Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis
Lymphadenopathy Hello Doctor: Around October, I experienced sharp pain in my jaw and throat. Upon pressing, I discovered a hard swollen lymph node near my salivary glands, approximately 2 cm in size. In November, I was very worried and went to see an ENT specialist and an endocri...
Dr. Chen Sirong Reply:
Hello [email protected]: 1. Is it possible that my colorectal carcinoma in situ has metastasized to the cervical lymph nodes? A: "In situ" means that it is localized and does not metastasize. 2. If the ultrasound shows no issues, do I need to go to an ENT spec...[Read More] Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis
Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Lymphadenopathy issues? Two years ago, I discovered swelling in the submandibular lymph nodes, and not long after, I also found swelling in the posterior cervical lymph nodes and axillary lymph nodes, all located on the left side of my body. Today, I consulted with a hematologist...
Dr. Chen Sirong Reply:
Xiao Hei / 19 years old / Female. Doctor, should I still be worried? A: Don't worry; just have regular check-ups. Wishing you good physical and mental health. Taoyuan Hospital, Dr. Chen Si-Rong.[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Understanding Stage IV Nasopharyngeal Cancer and Its Treatment Options
Stage IV nasopharyngeal carcinoma with distant metastasis? My boyfriend is from mainland China and has recently been diagnosed with nasopharyngeal carcinoma at a hospital there. The cancer has metastasized to the bilateral cervical lymph nodes, supraclavicular lymph nodes, multip...
Dr. Hu Ziren Reply:
Yes, stage IV cancer is considered incurable. The treatment goals are primarily to control the disease and extend the patient's average survival time. It is recommended to follow the physician's advice and subsequent treatment plans.[Read More] Understanding Stage IV Nasopharyngeal Cancer and Its Treatment Options
Understanding Lymph Node Issues: Key Questions and Insights
Lymphatic issues Hello Doctor, I would like to inquire about lymphatic issues: 1. Self-reported: 1. On May 25, 2022, I discovered a movable, non-painful, neither soft nor hard mass on the right side of my neck. 2. On May 25, 2022, I found a movable, non-painful, neither so...
Dr. Chen Sirong Reply:
Chris / 37 years old / Male 1. Is the size of the lymph nodes observed through ultrasound within the normal range? Can the measurements vary between different physicians? A: Generally, lymph nodes larger than 1 cm require further evaluation or biopsy, while those under 1 cm ca...[Read More] Understanding Lymph Node Issues: Key Questions and Insights
Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Lymphadenopathy Hello, I experienced a high fever in mid-April that lasted for three days, with the highest temperature reaching over 39 degrees Celsius. After that, I noticed swelling in the lymph nodes on the right side of my neck. When I consulted a doctor at that time, they s...
Dr. Chen Yunfang Reply:
Hello: Please visit an otolaryngologist to perform a neck lymph node biopsy (preferably with the same physician who performed the initial biopsy). If possible, avoid needle aspiration and opt for an excisional biopsy of the entire lymph node, as it has greater diagnostic value. S...[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Understanding Groin Lymphadenopathy: Causes, Concerns, and Recovery
Inguinal lymphadenopathy Hello, doctor. Recently, I experienced swelling of the lymph nodes in the groin area, along with recurrent inflammation, which even extended to the cervical lymph nodes. Therefore, I went to the hematology department for examination. The pathology report ...
Dr. Hu Ziren Reply:
In the early stages after a biopsy, the wound may experience localized inflammation and swelling. Once the wound heals and scabs over, there may be localized hardening, and pressing on it may cause tenderness, which is considered normal. For recurrent mouth and tongue ulcers, it ...[Read More] Understanding Groin Lymphadenopathy: Causes, Concerns, and Recovery
Understanding Lymph Node Issues: Insights on Biopsy Results and Cancer Concerns
Cervical lymphadenopathy? Hello doctor, I would like to ask about the lymph nodes in my left occipital and left cervical regions. The lymph node in the left occipital area is approximately 1 cm and was discovered in September 2020. Ultrasounds conducted in September 2020 and Janu...
Dr. Chen Sirong Reply:
1. The left occipital lymph nodes have not changed, so monitoring should suffice as long as they do not increase in size. 2. The left cervical lymph nodes have decreased in size, which likely indicates that it is not cancer. 3. If there is metastatic cancer or lymphoma, fine ...[Read More] Understanding Lymph Node Issues: Insights on Biopsy Results and Cancer Concerns
Understanding Swollen Neck Lymph Nodes: Key Questions Answered
Some questions regarding cervical lymphadenopathy? Hello Dr. Chen: I have some questions regarding cervical lymphadenopathy that I would like to consult with you. I am not referring to my specific situation or any individual's unique circumstances; I would appreciate your ge...
