Understanding Fluctuations in Cancer Markers: A Case Study on Liver Cancer
Could you please clarify what specific information you are seeking regarding blood tests? The blood cancer marker for liver cancer was over 500 during the May check-up (indicating metastasis from colon cancer to the liver), then it rose to 4800 during the June check-up (which was...
Dr. Chen Junyi Reply:
It is likely due to changes in the tumor condition.[Read More] Understanding Fluctuations in Cancer Markers: A Case Study on Liver Cancer
Is Post-Surgery Death from Liver Cancer a Medical Error or Unforeseen Outcome?
Is it considered negligence if a patient dies three months after undergoing surgery for liver cancer? The rapid spread of the situation raises the question: was the patient's passing an unforeseen error or a human oversight? Prior to the surgery, blood tests for liver functi...
Dr. Chen Junyi Reply:
The detection of minimal residual disease is currently a challenging aspect of medical technology.[Read More] Is Post-Surgery Death from Liver Cancer a Medical Error or Unforeseen Outcome?
Assessing Surgical Outcomes: Did Liver Cancer Surgery Lead to Rapid Decline?
Is it considered malpractice if a patient dies three months after liver cancer surgery? Before the surgery, a 10 cm tumor and several smaller tumors were detected in the liver. The internal medicine physician diagnosed that without treatment, the patient would have less than a ye...
Dr. Chen Junyi Reply:
Typically, prior to liver cancer surgery, it is necessary to assess whether there are any extrahepatic metastases. This evaluation is crucial because if there are already micro or macroscopic metastases present, resecting the primary liver tumor may accelerate the spread of the m...[Read More] Assessing Surgical Outcomes: Did Liver Cancer Surgery Lead to Rapid Decline?
End-Stage Liver Cancer: Treatment Options and Patient Autonomy
excuse me? What are the treatment and prevention strategies for end-stage cancer (liver cancer)? If a patient is unwilling to undergo treatment, can they be forced to receive treatment? Or should one consider seeking traditional Chinese medicine?
Dr. Chen Junyi Reply:
In the advanced stages of liver cancer, the focus should be on palliative care and symptom management, and assistance from specialist physicians can be sought.[Read More] End-Stage Liver Cancer: Treatment Options and Patient Autonomy
Natural Remedies to Boost Platelets for Cancer Patients
Unable to undergo chemotherapy due to low platelet count? The patient's father developed a tumor due to hepatitis B infection 11 years ago, which was diagnosed at an early stage. After undergoing surgical resection, he recovered, although he was confirmed to have mild cirrho...
Dr. Chen Junyi Reply:
It is likely that chemotherapy has caused the decrease in platelet count. Please discuss management strategies with the attending physician. As for dietary therapy, consider incorporating peanut skins or increasing vitamin intake.[Read More] Natural Remedies to Boost Platelets for Cancer Patients
Managing Liver Cancer in a Patient with Stage III Colon Cancer and Stroke
Liver cancer Hello Doctor: My father has stage III colon cancer and liver cancer. Recently, he underwent surgery for the colon, which unfortunately resulted in a stroke, leaving one side of his body paralyzed. His colon condition is now stable, but he requires long-term rehabilit...
Dr. Fan Sheng Reply:
Miss Hsin: If the lesions in the liver are primary liver cancer, it is referred to as hepatocellular carcinoma. If the lesions are due to colorectal cancer that has metastasized to the liver, it is called liver metastasis from colorectal cancer. The management of hepatocellular c...[Read More] Managing Liver Cancer in a Patient with Stage III Colon Cancer and Stroke
Understanding Risks of Alcohol Injection for Elderly Liver Cancer Patients
Liver cancer consultation Dr. Chen: Hello! Thank you for your response. My grandmother has tested positive for hepatitis B antigen. In April, her AFP was 200, in May it was 400, in September it was 500, and in November it was 1000. The doctor informed us that surgery and emboliza...
Dr. Chen Sirong Reply:
Rita: Based on the report, it should be liver cancer, so there is no need for a biopsy since the doctor has already informed you that surgery or embolization is not possible. Of course, he may have already discussed what treatment options he recommends. Below, I provide a piece o...[Read More] Understanding Risks of Alcohol Injection for Elderly Liver Cancer Patients
Treatment Options for Liver Tumors in Elderly Diabetic Patients
Liver cancer Your grandmother, who is 82 years old and has diabetes, recently had a pacemaker implanted a week ago and is taking aspirin. She has now been found to have a tumor approximately 3 centimeters in size near the liver close to major blood vessels. What type of treatment...
