Understanding Lymph Node Issues After COVID-19: Key Concerns and Insights
Lymph node-related issues? Hello Dr. Chen, I have the following questions I would like to consult with you. Since I was diagnosed with COVID-19 at the end of April, I have frequently noticed swollen lymph nodes in the neck area, which has made me worried about potential underlyi...
Dr. Chen Sirong Reply:
Hui / 31 years old / Female 1. The doctor mentioned that there is a lymph node approximately 2.3 cm in size under my left armpit that needs to be monitored. Since I have not received any vaccinations, the doctor suggested monitoring it for six months. Should I consider getting i...[Read More] Understanding Lymph Node Issues After COVID-19: Key Concerns and Insights
Understanding Cancer Treatment: CTC vs. NGS and Drug Resistance
Cancer Consultation 1. What is the benefit of performing a circulating tumor cell (CTC) test, or would it be more meaningful to conduct next-generation sequencing (NGS)? 2. Previously, during first-line treatment, the CEA level dropped to 5, but after switching to the 23rd line...
Dr. Chen Yunfang Reply:
Hello: 1. NGS testing is out-of-pocket, and I estimate it costs tens of thousands of NT dollars. If a rare genetic mutation is detected, using the latest imported targeted therapies can be significantly more expensive (it's not uncommon to spend over a hundred thousand NT ...[Read More] Understanding Cancer Treatment: CTC vs. NGS and Drug Resistance
Understanding Ground-Glass Nodules: Follow-Up Recommendations and Concerns
Questions about lung CT? This year's health check-up revealed a low-dose lung CT report indicating ground-glass nodules: "Subpleural nodular ground-glass opacities with two solid small nodules located in the right upper lobe (N1: 3.4mm; N2: 2.5mm)." How often shoul...
Dr. Chen Sirong Reply:
Wang / 39 years old / Male. How often should follow-up appointments be scheduled? 1.1. If a comprehensive interpretation by a physician is not arranged during the health check-up, you can schedule an appointment with a pulmonologist at your hospital to review the imaging. If yo...[Read More] Understanding Ground-Glass Nodules: Follow-Up Recommendations and Concerns
Understanding Elevated CEA Levels: Can Fibromas Affect Tumor Markers?
The CEA level is very high? Doctor, I would like to ask about the tumor marker CEA. My report shows an abnormal level of 70, but I have no discomfort in my body. I suddenly remembered that I have had a fibroma on my tongue for over a year. Could the fibroma on my tongue cause the...
Dr. Chen Sirong Reply:
K/41 years old/male CEA report index 70 abnormal. Can a fibroma on the tongue cause an elevated CEA level? A: I don't think so. Are you sure it's a fibroma on the tongue? I recommend seeing a dentist or an ENT specialist for a definitive diagnosis. Even if it were tongu...[Read More] Understanding Elevated CEA Levels: Can Fibromas Affect Tumor Markers?
Understanding Lymph Node Issues: Could It Be Lymphoma?
Issues with cervical lymph nodes? Hello, Doctor. About three to four months ago, I discovered a large and painful lymph node on the inner side of my left jaw. It hurts a lot when I clench my jaw. Initially, I visited a clinic where the doctor said it was likely an enlarged lymph ...
Dr. Chen Yunfang Reply:
Hello: It is impossible for a physician to determine whether someone has cancer without having met them in person. You need to seek medical attention in person, unless an otolaryngologist has performed a lymph node biopsy for you, which would allow them to answer that question. T...[Read More] Understanding Lymph Node Issues: Could It Be Lymphoma?
Understanding Lymph Node Swelling: Causes Beyond Lymphoma
A cluster of lymph nodes? On May 13, I received my third dose of the Moderna vaccine. On the morning of July 14, I suddenly experienced pain in my left arm, which by the evening had extended to my left chest near the armpit. Upon palpation, the lymph nodes in the armpit were swol...
Dr. Chen Sirong Reply:
Patient: Xiao Liu / 40 years old / Male Question: Aside from ruling out lymphoma, what other organs could have cancer cell metastasis? Answer: Lymphadenopathy may be caused by: 1. Cancer 2. Changes due to immune response from vaccination. 1. It should be noted that almost all...[Read More] Understanding Lymph Node Swelling: Causes Beyond Lymphoma
Alternative Treatments for Stage IV Anal Cancer: Options Beyond Surgery and Chemotherapy
Treatment for anal cancer? Hello Dr. Chen, my older sister is 64 years old and has been diagnosed with stage IV anal cancer for a year. The tumor was initially 10 cm in size, reduced to 5 cm after radiation therapy, but has gradually grown back to 10 cm. The surgeon believes that...