Dr. Chen Sirong Reply:
Hello, Xiao Bao / 40 years old / Male: 1. If there is a single posterior cervical lymph node measuring about 1 cm that has not changed after three months (and there are no other unusual symptoms like fever), does this mean it is relatively less likely to be caused by lymphoma? O...[Read More] Understanding Swollen Neck Lymph Nodes: Key Questions Answered
Understanding Lymph Node Concerns: Insights on Swelling and Inflammation
I have another question regarding lymphatic issues? Hello Dr. Chen, in February I had a mouth ulcer and swelling and pain in my left parotid lymph nodes. I also accidentally found a lymph node near the left side of my neck, close to the clavicle. Later, my mouth healed, and the l...
Dr. Chen Sirong Reply:
1. If you keep pressing it, it will only make you more anxious and panicked. A: It's advisable not to keep pressing it, as it may irritate the area. If you check it once a day to monitor its size, that would be fine! 2. Do you think the lymph nodes near the clavicle are nor...[Read More] Understanding Lymph Node Concerns: Insights on Swelling and Inflammation
Understanding Lymph Nodes: Concerns and Insights from a Cancer Patient
I was overwhelmed by lymph nodes? Dr. Chen, first of all, I want to thank you for saving me from panic and helplessness a few years ago on this platform. Recently, those feelings have returned, and I have many questions I would like to ask you: 1. A few weeks ago, I accidentall...
Dr. Chen Sirong Reply:
Patient: Xiao Ke / 37 years old / Male 1. I brushed my teeth too hard and hit my lower gum, resulting in an ulcer the next day. A: This allowed bacteria to enter, causing inflammation and resulting in swollen lymph nodes in the neck, which is quite reasonable. 2. On February 20...[Read More] Understanding Lymph Nodes: Concerns and Insights from a Cancer Patient
Managing Stage IV Nasopharyngeal Cancer: One and a Half Years Post-Treatment
One and a half years after treatment for stage IV nasopharyngeal carcinoma? My husband has stage IV nasopharyngeal carcinoma (T4N3M0), located in the supraclavicular fossa and the longus colli muscle area. After a year and a half of treatment, he is doing well. Recently, during a...
Dr. Lai Yicheng Reply:
1. Please perform a blood test to check the EBV DNA PCR levels, and then assess for any recurrence. 2. The cervical lymph nodes have decreased from 1.2 cm to 0.6 cm and then increased to 0.96 cm; I recommend surgical excision for pathological examination. 3. Is the nasopharyn...[Read More] Managing Stage IV Nasopharyngeal Cancer: One and a Half Years Post-Treatment
Managing Lateral Lymph Node Metastasis in Papillary Thyroid Cancer: Surgery or I-131?
For lateral lymph node metastasis of papillary thyroid carcinoma, is surgery recommended or is iodine-131 treatment preferred? 1. What is the ideal level of thyroglobulin (TG)? 2. Given the bilateral lateral neck lymph node metastasis, should surgery be performed or should anothe...
Dr. Chen Sirong Reply:
Marian / 21 years old / Male Q1: What is the ideal TG value? A: For patients on thyroid hormone replacement, a TG < 1 indicates successful treatment, while a TG > 5 raises suspicion for recurrence. For those not on thyroid hormone replacement, a TG < 5 indicates succe...[Read More] Managing Lateral Lymph Node Metastasis in Papillary Thyroid Cancer: Surgery or I-131?
Understanding Swollen Lymph Nodes and Neck Pain: Causes and Concerns
Swelling and pain of the right cervical lymph nodes, along with stiffness in the muscles of the right posterior neck? Hello, Doctor! I would like to ask a few questions. A week ago, I started experiencing slight swelling and pain in my right neck, but there were no issues upon ex...
Dr. Chen Yunfang Reply:
Hello: You can observe the changes in the cervical lymph nodes for about two weeks. If the lymphadenopathy is caused by a cold, it usually decreases and resolves within two weeks. However, if it is due to a malignant lymphoma, it will not decrease in size and will continue to gro...[Read More] Understanding Swollen Lymph Nodes and Neck Pain: Causes and Concerns
Understanding Lymphadenopathy: Abnormal Blood Test Results Explained
Lymphadenopathy Hello Doctor, I have a problem with enlarged lymph nodes that won't go away, so the hematologist drew my blood and found two abnormal values: platelet distribution width at 9.0 fL (reference range 10.0-16.0) and eosinophils at 8.2% (reference range 0.0-7.0). ...
