Can Lung Cancer Present with Blood-Streaked Phlegm Without Coughing?
Lung cancer may not present with a cough? Today at work, after finishing lunch, around 4 PM, I went to the restroom intending to wash my face. I had some phlegm in my throat, and without coughing, I made a sound to expel it into my mouth, which had bright red streaks of blood. Si...
Dr. Chen Yunfang Reply:
Hello: Don't overthink it; if you're worried, go see a doctor for an X-ray. Thank you.[Read More] Can Lung Cancer Present with Blood-Streaked Phlegm Without Coughing?
Understanding Swollen Lymph Nodes and Nighttime Hand Discomfort
Lymphadenopathy and nocturnal hand swelling? Hello Doctor, Currently, my symptoms are as follows: I received a Moderna vaccine injection at the clinic on August 13. On August 18, I noticed a round, movable lump in the indentation above my clavicle. I visited the clinic on Augus...
Dr. Chen Sirong Reply:
Kiki / 30 years old / Female 1. I would like to ask the doctor whether I should wait 3-6 months to observe if the lymph nodes do not enlarge, or if I need to see a specialist (if so, which specialty). A: If there is no enlargement, even if there is a residual size of 0.2 cm, th...[Read More] Understanding Swollen Lymph Nodes and Nighttime Hand Discomfort
Understanding Lymph Node Concerns: Common Questions and Answers
Cervical lymphatic issues Dear Dr. Chen, It's me again, and I apologize for bothering you. I've always been very anxious about lymph nodes, and this shadow of fear has lingered. I often check my body for lymph nodes. Aside from the few I consulted you about previously,...
Dr. Chen Sirong Reply:
It's me again, the worried one. / 41 years old 1.1. The lymph nodes I can feel, could they be inflamed due to my constant rubbing against surrounding tissues? A: It's uncertain whether there are lymph nodes, but they are definitely inflamed from your constant poking....[Read More] Understanding Lymph Node Concerns: Common Questions and Answers
Understanding Adenomas: Risks, Treatment Options, and Recommendations for Seniors
Skin adenoma My mother is 87 years old. On August 22 of this year, she told me that she has a lump on her buttocks (she mentioned it has been there for several years, is painless and itchless, round, and smaller than a one-cent coin) that has broken the skin, with a ring of small...
Dr. Chen Sirong Reply:
Ahong / 63 years old / 1. What is an adenoma (there is no clear information online)? A: If it is already classified as malignant, it is adenocarcinoma. Adenocarcinoma of the skin is relatively rare and unique; it must be confirmed by pathology after biopsy or complete excision to...[Read More] Understanding Adenomas: Risks, Treatment Options, and Recommendations for Seniors
Understanding Supportive Care in Advanced Cancer Treatment
Supportive therapy Hello, my mother was diagnosed with stage IV ampullary cancer after going to the hospital for diarrhea in March of this year. She has been undergoing chemotherapy since May 10 and has completed four cycles so far. During this time, she experienced slight discom...
Dr. Hu Ziren Reply:
Supportive care refers to symptom management or palliative care, indicating that the patient's condition has deteriorated and is no longer suitable for other aggressive treatments (such as the current chemotherapy).[Read More] Understanding Supportive Care in Advanced Cancer Treatment
Is It Safe to Have Breast Cancer Surgery and Radiation Therapy at Different Hospitals?
Surgery and Radiation Therapy for Breast Cancer (Ductal Carcinoma In Situ) I am a breast cancer (in situ) patient living in Taitung. I would like to undergo a lumpectomy at Kaohsiung Medical University Hospital, and then have radiation therapy at Taitung Christian Hospital. Do yo...
Dr. Chen Sirong Reply:
Yü / 47 years old / female. It is acceptable that during the surgery, transferring to another hospital is not recommended for radiation therapy. This means that the localization design and radiation treatment should be done at the same hospital, but it is not necessary to remain ...[Read More] Is It Safe to Have Breast Cancer Surgery and Radiation Therapy at Different Hospitals?
Understanding Stage IV Lung Adenocarcinoma: Treatment and Prognosis
Stage IV lung adenocarcinoma Hello, my mother has been diagnosed with stage IV lung adenocarcinoma. The discharge summary states: 1. Malignant lung tumor (right-sided infiltrating adenocarcinoma); 2. Mediastinal lymph node metastasis; 3. Multiple bone metastases (bilateral iliac ...