Dr. Chen Yunfang Reply:
Hello: There is no textbook standard answer for the treatment of recurrent anal cancer, as the results are not convincing. Patients still need to seek medical advice from a physician for recommendations. I don't have much to suggest here online. Thank you.[Read More] Alternative Treatments for Stage IV Anal Cancer: Options Beyond Surgery and Chemotherapy
Understanding Advanced Colon Cancer Treatment Options and Challenges
Colorectal cancer treatment As a child seeking advice for my father: My father, in his seventies, was diagnosed with colon cancer that had metastasized to the liver at the time of discovery. After surgically removing the tumor at the junction of the colon and rectum, he began che...
Dr. Chen Yunfang Reply:
Hello: Some questions are not ones that I, as a general physician, can or should answer; you need to ask your father's primary physician. Therefore, I will only address some research-related inquiries: 2. All Ras gene mutations indicate that targeted therapies for a specific...[Read More] Understanding Advanced Colon Cancer Treatment Options and Challenges
Is a Small Hard Lump Near My Left Nipple a Sign of Breast Cancer?
There is a small hard lump just below the left nipple? Hello Doctor, I recently noticed a small hard lump just below my left nipple, like a tiny ball under the skin. I can't squeeze it out with my fingers, and it only hurts a bit when I press hard on it. I don't feel it...
Dr. Hu Ziren Reply:
The incidence of male breast cancer is extremely low. If the size exceeds 1-3 centimeters, it is recommended to consult a general surgeon.[Read More] Is a Small Hard Lump Near My Left Nipple a Sign of Breast Cancer?
Understanding Lumps in the Armpit: What You Need to Know
Axillary lump Hello, doctor. I am 25 years old and discovered a lymph node in my neck when I was 16-17 years old. I also had one in my groin at that time. A biopsy of the neck lymph node showed normal results. These lymph nodes have not changed for nearly 10 years. However, in th...
Dr. Hu Ziren Reply:
The lymph nodes in the neck have undergone fine-needle aspiration and ultrasound imaging, which did not reveal any abnormalities. Additionally, since they are very small (less than 1 cm), the likelihood of cancer is extremely low. It is recommended to simply monitor the situation...[Read More] Understanding Lumps in the Armpit: What You Need to Know
Managing Esophageal Stricture and Motility Issues After Cancer Treatment
Esophageal sclerosis and impaired peristalsis? Hello Dr. Chen: My father is 72 years old and was diagnosed with stage III esophageal cancer two years ago. He underwent stereotactic body radiation therapy, chemotherapy, and has not had surgery. Currently, both CT scans and PET sca...
Dr. Chen Sirong Reply:
Tina / 42 years old / Female 1. Besides medications that aid peristalsis and the esophageal stent (which the physician does not recommend for your father), are there any other suggested treatment options? A: 1.1 It is uncertain whether esophageal balloon dilation would be benef...[Read More] Managing Esophageal Stricture and Motility Issues After Cancer Treatment
Understanding a Hard Lump in the Armpit: Tumor, Folliculitis, or Lymphadenopathy?
There is a hard lump in the armpit? Hello doctor, I have had swelling in both armpits for several months. Recently, the swelling on the right side has decreased, but today while showering, I felt a small hard lump (about one centimeter) in my left armpit. It is not very noticeabl...
Dr. Chen Sirong Reply:
Seal / 19 years old / Female 1. Which is more likely: a tumor, folliculitis, or lymphadenopathy? A: Accessory breast tissue and the other three conditions you mentioned are all possibilities. 2. Can it be left untreated? A: 2.1 Based on what you described, the likelihood of ...[Read More] Understanding a Hard Lump in the Armpit: Tumor, Folliculitis, or Lymphadenopathy?
Understanding Normal Pancreatic Index in Stage 3 Pancreatic Cancer
Normal pancreatic index? My mother initially thought she had stomach discomfort, but after undergoing an MRI in the hepatobiliary and gastroenterology department, the report indicated a 90% likelihood of stage 3 pancreatic cancer. After being evaluated by an oncologist, there wer...
Dr. Hu Ziren Reply:
Currently, the method for biopsy in pancreatic cancer is endoscopic ultrasound-guided fine needle aspiration, which has an extremely low risk of cancer cell dissemination due to the tumor biopsy. For stage III pancreatic cancer, preoperative treatment may involve either chemother...[Read More] Understanding Normal Pancreatic Index in Stage 3 Pancreatic Cancer
Radiation Therapy Options for Advanced Head and Neck Tumors
Radiation Therapy for Head and Neck Tumors Hello Dr. Chen: My father is a terminal cancer patient (unable to eat, can only take small amounts of liquid, primarily receiving intravenous nutrition while hospitalized). Due to recurrent bacterial infections, chemotherapy has been pau...