Dr. Chen Yunfang Reply:
Hello: The values from the instruments in each hospital can indeed vary, so please trust this fact. Since the testing instruments purchased cannot be standardized across Taiwan, a test result that shows abnormal levels at one facility may appear normal at another. It is essential...[Read More] Understanding Lymphadenopathy: Abnormal Blood Test Results Explained
Understanding Persistent Lymph Nodes: Autoimmune Disease or Cancer Risk?
The lymph nodes have been swollen for nearly three years? Hello doctor, I was diagnosed with an autoimmune disease - multiple sclerosis two to three years ago. I started receiving interferon treatment in July 2013. In November of the same year, I experienced full-body itching for...
Dr. Lai Yicheng Reply:
Dear Miss Annie, Thank you for your letter. In response to your inquiry, are you very thin? In thin patients, it is sometimes possible to palpate the inguinal or cervical lymph nodes. If the lymph nodes have not continued to enlarge over the past 2-3 years, they are likely benig...[Read More] Understanding Persistent Lymph Nodes: Autoimmune Disease or Cancer Risk?
Understanding Enlarged Lymph Nodes: Causes and When to Seek Help
Lymphadenopathy A few weeks ago, I felt a lump in my neck and went to see an ENT doctor who said it was swollen lymph nodes. However, since it is soft and movable, it is not a major concern and can be monitored. Recently, I have noticed that the lump seems to be getting larger. C...
Dr. Lai Yicheng Reply:
Dear Madam, Thank you for your message. Here is my response: Lymphadenopathy may be an immune response to bacterial or viral infections, leading to inflammation characterized by redness, swelling, heat, and pain. It is common to notice enlarged cervical lymph nodes during a col...[Read More] Understanding Enlarged Lymph Nodes: Causes and When to Seek Help
Understanding Lymph Node Enlargement in Head and Neck Cancer Metastasis
Lymphatic metastasis Hello, doctor. I would like to ask if the symptoms and appearance of lymphadenopathy caused by head and neck cancers metastasizing to the lymph nodes are similar to those caused by lymphoma, or if there are differences. Additionally, if gastrointestinal cance...
Dr. Chen Yunfang Reply:
Hello: The lymphatic system, like our blood, circulates throughout the body. Therefore, cancer from any part of the body can metastasize to lymph nodes anywhere. This is true for head and neck cancers, lymphomas, and even gastrointestinal cancers. They all appear similar, and it ...[Read More] Understanding Lymph Node Enlargement in Head and Neck Cancer Metastasis
Understanding Nasopharyngeal Cancer and Left Neck Tumors: Key Concerns
Nasopharyngeal carcinoma with a left-sided posterior neck mass? Hello Dr. Chen, My mother is 64 years old and was diagnosed with stage II nasopharyngeal carcinoma 23 years ago. She underwent cobalt-60 radiation therapy at that time, and her condition has been under control sinc...
Dr. Chen Sirong Reply:
Ms. Zhao / 32 / 1 Hello! 1.1 The medical history has lasted for 23 years, with regular check-ups and blood tests at the hospital every year showing no issues. Is there a high chance that this tumor is due to a recurrence of nasopharyngeal carcinoma? A: The likelihood is low, but ...[Read More] Understanding Nasopharyngeal Cancer and Left Neck Tumors: Key Concerns
Understanding Lymph Node Changes in the Neck: When to Seek Further Evaluation
Parotid and cervical region Hello, Doctor: I am 32 years old, with no smoking, drinking, or betel nut habits, but I do stay up late, with sleep duration ranging from 5 to 7 hours, and I take a 1-hour nap at noon. My significant medical history includes: 1. Childhood cryptorchidis...
Dr. Fan Sheng Reply:
Concerned individual: Your blood test results are completely normal. The cervical lymph nodes have been present for a long time and are very small, so there should be no major issues. Please do not worry.[Read More] Understanding Lymph Node Changes in the Neck: When to Seek Further Evaluation
Should I Consult an ENT Specialist for Neck Lymph Node Pathology?
Is it correct to perform pathological biopsies of cervical lymph nodes in thoracic surgery? Hello, doctor. Two months ago, I experienced discomfort and pain in my lower abdomen, which led me to visit a gastroenterology clinic for examination. Due to some abnormalities, I was refe...
Dr. Fan Sheng Reply:
Elsa: Currently, there are three methods that can be adopted: the first is the lymph node biopsy from the supraclavicular lymph nodes, which should be manageable by the thoracic surgeon; the second involves a needle biopsy of the retroperitoneal mass guided by a radiologist using...[Read More] Should I Consult an ENT Specialist for Neck Lymph Node Pathology?