...
Dr. Chen Sirong Reply:
Hello, 1. I would like to ask the doctor if the risk of recurrence for my mother is high. Using this algorithm, IHC4 = 32 > 30 indicates high risk, with ER = 90, PR = 90, Her2 = 1, and Ki67 = 30 for calculating the IHC4 score. 2. Since the doctor recommends both chemotherap...[Read More] Understanding Triple-Negative Breast Cancer: Risks, Treatments, and Prognosis
Post-Breast Cancer Treatment: The Role of Menopause-Inducing Injections
Post-breast cancer treatment - menopausal injection? Hello Doctor: ER: 95% PR: 95% HER2: 0 Ki-67: 5% Tumor size: 1.4 cm, sentinel lymph nodes negative. Surgery was completed in mid-September, and radiation therapy started in mid-October, with no chemotherapy. When the breast surg...
Dr. Chen Yunfang Reply:
Hello: First of all, taking only Tamoxifen is not enough! Secondly, it is quite unusual not to undergo adjuvant chemotherapy after surgery; theoretically, it should be done. However, this may be your personal choice, which I respect. That's all. Thank you.[Read More] Post-Breast Cancer Treatment: The Role of Menopause-Inducing Injections
Understanding Early Nasopharyngeal Cancer Treatment Options
Treatment-related Hello Doctor, my father had a blood test two weeks ago which showed abnormal EBV levels, and he underwent a CT scan at the hospital, followed by a biopsy (the doctor mentioned it was very small, so it was completely removed). The report confirmed a diagnosis of ...
Dr. Chen Sirong Reply:
Yang / 25 years old / Female Hello, 1. If the pathology results indicate nasopharyngeal carcinoma cells, is radiation therapy necessary? A: 1.1 Yes, 1.2 Surgery is not an option for nasopharyngeal tumors; radiation therapy is the only treatment available. 1.3 Generally, fo...[Read More] Understanding Early Nasopharyngeal Cancer Treatment Options
Understanding HER2-Positive Ductal Carcinoma In Situ with Microinvasion
HER2-positive ductal carcinoma in situ with microinvasion? Hello, Doctor! The pathology report for breast cancer is as follows: Ductal carcinoma in situ, high-grade, suspicious for microinvasive carcinoma, Pathological TNM Staging (in conjunction with ST22-05037): pT1mi pN0(sn) p...
Dr. Chen Yunfang Reply:
Hello: 1. Yes, it is stage one. 2. This cannot be answered as your description lacks sufficient information, and I am not your attending physician, so I cannot provide a substitute answer. Thank you.[Read More] Understanding HER2-Positive Ductal Carcinoma In Situ with Microinvasion
Post-Treatment Side Effects of Tumor Therapy: A Comprehensive Overview
Late effects related to tumor treatment? Is it possible to experience the following side effects from using lactation induction therapy for breast cancer? Bilateral myopia, bilateral dry eye syndrome, and bilateral vitreous degeneration. Prior to treatment, myopia was between 150...
Dr. Hu Ziren Reply:
Taking Fluoxetine can indeed cause blurred vision and cataracts. It is recommended to consult a pharmacist or read the medication insert thoroughly. For more information, you can refer to the following link: https://www1.ndmctsgh.edu.tw/pharm/pic/medinsert/005FEM01.pdf or search ...[Read More] Post-Treatment Side Effects of Tumor Therapy: A Comprehensive Overview
Understanding Tumors Near the Anus: Signs, Risks, and Treatment Options
There is a tumor near the anus? Recently, I visited a cosmetic medical clinic to address a hemorrhoid issue. On the day of the surgery, the physician performed a digital examination and discovered a hard mass near the anus, which he believed was not hemorrhoids. Additionally, the...
Dr. Chen Sirong Reply:
Ms. Chen / 47 years old / Male (?) 1. Is the likelihood of colon cancer high? A: It is advisable to consult a physician for a biopsy to confirm whether it is cancer. 2. If it is indeed stage III colon cancer, is the survival rate high? A: The cure rate for stage 0 colon ca...[Read More] Understanding Tumors Near the Anus: Signs, Risks, and Treatment Options
Understanding Castleman Disease: Diagnosis, Treatment, and Resources in Taiwan
Lymphadenopathy Hello doctor, I previously inquired about my blood test results indicating a high probability of lymphoma. The specimen report has now come back stating that it is Castleman disease. I understand that this is a rare condition, and although it is not cancer, it may...