Dr. Chen Sirong Reply:
Mr. Huang / 33 years old / Male 1. My mom hasn't experienced significant side effects so far; she only had a few small red spots on her hand, which went away afterward. She seems just like her usual self, completely unlike someone with cancer! Is this a good sign? Does it i...[Read More] Understanding Stage IV Lung Adenocarcinoma: Treatment and Prognosis
Understanding Lymphadenopathy: Concerns About Cancer Recurrence and Treatment Options
Lymphadenopathy raises concerns about cancer metastasis or recurrence? Hello Doctor, my mother was diagnosed with a malignant tumor on her ovary two years ago. At that time, it was decided to remove the ovary without chemotherapy. Post-surgery, regular follow-ups showed no signs ...
Dr. Chen Yunfang Reply:
Hello: After reviewing the medical history, your choices are quite reasonable. Since you have been following the same physician for many years, I suggest continuing with them. Even if there is a recurrence of lymphoma, you can simply proceed with chemotherapy, as there are no oth...[Read More] Understanding Lymphadenopathy: Concerns About Cancer Recurrence and Treatment Options
Understanding Stage IV Lung Adenocarcinoma: Treatment and Prognosis
Stage IV lung adenocarcinoma Hello, my mother has been diagnosed with stage IV lung adenocarcinoma. The discharge summary states: 1. Malignant lung tumor (right-sided infiltrating adenocarcinoma); 2. Mediastinal lymph node metastasis; 3. Multiple bone metastases (bilateral iliac ...
Dr. Chen Sirong Reply:
Mr. Huang: Hello. 1. A: There is no definite relationship between side effects and efficacy; many people take medication without experiencing side effects, yet it is effective. Some side effects, such as dermatitis, may occur a month later. During the time when the treatment is e...[Read More] Understanding Stage IV Lung Adenocarcinoma: Treatment and Prognosis
Multiple Lumps Underarms: Should You Worry About Breast Cancer?
Multiple lumps in the axilla? There are multiple lumps in both armpits (3 to 4 lumps on each side) that have persisted for over one to two years. Since there is no pain and no significant increase in size, I haven't paid much attention to them. The lumps vary in size, with t...
Dr. Chen Sirong Reply:
Xyl, 22 years old, female. 1. Recently concerned whether it might be a sign of breast cancer? A: It has been persistent for more than a year or two, without significant enlargement or changes in color. Based on your description, there should be no need for concern. 2. If fur...[Read More] Multiple Lumps Underarms: Should You Worry About Breast Cancer?
Understanding Recurrence Risks in Breast Cancer: Key Questions Answered
I would like to ask two questions regarding recurrence issues? Dear Dr. Chen, Thank you for your previous response regarding my mother's follow-up visit after completing breast cancer treatment, specifically concerning the possibility of recurrence after the ultrasound and ...
Dr. Chen Sirong Reply:
Jerry / 44 years old / Male 1. My mother underwent a high-level PET-CT scan at Taipei Veterans General Hospital last July, and there were no signs of cancer throughout her body. Is it possible for her to have lymphatic metastasis or recurrence of breast cancer just one year late...[Read More] Understanding Recurrence Risks in Breast Cancer: Key Questions Answered
Understanding Abnormal Blood Test Results in Cancer Survivors
Abnormal blood test results! Hello, Doctor. Thank you for taking the time to answer our questions. My mother has a medical history of being diagnosed with stage II colorectal cancer in March 2019. After surgery, she did not undergo any treatment and returned home to rest, with re...
Dr. Chen Yunfang Reply:
Hello: After reviewing the blood test results you mentioned, I believe there is no major concern. The blood cell counts are slightly low, which does not seem to be related to cancer recurrence. It appears more like a manifestation of nutritional deficiency. Individuals who follow...[Read More] Understanding Abnormal Blood Test Results in Cancer Survivors
Understanding Breast Cancer Recurrence: Key Insights and Concerns
Does breast cancer recur? Hello Dr. Chen: My mother was diagnosed with lobular carcinoma of the breast in April 2019. She has completed both chemotherapy and radiation therapy. During a recent follow-up appointment, the doctor performed an ultrasound and subsequently conducted a ...
Dr. Chen Sirong Reply:
Jerry / 44 years old / Male 1. Is it possible that this is metastasis or recurrence? A: It is possible. 2. Is the opposite side the contralateral side? The likelihood of developing breast cancer in the opposite breast is higher than that of the general population, so the phys...[Read More] Understanding Breast Cancer Recurrence: Key Insights and Concerns
Understanding Throat Pain and Foreign Sensation: When to Seek Help
Oral issues Hello Doctor, I would like to ask for your advice. I have been experiencing a sensation of a foreign body and sharp pain in my throat and pharyngeal wall (the area from the uvula down to the deep throat) for the past three months. The symptoms seem to be getting more ...
