Is a CEA Level of 10,000 Possible? Understanding Cancer Marker Limits
Is it really possible for the CEA level to reach 10,000? Hello Director Lai, I discovered a CEA level of 1085 during my health check in August this year, and subsequently, the clinic tested it again with a value of 1500. Later, after transferring to another hospital, the results ...
Dr. Lai Yicheng Reply:
Hello, Miss La Bao: Question 1. Is there a limit to the CEA index? Carcinoembryonic antigen (CEA) is the most commonly used tumor marker for colorectal cancer. However, CEA is not exclusive to colorectal cancer; it can also be elevated in breast cancer, gastric cancer, pancre...[Read More] Is a CEA Level of 10,000 Possible? Understanding Cancer Marker Limits
Understanding Elevated NSE Levels: Anxiety, Inflammation, or Cancer Risk?
The NSE index is too high? Hello, doctor. I recently went to a medical laboratory for cancer screening, and one of the tests showed an elevated NSE level of 22.39. My family has no history of lung cancer, and I asked the laboratory technician about this. He mentioned that it coul...
Dr. Hu Ziren Reply:
Currently, NSE cannot be used for cancer screening or monitoring. However, if you are a smoker, it is recommended to have a follow-up test in three months. If the levels continue to rise, it is advisable to consult a pulmonologist or a hematologist for further evaluation.[Read More] Understanding Elevated NSE Levels: Anxiety, Inflammation, or Cancer Risk?
Understanding Clavicular Lumps: What You Need to Know About Possible Causes
Suspected intraclaviular mass? Dear Director Chen, I apologize for the interruption. Here's the situation: while driving home from work today, I accidentally touched something on my right clavicle that has been bothering me all night. Pressing on it causes pain in the clavic...
Dr. Chen Sirong Reply:
Patient: 36 years old, male. 1. It feels like a firmer muscle or tendon, not extremely hard, and the size is about one centimeter. A: It sounds like inflammation of the muscle or tendon. 2. I looked online and it says that a lump on the clavicle must be cancer metastasis, an...[Read More] Understanding Clavicular Lumps: What You Need to Know About Possible Causes
Managing Cancer and Mental Health: Prioritizing Care for Patients
Lung cancer metastasis to the brain? Hello Doctor: My boyfriend is Malaysian, and his mother has been diagnosed with stage IV lung cancer that has metastasized to the brain. She has just completed radiation therapy for the brain. Initially, she was supposed to receive a treatment...
Dr. Hu Ziren Reply:
Hello, online user: In the case of lung cancer with brain metastasis, and recent treatments including cranial radiotherapy and systemic chemotherapy, if the patient has no history of mental illness, it is advisable to first rule out the worsening of brain metastasis or acute side...[Read More] Managing Cancer and Mental Health: Prioritizing Care for Patients
Understanding Elevated CEA Levels After Colon Surgery and Chemotherapy
Postoperative and chemotherapy monitoring of abnormal CEA levels? Hello Doctor, my mother underwent a colectomy last November, and her CEA level was in the 70s at that time. After the surgery, the level did not decrease. Following the initiation of chemotherapy, the CEA level con...
Dr. Chen Yunfang Reply:
Hello: The CEA (Carcinoembryonic Antigen) level is indeed a tumor marker, but it is not specific and is not limited to colorectal cancer. Elevated levels can occur in various cancers throughout the body, such as head and neck cancer, lung cancer, breast cancer, gastric cancer, pa...[Read More] Understanding Elevated CEA Levels After Colon Surgery and Chemotherapy
Understanding Continuous Chemotherapy for Cancer Cells in Cerebrospinal Fluid
Cancer Treatment: Treatment for Cancer Cells in Cerebrospinal Fluid Hello Dr. Chen: My wife was diagnosed with a recurrence of breast cancer at the end of last year after six years. Cancer cells were found in her cerebrospinal fluid, and she is currently undergoing her fifth roun...
Dr. Chen Sirong Reply:
Chen Shunqing / 56 years old / Male 0. I am quite shocked to hear this. Is this true? A: In terms of Western medicine, once the disease has spread, it is considered incurable. Medications can only control it, which is a blessing. How long it can be controlled is also a blessin...[Read More] Understanding Continuous Chemotherapy for Cancer Cells in Cerebrospinal Fluid
Evaluating Adrenal Nodules: Essential Tests for Malignancy Confirmation
Adrenal nodule If Dr. Hu's family member has a post-operative CT scan that reveals an adrenal nodule smaller than 1 cm, and there is a concern for malignant tumor metastasis to the adrenal gland, what tests should be performed to confirm its nature?
