Understanding the Long-Term Effects of I-131 Treatment in Thyroid Cancer Patients
May I ask the doctor? Hello, Doctor. Due to PTC, I underwent a total thyroidectomy and received a 120 mCi dose of I-131. For the past two to three years, my follow-ups have included ultrasound, serum thyroglobulin, TSH, and FT4 tests. I would like to ask if radioactive iodine tre...
Dr. Chen Sirong Reply:
Anonymous / 25 years old / Female 1. I would like to ask if radioactive iodine treatment increases the future risk of infertility, pulmonary fibrosis, or leukemia? ANS: Potential side effects of radioactive iodine treatment include thyroiditis, which may occur if there is a si...[Read More] Understanding the Long-Term Effects of I-131 Treatment in Thyroid Cancer Patients
Understanding Blood Test Results: Concerns About Lymphocytes and Leukemia
Blood test Hello Dr. Hu, I would like to ask you about my blood test results. My WBC is 4.43, Neutrophils segmented 27.0, Lymphocytes 56.0, Monocytes 9.0, Eosinophils 5.0, Basophils 0.0, and Atypical lymphocytes 3.0. In August of this year, I also had a WBC test done at my family...
Dr. Hu Ziren Reply:
Atypical lymphocytes are a transient physiological response caused by viral infections and are not malignant. Therefore, it is recommended to wait until the cold has resolved or to have blood drawn for follow-up after three months.[Read More] Understanding Blood Test Results: Concerns About Lymphocytes and Leukemia
Understanding White Blood Cell Count Changes: What You Need to Know
White blood cell count Hello Doctor, my white blood cell count has always been over 5000. On April 15th, it was 5640, but during a check on August 17th, I found it had dropped to 4100. My red blood cell count is 556, hemoglobin (Hb) is 16.6, hematocrit (Hct) is 48.9, mean corpusc...
Dr. Chen Yunfang Reply:
Hello: The white blood cell count is within the normal range, with no abnormalities. The numbers are inherently variable; they are not fixed. Thank you.[Read More] Understanding White Blood Cell Count Changes: What You Need to Know
Understanding Symptoms of Leukemia: Throat Pain and Weakness
Symptoms of leukemia? Hello Dr. Chen, I have been experiencing a sore throat for the past week (I noticed possible inflammation near the soft palate), along with weakness in my arms and legs, and my appetite has not been very good most of the time. Could this possibly be related ...
Dr. Chen Sirong Reply:
Xiaomi / 38 years old / Male, is there a problem with leukemia? A: Leukemia typically involves an increase in white blood cells, which can be determined through a blood test. It is recommended that you go to a laboratory, clinic, or large hospital for examination. Wishing you saf...[Read More] Understanding Symptoms of Leukemia: Throat Pain and Weakness
Understanding Elevated Lymphocytes: Causes and Concerns in Oncology
Elevated lymphocyte count? Hello Doctor, I would like to ask you a question... Two weeks ago, I experienced stomach discomfort, dizziness, and general weakness, so I went to the emergency room. At that time, my blood test showed mild jaundice, low potassium levels, and slightly e...
Dr. Chen Sirong Reply:
1. Can elevated lymphocyte levels lead to leukemia? A: In most cases, elevated lymphocyte counts indicate that the body is mounting a defense against pathogens such as bacteria and viruses. In leukemia, lymphocyte counts can be extremely high, often exceeding 50,000 to 100,000 ce...[Read More] Understanding Elevated Lymphocytes: Causes and Concerns in Oncology
Understanding Lymphocyte Levels: Concerns About Blood Disorders and Cancer
Blood disorders Hello, doctor... Two weeks ago, I went to the emergency room due to dizziness, general weakness, nausea, and bloating. I have a history of gastroesophageal reflux disease (GERD). They drew several vials of blood, and the results showed mild jaundice, low potassium...
Dr. Chen Yunfang Reply:
Hello: A higher proportion of lymphocytes does not necessarily indicate blood cancer; there are many possible reasons for this in diagnosis. It is recommended that you consult a hematologist for interpretation of the report. Thank you![Read More] Understanding Lymphocyte Levels: Concerns About Blood Disorders and Cancer
Understanding Bruising and Blood Disorders: Is It Blood Cancer?
Blood disorders Hello, doctor. Recently, I noticed that I have bruises around my knees. The last time, there were about 6-7 small bruises on my knee, not large ones. They eventually faded away. Last week, I saw 4 bruises, and they went away as well. Today, I noticed one bruise on...
