Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Follicular lymphoma invading the bone marrow? Hello Doctor: My mother had a car accident a year ago, and during her hospitalization, it was discovered that her spleen was enlarged. A CT scan suggested lymphoma, and a biopsy confirmed follicular lymphoma. The doctor mentioned that...
Dr. Hu Ziren Reply:
1. Patients under the age of 60-65 with normal physical function are suitable candidates for bone marrow transplantation. 2. If the patient's hematopoietic cells in the bone marrow are aging and cancer cells are proliferating rapidly, the risks associated with bone marrow tr...[Read More] Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Understanding Neck Lumps: Could It Be Lymphoma or Something Else?
Neck mass I recently discovered a lump on the back of my left neck, which I compared online and seems to be near the occipital lymph nodes, approximately 0.5 cm in size and feels firm to the touch. It does not hurt when pressed, and it has not gone away for about two weeks. I hav...
Dr. Chen Sirong Reply:
Allenlin / 24 years old / Male 1. Could these characteristics possibly indicate lymphoma? A: It is possible. However, since both doctors who examined you said it is not, the likelihood is low. 2. Are there other diseases that could cause this phenomenon? A: Yes, unknown v...[Read More] Understanding Neck Lumps: Could It Be Lymphoma or Something Else?
Understanding Lumps and Swellings: What You Need to Know About Lymph Nodes
Lymphadenopathy / Lymph node enlargement Hello, doctor. I just felt three small lumps above my right clavicle; they are soft and movable, and they are located close to each other. Additionally, there is a lump at the root of my right thigh that has been there for quite a while; i...
Dr. Hu Ziren Reply:
It is likely just some subcutaneous soft tissue, lipomas, or lymph nodes; observation is recommended.[Read More] Understanding Lumps and Swellings: What You Need to Know About Lymph Nodes
Understanding Low White Blood Cell Counts: Signs of Leukemia or Lymphoma?
Leukopenia Hello, doctor. In the past year, my weight has decreased from 72 kg to 66 kg. Recently, in June, I had a check-up at the clinic where my white blood cell count was 4,200, with neutrophils at 46% (highlighted in red), lymphocytes at 42.6% (highlighted in red), monocytes...
Dr. Chen Yunfang Reply:
Hello: Based on the numbers in your report, it does not appear to be leukemia or lymphoma, and the cancer diagnosis is also not accurate! Thank you.[Read More] Understanding Low White Blood Cell Counts: Signs of Leukemia or Lymphoma?
High Platelet Count and Lymph Nodes: Concerns About Blood Disorders
Persistent thrombocytosis and lymphadenopathy raise concerns for hematological disorders? Since I started working and participating in company health checks, I have noticed that my platelet count has often been highlighted in red (indicating elevated levels). The health check rep...
Dr. Chen Yunfang Reply:
Hello: You only need to monitor your platelet count; the other tests are unnecessary and are a result of excessive anxiety. Clinically, they do not indicate any specific illness. There is no need to obsessively prove whether you are sick or have cancer, as it is meaningless. Than...[Read More] High Platelet Count and Lymph Nodes: Concerns About Blood Disorders
Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Cervical lymphadenopathy It has been a month since I discovered the issue, so I went to the clinic for an ultrasound. The doctor said it looks like benign lymphadenopathy (on both sides). I often palpate it myself, so I can confirm that it is painful and movable. However, my sist...
Dr. Chen Sirong Reply:
Hello, I'm a 22-year-old male. In this situation, do I need to get a special examination? A: 1. You have already seen a doctor. 2. If there are changes such as enlargement, hardness, discoloration, or symptoms (redness, swelling, heat, pain), then see a doctor again. Wishing...[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
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 Enlarged Lymph Nodes: Symptoms and Next Steps
Issues related to cervical lymph nodes and groin lymph nodes? Hello Doctor: I noticed that the lymph nodes on both sides of my groin have been enlarged for over six months. When I touch them, they feel like a whole cluster, with each node slightly enlarged. Some are oval-shaped, ...
