Understanding Lymph Nodes: Symptoms and When to Seek Further Evaluation
Cervical lymph nodes On the left side of my neck, near the jaw, there are several movable lumps that feel like small balls. There is also a rubber ball-like lump in front of my earlobe. The left side of the back of my head is more prominent than the right side, and the area behin...
Dr. Chen Sirong Reply:
Daoist Priest / 28 years old / Male 1. Clear Intentions: The Daoist priest should project positive thoughts to all his body cells, allowing them to maintain a healthy state. 2. Doctors advise continued observation, which is correct; everyone is gradually moving closer to death ...[Read More] Understanding Lymph Nodes: Symptoms and When to Seek Further Evaluation
Understanding Lumps in the Armpit: Causes and When to Worry
There is a hard lump in the armpit? Hello, doctor. Seven months ago, I discovered a painless lump in my right armpit. Later, I had a breast ultrasound, and the doctor said that no lumps were found on either side, attributing it to breast tissue. However, I was still concerned and...
Dr. Chen Sirong Reply:
J / 26 years old / Female. Could this be cancer? I'm very worried. A: 1. Considering your age, breast cancer is quite rare at 26 years old. 2. In terms of size, lymph nodes larger than 1 cm have a higher likelihood of being cancerous. 3. Regarding the primary site, axillar...[Read More] Understanding Lumps in the Armpit: Causes and When to Worry
Understanding Hard Lumps in Armpit Lymph Nodes: Is It Cancer?
There is a hard lump in the axillary lymph nodes? I discovered a hard lump in my axillary lymph nodes about six months ago, accompanied by pain. I went to the hospital, and an ultrasound showed two tumors, each approximately two centimeters in size, with one showing signs of infl...
Dr. Chen Sirong Reply:
S/37 years old/female 1. This blood test cannot determine if it is malignant. 2. Generally speaking, malignant tumors tend to grow continuously. Given your situation, from August until now, which is approximately six months, if it has remained stable, the likelihood of malign...[Read More] Understanding Hard Lumps in Armpit Lymph Nodes: Is It Cancer?
Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Inguinal lymphadenopathy Hello Doctor, I noticed that the lymph nodes in both sides of my groin have swollen since early January. There are many nodes on both sides, mostly under 1 cm to about 2 cm in size, with some being elongated and others round (the round ones are smaller). ...
Dr. Chen Sirong Reply:
Anonymous / 21 years old / Male Hello, 1) I would like to ask if my lymph nodes could be swollen due to my irregular schedule and lack of exercise? A: The cause cannot be determined, and it is also uncertain whether it is malignant. 2) Should I see a doctor? Which specialty sh...[Read More] Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Understanding Your Wife's Early-Stage Breast Cancer Biopsy Results
Inquire about the breast cancer tumor biopsy report issues? Hello Dr. Hu, my wife recently underwent a health check at her company, and an abnormality was found in her breast. A biopsy confirmed it to be stage I breast cancer, with the tumor size estimated at about 0.7 cm based o...
Dr. Hu Ziren Reply:
A Ki-67 index of 60% indicates that the tumor proliferation rate is very high, suggesting that it could have grown from 0.7 cm last year to 0.9 cm this year. A Ki-67 level greater than 20% typically signifies poorly differentiated cancer, which is associated with a rapid doubling...[Read More] Understanding Your Wife's Early-Stage Breast Cancer Biopsy Results
Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Inguinal lymphadenopathy A couple of days ago, I suddenly noticed swollen lymph nodes in my groin area. I'm not sure when it started, but they are about 1 centimeter or smaller (I’m hesitant to keep touching them). There are many of them, and they are painful (with a dull ac...
Dr. Chen Sirong Reply:
Nickname / 20 years old / Male 1. Two days ago, I suddenly noticed swollen lymph nodes in my groin area. I'm not sure when it started, but they are about 1 cm or smaller (I don't want to touch them too much). There are many of them, and they are painful (a dull ache). ...[Read More] Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Should I Consult My Doctor Again Before Upcoming Surgery for Lymph Node?
I am scheduled for surgery next week, but the lump seems to no longer be painful? From July to November, I experienced recurrent pain in the left lymph nodes. Initially, I thought it was inflammation, but after visiting the ENT department at the hospital, a CT scan in mid-Novembe...