Dr. Chen Sirong Reply:
Rita: 1. Are you sure it's liver cancer? 2. You should have a physician make a diagnosis. Have you done a CT scan, angiography, PET scan, or even a biopsy? Only after a diagnosis can further treatment be considered. 3. Of course, liver cancer is a concern, but first, a blood...[Read More] Treatment Options for Liver Tumors in Elderly Diabetic Patients
Does Liver Cancer Spread to Bones? Understanding Symptoms and Risks
Does liver cancer invade the bones? In March of this year, my father's AFP test result was 903, and the doctor confirmed liver cancer. Previously, it was only suspected. My father mentioned that his arm hurts and he is unable to reach back to grab a tissue. Could this be rel...
Dr. Chen Sirong Reply:
Jovi: Hello, I suspect two things: 1. The bone in my arm may have metastasized liver cancer. 2. The cervical spine may have metastasized liver cancer causing compression of the spinal nerves, which connect to the arm right after exiting the cervical spine. Regardless, I recommend...[Read More] Does Liver Cancer Spread to Bones? Understanding Symptoms and Risks
Understanding Liver Cancer: Staging, Treatment Options, and Dietary Considerations
Liver cancer Hello, my older brother (51 years old) was recently admitted to the emergency room due to gastric bleeding and was diagnosed with liver cancer. The cancer cells are 5 centimeters in size and have invaded the blood vessels, and he also shows symptoms of liver cirrhosi...
Dr. Fan Sheng Reply:
Hello, Mr. Guo: Please quickly find another hospital to see if they can perform embolization therapy.[Read More] Understanding Liver Cancer: Staging, Treatment Options, and Dietary Considerations
Understanding Liver Cancer Location and Treatment Options for Patients
The location of liver cancer and treatment methods? My father has cirrhosis, progressing from stage A to stage B. Recently, a CT scan revealed a single 1.5 cm liver tumor located in the posterior segment of the right lobe of the liver, which is likely in the early stage. However,...
Dr. Fan Sheng Reply:
Xiao Jun: It is recommended to perform angiography. If a benign vascular tumor is found, it should not be treated. If it is liver cancer, it should be embolized. The Bible says that apart from orthodox medicine, there is no other name given among men by which we can be saved.[Read More] Understanding Liver Cancer Location and Treatment Options for Patients
Is Traditional Chinese Medicine a Suitable Option for Liver Cancer Patients?
Is it appropriate for liver cancer patients to seek traditional Chinese medicine treatment? Dear Dr. Fan, My mother is nearly seventy-five years old, and last month, two tumors approximately 9 centimeters in size were discovered in the right lobe of her liver. After diagnosis, t...
Dr. Fan Sheng Reply:
Rockman: "Is this idea appropriate?" The response: "No, it's not appropriate." Still, embolization therapy is recommended. However, a "combination of Eastern and Western medicine" can be used, incorporating traditional Chinese medicine to soothe...[Read More] Is Traditional Chinese Medicine a Suitable Option for Liver Cancer Patients?
Understanding Cancer Screening: Essential Tests and Their Effectiveness
How to know if you have cancer? I have the following questions for the doctor: 1. My mother is 75 years old and has been taking medication for hypertension and degenerative arthritis for a long time. I personally paid for cancer screening tests including liver AFP, colon CEA, o...
Dr. Chen Sirong Reply:
Hello: 1. Cancer screening blood tests are primarily designed for monitoring patients who have already been diagnosed with cancer, with the hope of early detection of recurrence. However, their significance for individuals who have never had cancer may not be as impactful, alth...[Read More] Understanding Cancer Screening: Essential Tests and Their Effectiveness
Understanding Hard Mass Near the Belly Button in Advanced Liver Cancer
There is a hard lump in the lower right quadrant near the navel? Hello, my father is a terminal liver cancer patient. In February, he underwent surgery to remove a liver tumor, and now a hard mass has been found in the lower right area of his abdomen near the navel, which the att...