Dr. Hu Ziren Reply:
Generalized lymphadenopathy, it is recommended to see a hematologist-oncologist.[Read More] Understanding Enlarged Lymph Nodes: Symptoms and Next Steps
Understanding Lymph Node Issues: Concerns About Swelling and Cancer
Lymphatic issues Hello doctor, I suspect I have lymphadenopathy and I'm worried it might be lymphoma, but I'm not sure if I'm overthinking it. I have a few questions to ask: 1. Is lymphadenopathy dangerous even if it hasn't been continuously enlarging? I have...
Dr. Chen Sirong Reply:
Student Li / 13 years old / Male Hello, 1. Is it dangerous if lymph nodes are enlarged but do not continue to grow? A: Many enlarged lymph nodes can remain for years without resolving. If they do not increase in size, change color, become hard, or present new symptoms, then t...[Read More] Understanding Lymph Node Issues: Concerns About Swelling and Cancer
Understanding Enlarged Lymph Nodes: Symptoms and Concerns
Lymphadenopathy/Tumor In the past six months, I have experienced frequent warmth and swelling in the lymph nodes near the left side of my jaw close to my neck, along with a sensation of foreign body presence. It is not painful, but it feels slightly larger than the right side. Ad...
Dr. Chen Sirong Reply:
Hong, 28 years old, male, is advised to see an otolaryngologist. Based on the physician's examination and assessment, it is more suitable for him to visit the Taoyuan Hospital for health and wellness. Dr. Chen Si-Rong.[Read More] Understanding Enlarged Lymph Nodes: Symptoms and Concerns
Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates
Stage II oral cancer Hello Doctor, my sister was diagnosed with stage II left oral mucosal cancer in September last year. Bone scans and neck CT scans showed no metastasis. After the primary physician surgically removed the tumor and sutured with artificial skin (without performi...
Dr. Chen Sirong Reply:
Anonymous / 46 years old / Female Hello, I have been diagnosed with stage II oral cancer, and after the tumor was removed, it has been less than a year, and now it has metastasized to the lymph nodes. Is this possible? A: Yes, it can occur. If metastasis happens, how is the ca...[Read More] Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates
Understanding Papillary Thyroid Carcinoma and Lymph Node Metastasis in Seniors
Papillary Thyroid Carcinoma Hello! My mother is 71 years old. Earlier this year, a cytological examination revealed a malignant tumor (a papillary carcinoma) in the isthmus of her thyroid, while both lobes of the thyroid were unaffected. After consulting with the doctor, she unde...
Dr. Chen Sirong Reply:
Patient: 44 years old, female Hello! 1. The postoperative report indicates that there is one metastatic lymph node among six surrounding the thyroid (the doctor mentioned it is stage I). Is this considered distant metastasis? The doctor stated that this situation is relatively...[Read More] Understanding Papillary Thyroid Carcinoma and Lymph Node Metastasis in Seniors
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 Masses: Benign vs. Malignant Insights
There are lymph nodes in the neck? Hello Doctor: During my health check-up, my family medicine doctor felt a lump in my neck and arranged for an ultrasound and a biopsy. The doctor who performed the ultrasound said it was a benign lymph node and canceled the biopsy. Can benign ly...
Dr. Chen Sirong Reply:
Alice / 60 years old / Female Hello: 1. Can benign lymph nodes be distinguished from malignant ones through ultrasound examination? A: If the doctor is confident enough to forgo a biopsy, it should be based on the characteristics and composition (distinguishing between fluid,...[Read More] Understanding Lymph Node Masses: Benign vs. Malignant Insights
Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Lymphadenopathy-related issues? Hello Doctor, I would like to ask you some questions: I currently have swollen lymph nodes in both groins and the inner thighs, feeling like a string of them has enlarged. A few of them are more elongated and oval-shaped, and they are movable. Ther...