Dr. Lai Yicheng Reply:
Hello: Regarding your symptoms, please visit a hematology-oncology specialist and an immunology-rheumatology specialist for evaluation. The doctor will perform a physical examination and determine whether a biopsy or blood tests are necessary. Treatment, prescriptions, or diagnos...[Read More] Understanding Bruising and Blood Disorders: Is It Blood Cancer?
Understanding Your Health Concerns: Tumor and Blood Cancer Insights
Various physical conditions Doctor: Because I am someone who easily worries and gets anxious about my health, I often ask various questions. I still have some conditions I would like to confirm. 1. Since January of this year, my morning body temperature has been around 36.7°C. ...
Dr. Chen Sirong Reply:
A-Zhe / 38 years old / Male 1. Since January of this year, my morning body temperature has been around 36.7°C. By noon to 9 PM, it rises to 37-37.2°C, and I feel a bit warm and have dry mouth. After 10 PM, it drops to around 36.5°C. I have undergone numerous blood tests (general...[Read More] Understanding Your Health Concerns: Tumor and Blood Cancer Insights
Understanding Bone Pain and Bruising: Is Blood Cancer a Concern?
Sternum issues Doctor, I have a question. I suddenly noticed a bruise on the front of my right calf, and I don't recall hitting it. It doesn't hurt much (today it has faded significantly and is almost healed). Additionally, a few days ago, I had some redness and swellin...
Dr. Chen Sirong Reply:
Ah-Jeh / 38 years old / Male 1. Is there still a possibility of blood cancer? A: No, blood cancer refers to leukemia, which is characterized by the abnormal proliferation of white blood cells rather than a decrease. 2. Is it abnormal that the white blood cell count is sligh...[Read More] Understanding Bone Pain and Bruising: Is Blood Cancer a Concern?
Can Leukemia Cells Cause Sternum Pain in Just Two Weeks?
Sternal tenderness Hello, I am the person who asked question #138790. Thank you for your response, doctor! However, I would like to ask if it is possible for leukemia cells to grow to the extent that they cause sternum tenderness and joint pain within two weeks? The report from t...
Dr. Chen Yunfang Reply:
I apologize for the late response: it is possible, but in reality, the likelihood is extremely low, similar to the odds of winning a major lottery; it is indeed very rare.[Read More] Can Leukemia Cells Cause Sternum Pain in Just Two Weeks?
Assessing the Risk of Leukemia Recurrence After Childhood Recovery
What is the likelihood of leukemia relapse? Hello Doctor: I was diagnosed with acute lymphoblastic leukemia in my childhood and have been in remission since then. I stopped follow-up during middle school until last year and this year when I underwent a health check at work. Last ...
Dr. Chen Yunfang Reply:
Hello: First of all, after so many years, I hope your leukemia has improved. However, you should have been going to the hematology department for blood tests once a year for follow-up. Secondly, since you have anemia, you should also visit the hematology department to get medicat...[Read More] Assessing the Risk of Leukemia Recurrence After Childhood Recovery
Persistent Low-Grade Fever: Should You Worry About Cancer?
Hyperthermia Hello, doctor... I started experiencing fever, body weakness, muscle aches, sore throat, and a bit of nasal congestion on the morning of March 21. I visited a clinic, and the doctor diagnosed me with a cold. During the cold, my highest fever reached 38.7°C, and my te...
Dr. Hu Ziren Reply:
It's advisable to wait until the cold has completely resolved (2-3 weeks). If your body temperature is still elevated (>37.8°C), then consider visiting an infectious disease specialist for an initial evaluation.[Read More] Persistent Low-Grade Fever: Should You Worry About Cancer?
Understanding Persistent Elevated Body Temperature: Possible Causes and Concerns
Elevated body temperature? Hello, doctor. Recently, over the past three weeks, my body temperature has varied, being around 36.7-36.9°C before noon, increasing to 37-37.3°C in the afternoon, and dropping to about 36.3-36.5°C from 10 PM to early morning. I mainly feel warm in the ...
Dr. Chen Yunfang Reply:
Hello: Based on the data you provided, you do not have a fever, and your white blood cell count is normal. There is no evidence of lymphoma or leukemia, so please try not to worry too much. Thank you![Read More] Understanding Persistent Elevated Body Temperature: Possible Causes and Concerns
Understanding Afternoon Fever: Possible Causes and Concerns in Oncology
Afternoon low-grade fever with normal temperature at night? Hello, doctor. For the past two to three weeks, my body temperature has varied from 36.5 to 36.8 degrees Celsius before noon, rising to 37 to 37.3 degrees Celsius starting at noon, and then dropping to around 36.5 degree...