Dr. Chen Sirong Reply:
Ajie / 52 years old / Male 1. Is a biopsy result definitive? A: Of course, for a few diseases, most major hospital pathologists have a review system in place. The primary diagnosing physician will have other physicians in the department review the case before finalizing the re...[Read More] Understanding Castleman Disease: Diagnosis, Treatment, and Resources in Taiwan
Is Genetic Testing Necessary for Stage 1 Breast Cancer Patients?
Is genetic testing necessary for stage I breast cancer? Hello Doctor: I have questions regarding the follow-up treatment for breast cancer. The pathology report shows Ki-67: 5%, ER: positive 95%, PR: positive 95%, HER-2: negative. I have undergone a partial mastectomy and sentine...
Dr. Chen Yunfang Reply:
Hello: The standard treatment for breast cancer is fully covered by health insurance. For T1CN0M0 stage I, after surgery, six cycles of FEC (a second-generation chemotherapy regimen) are administered, which is free of charge. Following that, radiation therapy and hormonal therapy...[Read More] Is Genetic Testing Necessary for Stage 1 Breast Cancer Patients?
Understanding Pancreatic Cancer Pain: Key Differences from Muscle Strain
Symptoms of pancreatic cancer? I would like to ask the doctor about the back pain and abdominal pain that occur with pancreatic cancer. What is the nature of this pain, and how does it differ from muscle strains or muscle pain? Thank you.
Dr. Chen Yunfang Reply:
These pains are indistinguishable, and many, about half, may not present any sensation of pain.[Read More] Understanding Pancreatic Cancer Pain: Key Differences from Muscle Strain
Understanding Lumps in Lymph Nodes: Could It Be a Tumor?
Lymphadenopathy with a mass? About two weeks ago, I developed a hard lump on the inner thigh. Initially, it was small and soft, but now it has grown larger and harder, causing pain when walking or pressing on it. I consulted a general surgeon, and they diagnosed it as lymphadenit...
Dr. Chen Sirong Reply:
Yuri / 19 years old / Female, is it possible that this is a tumor? A: 1. Of course, it is impossible to completely rule out the possibility of malignancy through online consultation. 2. Diagnosing cancer may require a period of observation, so continuous monitoring is importan...[Read More] Understanding Lumps in Lymph Nodes: Could It Be a Tumor?
Understanding Blood Test Results: Evaluating Lymphadenopathy and Anemia Risks
Blood Test Report Recently, I have noticed lymphadenopathy and splenomegaly in my neck, armpits, and groin (on both sides), particularly in the armpit, which is about the size of a chicken egg. It is painless, movable, and has a smooth surface, not very hard but somewhat elastic....
Dr. Chen Sirong Reply:
Ajie / 52 years old / Male 1. My hematologist directly recommended a biopsy. A: His suggestion is quite reasonable. 2. This back-and-forth has taken almost a month; why not start medication to address the inflammation first? Perhaps the lymphadenopathy would resolve. A: Diagn...[Read More] Understanding Blood Test Results: Evaluating Lymphadenopathy and Anemia Risks
Understanding Pancreatic Cancer: Distinguishing Back Pain and Abdominal Pain
Symptoms of pancreatic cancer? I would like to ask the doctor if there is a specific pattern for the back pain and abdominal pain caused by pancreatic cancer. Also, what are the obvious differences between this pain and muscle pain? Thank you, doctor.
Dr. Chen Sirong Reply:
1. Is there a specific pattern for the back and abdominal pain caused by pancreatic cancer? A: It is difficult to describe it in such terms. 2. What are the obvious differences between this pain and muscle pain? A: You can refer to: https://heho.com.tw/archives/51626. In simple ...[Read More] Understanding Pancreatic Cancer: Distinguishing Back Pain and Abdominal Pain
Understanding Oral Cancer: Risks, Recurrence, and Survival Rates
Oral cancer issues? Hello Doctor, my sister has had a mucosal tear in her left cheek since the beginning of this year that hasn't healed. By July, it formed a protruding hard lump that continued to grow towards her lip. In August, she visited an oral surgeon for a biopsy, wh...