Dr. Hu Ziren Reply:
Hello, online user: It is advisable to have a physician first assess whether the condition is functional or non-functional, as the treatment approach will depend on the presence of functionality. If metastasis is suspected, it is essential to identify the primary site (for exampl...[Read More] Evaluating Adrenal Nodules: Essential Tests for Malignancy Confirmation
Can Lung Cancer Patients Have Blood in Sputum Without Coughing?
Lung cancer without cough or hemoptysis? Hello, doctor. Is it possible for a lung cancer patient to not exhibit coughing symptoms but only present with hemoptysis? Thank you.
Dr. Chen Sirong Reply:
Mr. Li / 22 years old / Male Hello, is it possible for a lung cancer patient to not exhibit coughing symptoms but only present with hemoptysis? A: Yes, it is possible. Some individuals may have many symptoms, while others may have very few symptoms. Thank you for your inquiry...[Read More] Can Lung Cancer Patients Have Blood in Sputum Without Coughing?
Could My Symptoms Indicate Nasopharyngeal Cancer?
I would like to ask if I have nasopharyngeal cancer? I would like to ask if I have nasopharyngeal cancer. A year or two ago, I had sinusitis, and since then, I have been experiencing persistent phlegm (which hasn’t improved) that is always clear in color. I do not have nasal cong...
Dr. Chen Yunfang Reply:
Hello: A cancer diagnosis can only be confirmed through a pathological biopsy; it cannot be determined solely based on symptoms like hemoptysis or nosebleeds. Since you have already had your lungs examined, you should consult an otolaryngologist to check for any abnormalities in ...[Read More] Could My Symptoms Indicate Nasopharyngeal Cancer?
Can Breast Cancer Metastasize to the Liver After Lung Spread?
Breast cancer metastasis to the lungs? Is it possible for breast cancer that has metastasized to the lungs to also metastasize to the liver?
Dr. Lai Yicheng Reply:
Hello, sir: The most common sites of cancer metastasis are the lungs, bones, and liver. The primary metastatic sites for different types of cancer are as follows: - Breast cancer: lungs, liver, bones. - Colorectal cancer: liver, peritoneum, lungs. - Kidney cancer: lungs, liver,...[Read More] Can Breast Cancer Metastasize to the Liver After Lung Spread?
Is Lung Cancer Spreading? Understanding Symptoms and Concerns
Has the lung cancer metastasized? Hello Dr. Lai: My father has had lung cancer for two years. Recently, he has been experiencing pain in his left leg, but he does not have any discomfort in other parts of his body. He has undergone chemotherapy twice in the past. I often wonder i...
Dr. Lai Yicheng Reply:
Ms. Hsiao-Ching: Please return to the hospital for a physician to arrange a bone scan to assess for possible metastasis. Changhua Hospital is concerned about you. Radiation Oncology Department, Dr. Lai Yi-Cheng.[Read More] Is Lung Cancer Spreading? Understanding Symptoms and Concerns
Exploring Torisel Coverage for Metastatic Kidney Cancer Treatment Options
Hello, doctor. Regarding the application for reimbursement of Torisel for metastatic renal cell carcinoma? Hello, doctor. My mother was diagnosed with kidney cancer, which has already metastasized to the lungs, bones, adrenal glands, neck, and multiple lymph nodes. The biopsy fro...
Dr. Lai Yicheng Reply:
Dear Pharmacist, Thank you for your letter. Here is my response: 1. Regarding the diagnosis - The biopsy was taken from the L3 vertebra and the adrenal metastasis. The pathology report shows positive results for AMACR and PAX8. Both of these immunohistochemical tests are non-sp...[Read More] Exploring Torisel Coverage for Metastatic Kidney Cancer Treatment Options
Understanding Brain Tumors: Concerns and Survival Rates for Patients
Please help me? Hello, Doctor. My brother is 32 years old and went to the emergency room due to dizziness and discomfort, where he was diagnosed with a brain tumor. He is scheduled for surgery to remove the tumor tomorrow. There are three small tumors and one large tumor measurin...