Dr. Chen Sirong Reply:
Du Cheng / 27 years old / Male Hello A: Whether or not to undergo surgery is your own decision. 1. The tumor is still present. 2. It is uncertain whether the tumor is malignant; there is accompanying inflammation. The inflammation has improved, so there is no pain, but whethe...[Read More] Should I Consult My Doctor Again Before Upcoming Surgery for Lymph Node?
Understanding Abnormal White Blood Cell Counts: What You Need to Know
White blood cell count is approaching abnormal levels? Recent blood test results show a white blood cell count of 6,900 (normal range: 3,600-11,200), hemoglobin (HB) of 15.9 (normal range: 13.7-17), erythrocyte distribution width (EDW) of 13.0 (normal range: 11.7-15), platelet co...
Dr. Chen Yunfang Reply:
Hello: 1. A white blood cell count within the normal range is considered normal. However, I cannot provide an answer without knowing your specific situation. 2. No, it cannot be determined. 3. As mentioned before, I cannot answer this without knowing your circumstances. Thank you...[Read More] Understanding Abnormal White Blood Cell Counts: What You Need to Know
Understanding White Blood Cell Counts and Lymph Node Concerns in Oncology
White blood cell testing issues Recent blood test results show a white blood cell count of 6,900 (normal range: 3,600-11,200), hemoglobin (HB) of 15.9 (normal range: 13.7-17), erythrocyte distribution width (EDW) of 13.0 (normal range: 11.7-15), platelet count of 260 (normal rang...
Dr. Hu Ziren Reply:
The white blood cell count is within the normal range according to the instrument's interpretation, indicating that it is normal and does not require continuous monitoring. The lymph nodes have shown no changes over the past year, suggesting a higher likelihood of being beni...[Read More] Understanding White Blood Cell Counts and Lymph Node Concerns in Oncology
Understanding Lymph Node Biopsy in Invasive Ductal Carcinoma Treatment
Questions about lymph node biopsy? Hello Dr. Chen, I was diagnosed with invasive ductal carcinoma in mid-December this year. The tumor is located in the lower inner quadrant of the right breast, approximately at the 3:30 position, 4 cm from the nipple. The ultrasound estimated th...
Dr. Chen Sirong Reply:
Hello, I'm 27 years old female. 1. Currently, I have undergone ultrasound-guided core needle biopsy and mammography. I will also have a bone scan and CT scan later. I would like to ask about the accuracy of these tests in determining whether there is an infection in the ly...[Read More] Understanding Lymph Node Biopsy in Invasive Ductal Carcinoma Treatment
Understanding Recurrence in Early Stage Breast Cancer: Key Insights and Concerns
Breast cancer stage I relapsed one year after treatment without chemotherapy? Hello, Doctor! I was diagnosed with breast cancer in November 2021 and underwent a right mastectomy with reconstruction. Post-surgery, it was found that there was a 0.1 cm invasive cancer in the lymph n...
Dr. Chen Sirong Reply:
Evans, 43 years old, female. Due to the lack of personal insurance, the medical burden is really heavy. A: It is possible to choose treatment options covered by the National Health Insurance, but the general public tends to want to follow the doctor's advice if they can affo...[Read More] Understanding Recurrence in Early Stage Breast Cancer: Key Insights and Concerns
Understanding PET Scan Results for Lung Cancer: A Guide for Patients
Positron Emission Tomography (PET) Hello, Director. Please help me review my mother's PET scan report; I don't understand it. Thank you. **PET Scan Report:** **Indication:** The 49-year-old woman is diagnosed with right middle lung cancer, stage IA1 (pT1aNx), status p...
Dr. Chen Sirong Reply:
Home / 48 years old / Female 0: It should be based on the explanation from her attending physician. 1. There were mildly increased FDG uptake in the right middle lung (SUVmax: 1.1) and right chest wall (SUVmax: ~1.7), probably post-operative changes. There is a post-operative rea...[Read More] Understanding PET Scan Results for Lung Cancer: A Guide for Patients
Understanding Armpit Lumps: When to Seek Medical Advice and Next Steps
Axillary lump In July, I discovered a lump in my armpit. It is painless, not visible externally, and I feel no discomfort, but it can be slightly moved. An ultrasound examination by a breast surgeon revealed a breast cyst, with no lymph node enlargement. The doctor advised monito...