Dr. Chen Sirong Reply:
Anonymous / 45 years old / Female 1. Will there be a recurrence after the doctor performs surgery? A: Yes, there is a possibility of recurrence. The likelihood of recurrence is related to whether the surgeon was able to achieve clear margins and the safety distance. If the exci...[Read More] Understanding Oral Cancer: Risks, Recurrence, and Survival Rates
Navigating Drug Resistance in Post-Surgery Colorectal Cancer Treatment
Colorectal cancer resistance to treatment After my family member's surgery for colorectal cancer, they had a KRAS mutation and underwent all lines of chemotherapy. The first-line treatment was the most effective, but the tumor only shrank initially and then showed no further...
Dr. Chen Yunfang Reply:
Hello: 1. I am not your attending physician and cannot provide answers to your questions. 2. What is often not mentioned in online advertisements and promotional content is that it requires a significant amount of money, and it is completely outside of the National Health Insu...[Read More] Navigating Drug Resistance in Post-Surgery Colorectal Cancer Treatment
Managing Edema and Pain in Advanced Pancreatic Cancer Patients
Pancreatic cancer metastasized to the liver, with bilateral lower extremity edema up to the knees? Last November, a family member (female) was diagnosed with stage II pancreatic cancer and underwent a Whipple resection. Post-surgery, she did not receive adjuvant chemotherapy. Fou...
Dr. Chen Sirong Reply:
Yuyu / 28 years old / Female 1. What does the doctor think should be done in this situation? A: 1.1 The cancer itself may cause cachexia, leading to poor nutrient absorption, resulting in a severe weight loss down to 33 kg. Even with supplementation, it may not be sufficient. T...[Read More] Managing Edema and Pain in Advanced Pancreatic Cancer Patients
Understanding Abnormal Blood Test Results: Lymphocyte Levels and Cancer Risks
Abnormal blood test results? Two days ago, the clinic conducted a blood test report for a 40-year-old male. The results are as follows: WBC 5900 /µL, Neutrophil 44.7%, Lymphocyte 46.6% (elevated, normal range 18-45), Monocyte 6.5%, Eosinophil 1.3%, Basophil 0.9%, RBC 5.42 M/µL, H...
Dr. Chen Sirong Reply:
Light / 41 years old / Male. Could this be a precursor to blood cancer or lymphoma? A: 1. No 2. It could be caused by inflammation 3. Based on the blood test results, you currently do not have blood cancer, and lymphoma cannot be diagnosed solely through a blood test. Wishing you...[Read More] Understanding Abnormal Blood Test Results: Lymphocyte Levels and Cancer Risks
Understanding Blood Test Results: High Lymphocyte Levels and Cancer Concerns
Blood test? The blood test report from the clinic two days ago shows the following results for a 40-year-old male: - WBC: 5900 /µL - Neutrophil: 44.7% - Lymphocyte: 46.6% (elevated, normal range: 18-45%) - Monocyte: 6.5% - Eosinophil: 1.3% - Basophil: 0.9% - RBC: 5.42 M/µL - He...
Dr. Chen Yunfang Reply:
Hello: This does not necessarily indicate lymphoma; I do not have any abnormal findings in this report. Thank you.[Read More] Understanding Blood Test Results: High Lymphocyte Levels and Cancer Concerns
Understanding Elevated CEA Levels: Impact of Rheumatoid Arthritis
CEA value Hello, my mother went to a nephrologist due to back pain, and an ultrasound revealed a shadow on her liver. Blood tests were arranged, and her CEA level was found to be 1119, which is extremely high. However, she does not have any other discomforting symptoms. My mother...
Dr. Hu Ziren Reply:
Psoriatic arthritis does not affect CEA levels; note: a CEA level of 1119 is significantly elevated, typically indicating that "potential" cancer is at an advanced stage or has metastasized to multiple sites. It is recommended to promptly consult an oncologist for furth...[Read More] Understanding Elevated CEA Levels: Impact of Rheumatoid Arthritis
Early Signs of Pancreatic Cancer: Blood Sugar and Weight Loss
Signs of Pancreatic Cancer Doctor, I would like to ask if elevated blood sugar levels or weight loss are common issues before a diagnosis of pancreatic cancer, or if these symptoms typically appear only in the later stages. Thank you.
Dr. Chen Sirong Reply:
Xiao Wei / 30 years old / Male 1. I would like to ask if elevated blood sugar levels or weight loss are common issues before a diagnosis of pancreatic cancer. A: Not necessarily. Some individuals may be asymptomatic and discover the diagnosis during routine check-ups, while oth...[Read More] Early Signs of Pancreatic Cancer: Blood Sugar and Weight Loss