Dr. Hu Ziren Reply:
Some individuals may experience a persistent sensation of a foreign body or pain in the throat after tonsil surgery. If gastroesophageal reflux or oropharyngeal reflux issues are ruled out, and there are no abnormalities found during regular follow-ups with an otolaryngologist an...[Read More] Understanding Throat Pain and Foreign Sensation: When to Seek Help
Understanding Liver Calcifications in Metastatic Colorectal Cancer Treatment
Cancer treatment My husband has metastatic colorectal cancer. He has undergone surgery to remove the colorectal tumor, and there are two tumors in the liver measuring 1 to 2 centimeters each. There are also about 7 to 8 white calcifications in the liver. He has just completed his...
Dr. Chen Sirong Reply:
Yihsin / 38 years old / Female Patient: Doctor, are liver calcifications precursors to tumors (shadows)? Doctor: No, the causes of liver cancer are usually related to infections from hepatitis B or C, excessive alcohol consumption, or long-term damage. Otherwise, what causes ca...[Read More] Understanding Liver Calcifications in Metastatic Colorectal Cancer Treatment
Understanding Cancer Cell Transmission and Risks in Daily Life
Issues related to cancer cells contacting other sites? Hello Dr. Hu, I would like to ask some questions regarding cancer: 1. Can cancer cells be found in our feces? Do patients with colorectal cancer have cancer cells in their feces? Do these cancer cells in the feces have the ...
Dr. Hu Ziren Reply:
1. No, colorectal cancer will only present with blood in the stool or black stools, or there may be a positive fecal occult blood test. 2. None of the above concerns will occur; cancer is not transmitted through contact.[Read More] Understanding Cancer Cell Transmission and Risks in Daily Life
Stage IV Ampullary Cancer with Liver and Lung Metastasis: Treatment Insights
Stage IV ampullary carcinoma with liver and lung metastases? Hello, my mother was diagnosed with stage IV ampullary cancer after going to the hospital for diarrhea in March of this year. She is not a candidate for surgery and started chemotherapy on May 10th, having completed fou...
Dr. Hu Ziren Reply:
During cancer treatment, appetite may decrease or weight loss may occur due to the cancer itself or cancer-related therapies. However, if the decreased appetite occurs only 2-3 days after chemotherapy, it likely represents an acute side effect of the treatment. It sounds like you...[Read More] Stage IV Ampullary Cancer with Liver and Lung Metastasis: Treatment Insights
Understanding Liver and Kidney Function in Advanced Cholangiocarcinoma
Diagnosed with cholangiocarcinoma with a 14 cm liver tumor metastasized to the thoracic vertebrae? Hello doctor, my husband has been diagnosed with a 14 cm cholangiocarcinoma with metastasis to the thoracic spine. In such cases, what are the typical values and trends for liver fu...
Dr. Hu Ziren Reply:
Intrahepatic cholangiocarcinoma measuring 14 cm; if the patient's physical condition, eating function, and weight are normal, there may be only mild liver function abnormalities, with slight elevations in jaundice and renal function indices, among other abnormal laboratory v...[Read More] Understanding Liver and Kidney Function in Advanced Cholangiocarcinoma
Understanding Small Intestinal Adenocarcinoma: Treatment Options and Quality of Life
Small intestine adenocarcinoma Recently, due to abdominal pain, nausea, and inability to eat, I vomited after eating and went to the hospital for a detailed examination. The diagnosis was small intestine malignant tumor, specifically small intestine adenocarcinoma, which has alre...
Dr. Hu Ziren Reply:
It is recommended to surgically remove the site of the tumor obstruction to first address issues related to eating, drinking, and bowel movements. Additionally, considering your age is relatively young, if your overall health is stable (with no significant weight loss or other ch...[Read More] Understanding Small Intestinal Adenocarcinoma: Treatment Options and Quality of Life
Understanding Stage II Breast Cancer: Treatment and Recovery Insights
Inquiries related to breast cancer? Recently, my mother was diagnosed with stage II breast cancer. She has already undergone surgery and is preparing to start chemotherapy. I would like to know if there is a possibility of recovery in this situation, or if she can return to a nor...
Dr. Chen Sirong Reply:
Zhenyu / 24 years old / Male 1. Is it possible for you to recover from this condition? A: Most people do recover. 2. Can you live a normal life? A: Yes, you can. 3. What should be noted regarding your mother's health condition? A: From a Western medicine perspect...[Read More] Understanding Stage II Breast Cancer: Treatment and Recovery Insights