Dr. Chen Sirong Reply:
Hello: The condition has spread to other parts of the body, and there is a possibility of further growth. 1. Whether surgical resection is possible must be determined by a specialist based on examinations such as computed tomography (CT) angiography. 2. However, radiation therapy...[Read More] Understanding Hard Mass Near the Belly Button in Advanced Liver Cancer
Are All Tumors Cancer? Understanding Liver Tumors and Their Risks
Is a tumor the same as cancer? Hello, doctor. My grandmother is over 80 years old and has poor health, suffering from severe anemia and cirrhosis due to hepatitis C. Recently, a check-up revealed a newly developed tumor in her liver. Her case has been referred to National Taiwan ...
Dr. Chen Sirong Reply:
Hello, 1. Tumors can be benign or malignant, and cancer refers specifically to malignant tumors. 2. The liver can also have benign tumors such as hemangiomas or malignant tumors such as liver cancer. 3. A one-month wait for an MRI is relatively long; it is advisable to discuss th...[Read More] Are All Tumors Cancer? Understanding Liver Tumors and Their Risks
Understanding Liver Cirrhosis: Key Questions on Cancer Risks and Health Impact
Issues related to liver cirrhosis? Hello Dr. Chen: I have a few questions to ask you. Thank you for your response. 1. In patients with liver cirrhosis, if the alpha-fetoprotein (AFP) level rises to around 70-85, is this considered within the normal range? If ultrasound examinati...
Dr. Chen Sirong Reply:
Reply: Hello, 1. Abnormal. Generally, fetal protein levels above 10 ng/ml are considered abnormal. In patients with liver cirrhosis, one should suspect the presence of liver cancer, possibly diffuse liver cancer, which may not always be clearly visible on abdominal ultrasound. ...[Read More] Understanding Liver Cirrhosis: Key Questions on Cancer Risks and Health Impact
Understanding Fetal Protein Levels: Implications for Liver Cancer and More
Questions regarding fetal protein index? Thank you, doctor? Hello Dr. Fan, I have a few questions to ask you. Thank you for your response. 1. Does the fetal protein index indicate liver cancer, or is it a marker for other diseases or conditions? 2. With a fetal protein index...
Dr. Fan Sheng Reply:
Mr. Maburow: The alpha-fetoprotein (AFP) level can indicate liver cancer, but it can also indicate germ cell tumors. AFP levels may be elevated in cases of liver inflammation or when other cancers metastasize to the liver. A high AFP level does "not" cause liver cancer;...[Read More] Understanding Fetal Protein Levels: Implications for Liver Cancer and More
Prevention and Treatment Strategies for Liver Tumors: Key Insights
Treatment and Prevention of Liver Tumors Hello Dr. Chen: A friend’s father recently underwent an embolization procedure due to a liver tumor. This is not the first time; according to him, it is already the third time! I am not clear about the previous situations. I would like to ...
Dr. Chen Sirong Reply:
Hello, the known risk factors for the occurrence of liver cancer include chronic viral hepatitis (such as hepatitis B and C), liver cirrhosis (whether caused by viruses or alcohol), a family history of liver cancer, and aflatoxins (a type of toxin produced by mold, commonly found...[Read More] Prevention and Treatment Strategies for Liver Tumors: Key Insights
Understanding Liver Transplant for Liver Cancer: Process, Survival, and Hepatitis B Concerns
Liver transplantation I have a friend who has liver cancer and may need a liver transplant (I've heard that if the liver blood vessels are obstructed, they might only live for three months). I would like to know what the process is like if they are fortunate enough to wait f...
Dr. Fan Sheng Reply:
Mr. Li: Liver transplantation involves the complete removal of a diseased liver affected by liver cancer and replacing it with a donated liver from another person. The surgical procedure carries certain risks, and post-surgery, long-term use of immunosuppressants is necessary to ...[Read More] Understanding Liver Transplant for Liver Cancer: Process, Survival, and Hepatitis B Concerns
Understanding Diffuse Liver Cancer: Risks and Differences from Common Liver Cancer
What is diffuse liver cancer? I heard that a doctor in Qianzhen died from diffuse liver cancer. Is the number of people affected by diffuse liver cancer in Taiwan high? How does it differ from general liver cancer? I am a carrier of hepatitis B; am I considered a high-risk group?...
Dr. Chen Sirong Reply:
Hello, diffuse liver cancer is a type of liver cancer where cancer cells do not form a "tumor-like" structure but instead spread diffusely. It can sometimes be difficult to detect via ultrasound, leading to a possibility of misdiagnosis. Generally, patients with this ty...[Read More] Understanding Diffuse Liver Cancer: Risks and Differences from Common Liver Cancer