Dr. Chen Sirong Reply:
Tinglee / 37 years old / Female 1. In an online consultation without seeing the patient, I cannot claim that my recommendations are better than those of the original attending physician. 2. Generally, I respect the original attending physician. 3. A patient may not necessarily p...[Read More] Radiation Therapy Options for Advanced Head and Neck Tumors
Managing Discomfort After Total Mastectomy and Tamoxifen Use
Immediate reconstruction after total resection of carcinoma in situ? Taking tamoxifen makes me feel very uncomfortable and hot. The large hospital advised me to take one pill a day, but an external gynecologist with a PhD from Cambridge said I don't need to take the medicati...
Dr. Hu Ziren Reply:
After a mastectomy for ductal carcinoma in situ, hormone therapy can reduce the risk of recurrence of contralateral breast cancer. However, if the side effects of the medication are intolerable, it is advisable to discuss with the treating physician the possibility of discontinui...[Read More] Managing Discomfort After Total Mastectomy and Tamoxifen Use
Post-Chemotherapy Management for Breast Cancer Patients: Key Considerations
Post-Chemotherapy Management The patient has right breast cancer and has undergone a total mastectomy and axillary lymph node dissection. The pathology report indicates the following: Stage: IIB, Tumor size: 2.4 cm, Lymph nodes: positive for metastasis (2, 11), Distant metastasis...
Dr. Chen Sirong Reply:
Patient: 46 years old, male 1. I would like to ask, what are the key reasons for the consultation with the radiologist to assess whether additional radiation therapy and oral chemotherapy are necessary? A: If the lymph nodes have not metastasized, and the tumor is less than 4 c...[Read More] Post-Chemotherapy Management for Breast Cancer Patients: Key Considerations
Understanding Painful Armpit Lumps: When to Seek Further Medical Help
There is a hard lump and pain in the armpit? Two weeks ago, I experienced some pain in my armpit, initially thinking it was just folliculitis. However, within five days, I discovered a hard lump deep in my armpit that was swollen and painful. It caused me to wake up in pain durin...
Dr. Chen Sirong Reply:
S/36 years old/Female Q: I would like to ask the doctor if I should return to the same clinic or if it is recommended that I go to a hospital for consultation? A: Each option has its pros and cons. 1. The benefit of returning to the original doctor is that they are familiar w...[Read More] Understanding Painful Armpit Lumps: When to Seek Further Medical Help
Managing Side Effects of Nasopharyngeal Cancer Treatment: Key Considerations
Radiation therapy for nasopharyngeal carcinoma is reduced? My father was diagnosed with stage IV nasopharyngeal carcinoma, but there was no distant metastasis; however, there was involvement of the lymph nodes in the head and neck region and the left optic nerve. Initially, he un...
Dr. Chen Sirong Reply:
1. What are the consequences of stopping radiation therapy? A: The tumor may grow and compress the optic nerve, potentially leading to blindness in the left eye. It could invade the brain, nose, and lymph nodes in the neck, causing recurrence and growth that may lead to skin ulce...[Read More] Managing Side Effects of Nasopharyngeal Cancer Treatment: Key Considerations
Understanding Enlarged Clavicular Lymph Nodes: Concerns and Insights
Enlargement of the supraclavicular lymph nodes? Hello, Doctor! My mother is 67 years old. She previously lived in China for an extended period while taking care of children. During that time, she received the Sinopharm vaccine on June 24 of last year. At the end of August, she no...
Dr. Chen Yunfang Reply:
Hello: 1. The cytology report indicates that the specimen is insufficient for diagnostic purposes, which means this test is not useful. 2. Lymph nodes smaller than 1 cm should be biopsied (I mean excisional biopsy, where the entire node is removed for pathological examination, no...[Read More] Understanding Enlarged Clavicular Lymph Nodes: Concerns and Insights
Managing Swelling in Patients Undergoing Chemotherapy for Pancreatic Cancer
Lower extremity edema due to chemotherapy for pancreatic cancer? Hello Dr. Chen, my father is 71 years old and has stage 4 pancreatic cancer. He is currently undergoing chemotherapy with Gemcitabine and Abraxane, and he has completed his 13th cycle. Starting from the 13th cycle, ...
Dr. Chen Yunfang Reply:
Hello: 1. I cannot provide an answer without understanding the medical condition. 2. Eating eggs does not supplement albumin; albumin is produced by the liver and is not directly absorbed from any food. 3. Edema is a clinical manifestation that can accompany many different diseas...[Read More] Managing Swelling in Patients Undergoing Chemotherapy for Pancreatic Cancer