Dr. Chen Yunfang Reply:
Hello: The white blood cell count you mentioned is within the normal range (4,000-9,000), which is not unusual! Generally speaking, fever caused by blood cancers typically exceeds 38 degrees Celsius, while your temperature is still within the normal range. Thank you for your inqu...[Read More] Understanding Afternoon Fever: Possible Causes and Concerns in Oncology
Understanding Coagulation Issues: Bruising, Bleeding, and Anemia Concerns
Coagulation function Hello Doctor: Recently, I have been experiencing unexplained bruising on my legs and numerous petechiae under the skin. In late September, I underwent a complete blood count, which showed anemia but normal results for everything else (I have thalassemia). In ...
Dr. Hu Ziren Reply:
I recommend that you go to the hematology department for a follow-up examination; however, leukemia does not have a hereditary tendency, so there is no need to worry too much.[Read More] Understanding Coagulation Issues: Bruising, Bleeding, and Anemia Concerns
Understanding Easy Bruising: When to Seek Medical Attention
Easy bruising? Your question: Hello doctor, I recently noticed that my legs bruise easily, with multiple bruises and many petechiae on my skin. I had a cold a while ago, and since then my body temperature has been slightly elevated, around 37.3°C. There was one occasion when my t...
Dr. Hu Ziren Reply:
It initially appears to have iron deficiency anemia; it is recommended to consult a hematologist for further evaluation. Thank you![Read More] Understanding Easy Bruising: When to Seek Medical Attention
Understanding the Necessity of Cord Blood Storage for Leukemia Treatment
Leukemia and umbilical cord blood issues? Hello, doctor. I would like to ask if there is a necessity to store umbilical cord blood. Currently, is umbilical cord blood only used for leukemia? I have read online that when a child has a problem and needs to use umbilical cord blood,...
Dr. Hu Ziren Reply:
Hello, netizen: 1. In addition to being used for leukemia, umbilical cord blood can also be utilized for certain congenital blood disorders. 2. Yes, it is necessary to collect enough stem cells from umbilical cord blood, with a minimum storage volume of at least two bags. 3. Rega...[Read More] Understanding the Necessity of Cord Blood Storage for Leukemia Treatment
Could Aplastic Anemia Progress to Myelodysplastic Syndrome?
Is it possible for aplastic anemia to transform? Hello Doctor: I was diagnosed with aplastic anemia since middle school, and it has been many years now. Although my lab results have never been very good, I have never required a blood transfusion. However, my hemoglobin has decrea...
Dr. Chen Yunfang Reply:
Hello: It's difficult to determine whether the 1% blast cells are truly malignant leukemia cells or if they are normal cells that accidentally ended up in the peripheral blood. You will need to undergo a bone marrow biopsy to get a definitive answer. It's important to p...[Read More] Could Aplastic Anemia Progress to Myelodysplastic Syndrome?
Understanding Abnormal Blood Cell Counts: Insights into MDS and Aplastic Anemia
Abnormal blood cells Hello, doctor. My wife is 40 years old. In 2006, a blood test revealed that her white blood cell count was low at 3100, while other blood cell counts were normal. This abnormality in white blood cells persisted until 2011, with other blood cell counts remaini...
Dr. Hu Ziren Reply:
Hello, netizen: 1. While there is a temporal relationship between leukopenia and low hemoglobin levels, both should be considered together; 2. The incidence of two types of cytopenia, specifically megaloblastic anemia, is significantly higher than that of myelodysplastic syndrome...[Read More] Understanding Abnormal Blood Cell Counts: Insights into MDS and Aplastic Anemia
Understanding Survival Rates After Leukemia Stem Cell Transplant
Leukemia stem cell transplantation Hello: Thank you for your detailed explanation! The patient is approximately 28 years old and was diagnosed with pre-B acute lymphoblastic leukemia (ALL). They experienced a relapse about one to two months after transplantation, followed by chem...
Dr. Chen Yunfang Reply:
Hello: As of now, although there has been a rapid recurrence, being young and having a graft-versus-host reaction can help (while the cellular rejection may harm other organs, it can also combat leukemia cells, so it's not entirely negative!). I would estimate the five-year ...[Read More] Understanding Survival Rates After Leukemia Stem Cell Transplant