Dr. Lai Yicheng Reply:
Dear Ms. Ling, I acknowledge your letter and would like to respond as follows: 1. Your brother has three small and one large tumor in the left hemisphere of the brain, with the largest measuring 4.5 cm. This is associated with a high likelihood of metastasis, as primary brain t...[Read More] Understanding Brain Tumors: Concerns and Survival Rates for Patients
Understanding High-Risk Groups for Multiple Myeloma: Prevention and Management
Regarding high-risk groups for multiple myeloma? Hello Director Lai, Last year, my father was informed that he is in a high-risk group for multiple myeloma, which was discovered through blood test results. The doctor advised that he should have blood tests every three months to ...
Dr. Lai Yicheng Reply:
Mr. Shen: In response to your inquiry regarding your father's high-risk status for multiple myeloma, I would like to provide the following information: 1. It is generally recognized that risk factors for multiple myeloma include: age, gender (male > female), race (Black...[Read More] Understanding High-Risk Groups for Multiple Myeloma: Prevention and Management
Can Lung Cancer Patients Eat Sweets? Understanding Dietary Restrictions
Can lung cancer patients eat sweets? Hello Doctor: My family member currently has cancer that has metastasized to the lungs. They recently completed chemotherapy and their cough has been relatively stable. However, last night they ate some sweet glutinous rice balls and started c...
Dr. Lai Yicheng Reply:
Ms. Huang: I received your letter and would like to respond as follows: 1. After completing chemotherapy, your cough has stabilized. However, after consuming sweet tangyuan, you started coughing again. I personally recommend that you first undergo a chest X-ray and a complete b...[Read More] Can Lung Cancer Patients Eat Sweets? Understanding Dietary Restrictions
Managing Low Blood Counts After Chemotherapy for Lung Cancer
Post-chemotherapy indices are low? Hello, doctor. I would like to inquire about my grandmother, whose cancer cells have metastasized to her lungs. She has undergone approximately four rounds of chemotherapy, but the doctor mentioned that all her levels are low, and she should avo...
Dr. Lai Yicheng Reply:
Dear Ms. Huang, Important precautions during chemotherapy: 1. Wear a mask when visiting public places. During periods of low white blood cell counts, avoid going to crowded areas to reduce the risk of bacterial infections. 2. Avoid contact with individuals who have colds, measl...[Read More] Managing Low Blood Counts After Chemotherapy for Lung Cancer
Understanding Shoulder Pain as a Symptom of Lung Cancer
Shoulder pain caused by lung cancer? Hello Dr. Chen: I recently saw news reports mentioning that one of the symptoms of lung cancer is shoulder pain. Therefore, I would like to ask you: 1. What specific area does this type of shoulder pain typically occur? What is the nature of t...
Dr. Chen Sirong Reply:
John / 34 years old / Male, we need to clarify whether you are a lung cancer patient or a patient with shoulder pain. If you have shoulder pain and suspect lung cancer, please get a chest X-ray for confirmation. If you are a lung cancer patient: 1. Could you describe the location...[Read More] Understanding Shoulder Pain as a Symptom of Lung Cancer
Managing Chemotherapy Side Effects and Fever in Advanced Lung Cancer
Fever in lung cancer? Hello Doctor, my husband is 35 years old and is currently in advanced stage lung cancer, close to stage IV. He has undergone surgery and has just started chemotherapy with "Taineng." However, he began experiencing side effects on the fourth day of ...
Dr. Lai Yicheng Reply:
Dear Sweetheart Mom, Hello! Accepting chemotherapy may lead to various side effects; some individuals may experience partial side effects, while others may have none at all. This largely depends on the type and dosage of chemotherapy your husband is receiving, as well as his bo...[Read More] Managing Chemotherapy Side Effects and Fever in Advanced Lung Cancer
Understanding Steroid Use in Oncology: Risks and Research Insights
Ask about steroids again? Thank you for the doctor's response. I would like to ask again: after my follow-up visit, I have stopped taking steroids, but this doctor does not believe that taking steroids for two weeks after my CT scan for cough treatment will have any impact. ...
Dr. Chen Sirong Reply:
1. After the follow-up visit, I have stopped taking steroid medication. A: That's great! If the condition requires it in the future, you can resume the medication. 2. However, this doctor does not believe that taking steroids for two weeks after a CT scan for cough treatmen...[Read More] Understanding Steroid Use in Oncology: Risks and Research Insights
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