Dr. Chen Sirong Reply:
Anonymous / 21 years old / Male 1. General surgery, whether to undergo examination is based on the opinion of the physician you consult. 2. The biopsy itself does not affect the immune system, but emotional stress can have an impact on immunity. Wishing you peace of mind and ...[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Understanding Enlarged Lymph Nodes Near the Ears: Causes and Concerns
Bilateral enlargement of the lymph nodes located beneath the ears? Hello Doctor: Recently, I noticed swollen lymph nodes on both sides under my ears. The left side is smaller, about 1 cm, while the right side is larger, nearly 2 cm. They feel firm and immobile, and I do not have ...
Dr. Yan Jingheng Reply:
1. Essentially, fine needle aspiration can obtain tissue and is the standard diagnostic method for lymph node diseases, with the pathology report being the definitive reference. 2. Whether the lymph node enlarges with pressure depends on the force applied; normal pressure shoul...[Read More] Understanding Enlarged Lymph Nodes Near the Ears: Causes and Concerns
Understanding Eosinophil Levels and Lymph Node Concerns in Oncology
Blood and lymph node issues? Hello Doctor, I would like to ask you some questions regarding my blood. Recently, I experienced chest tightness and went to the emergency room where I had a complete blood count and white blood cell differential. I found that my eosinophil (eos) coun...
Dr. Hu Ziren Reply:
If the white blood cell count is normal but the differential shows a slight elevation, and specifically if eosinophils are elevated, there are many potential causes (such as allergies, medications, dermatitis, etc.). It is recommended to follow up in 3 to 6 months.[Read More] Understanding Eosinophil Levels and Lymph Node Concerns in Oncology
Do I Need Chemotherapy for Stage 1A Breast Cancer with Ki-67 at 30%?
In stage 1A breast cancer with a Ki-67 index of 30%, is chemotherapy necessary? Hello, Doctor! I just underwent a lumpectomy, and the postoperative pathology report indicates that the original tumor size was 1.3 cm, with ER positive, 80% PR positive, 70% HER-2 positive, and Ki-67...
Dr. Chen Sirong Reply:
Amily / 46 years old / Female Hello! 1. Does the data above indicate a low or high risk of recurrence? I calculated the IHC4 score, and the postoperative specimen is 1.89, while the core needle biopsy specimen is 1530. Both are classified as intermediate malignancy. It is reco...[Read More] Do I Need Chemotherapy for Stage 1A Breast Cancer with Ki-67 at 30%?
Understanding Elevated Mono Levels and Lymph Node Swelling: What You Need to Know
Blood tests and lymphadenopathy? Hello Doctor, a few days ago I had a blood test and found that my monocyte count is 11.4, which exceeds the normal range. I would like to know what issues I might be facing. Background: This series of blood tests was conducted because I was diag...
Dr. Hu Ziren Reply:
In a complete blood count (CBC), it is sufficient to monitor whether the WBC, HB, and PLT are within the normal range. Other white blood cell differentials may vary in elevation or decrease depending on physiological conditions. For example, monocytes may slightly increase during...[Read More] Understanding Elevated Mono Levels and Lymph Node Swelling: What You Need to Know
Should I Worry About a Neck Lump? Understanding Potential Risks and Next Steps
A lump has appeared in the neck since October of last year? About last October, I discovered a lump in the groove between my ear and jaw. It is now shaped like a flat oval, approximately the size of a one-dollar coin in diameter and about the width of my index fingernail to the f...
Dr. Hu Ziren Reply:
It may just be some benign lymph nodes (or nodules, lipomas) that are hardened or calcified. Observation is recommended. If there is subsequent enlargement or an increase in number, then a consultation with a hematologist-oncologist may be warranted.[Read More] Should I Worry About a Neck Lump? Understanding Potential Risks and Next Steps