Dr. Chen Sirong Reply:
1. Which department should I consult? A: General Surgery or Breast Surgery. 2. Why did the breast surgeon not detect the lump, only stating that the lymph nodes are not enlarged? A: Just because the breast surgeon did not see it in July does not mean it won't be visible fr...[Read More] Understanding Armpit Lumps: When to Seek Medical Advice and Next Steps
Understanding Triple-Negative Breast Cancer: Risks, Treatments, and Prognosis
Breast cancer inquiry? Hello Doctor, I would like to ask you a question regarding my mother, who is currently 61 years old. She was recently diagnosed with breast cancer (Luminal B type, grade 2) and has just undergone a partial mastectomy and sentinel lymph node biopsy (4 nodes)...
Dr. Chen Sirong Reply:
Hello, 1. I would like to ask the doctor if the risk of recurrence for my mother is high. Using this algorithm, IHC4 = 32 > 30 indicates high risk, with ER = 90, PR = 90, Her2 = 1, and Ki67 = 30 for calculating the IHC4 score. 2. Since the doctor recommends both chemotherap...[Read More] Understanding Triple-Negative Breast Cancer: Risks, Treatments, and Prognosis
Post-Breast Cancer Treatment: The Role of Menopause-Inducing Injections
Post-breast cancer treatment - menopausal injection? Hello Doctor: ER: 95% PR: 95% HER2: 0 Ki-67: 5% Tumor size: 1.4 cm, sentinel lymph nodes negative. Surgery was completed in mid-September, and radiation therapy started in mid-October, with no chemotherapy. When the breast surg...
Dr. Chen Yunfang Reply:
Hello: First of all, taking only Tamoxifen is not enough! Secondly, it is quite unusual not to undergo adjuvant chemotherapy after surgery; theoretically, it should be done. However, this may be your personal choice, which I respect. That's all. Thank you.[Read More] Post-Breast Cancer Treatment: The Role of Menopause-Inducing Injections
Understanding Groin Lumps: When to Seek Medical Advice
There is a lump in the groin area? Hello Dr. Chen: At the end of last year, I discovered a small hard lump above the inner thigh on the right side. It was painless and resembled a pus-filled cyst, but I couldn't squeeze anything out. There was a small wound that turned black...
Dr. Chen Sirong Reply:
Zhen / 50 years old / Female 1. Could it be lymph nodes? Lymphoma? A: Redness, swelling, heat, and pain are signs of an inflammatory response, but it's uncertain whether it's a tumor, lymph nodes, or a sebaceous cyst. 2. Should I self-monitor first? A: It is rec...[Read More] Understanding Groin Lumps: When to Seek Medical Advice
Understanding Castleman Disease: Diagnosis, Treatment, and Resources in Taiwan
Lymphadenopathy Hello doctor, I previously inquired about my blood test results indicating a high probability of lymphoma. The specimen report has now come back stating that it is Castleman disease. I understand that this is a rare condition, and although it is not cancer, it may...
Dr. Chen Sirong Reply:
Ajie / 52 years old / Male 1. Is a biopsy result definitive? A: Of course, for a few diseases, most major hospital pathologists have a review system in place. The primary diagnosing physician will have other physicians in the department review the case before finalizing the re...[Read More] Understanding Castleman Disease: Diagnosis, Treatment, and Resources in Taiwan
Is Genetic Testing Necessary for Stage 1 Breast Cancer Patients?
Is genetic testing necessary for stage I breast cancer? Hello Doctor: I have questions regarding the follow-up treatment for breast cancer. The pathology report shows Ki-67: 5%, ER: positive 95%, PR: positive 95%, HER-2: negative. I have undergone a partial mastectomy and sentine...
Dr. Chen Yunfang Reply:
Hello: The standard treatment for breast cancer is fully covered by health insurance. For T1CN0M0 stage I, after surgery, six cycles of FEC (a second-generation chemotherapy regimen) are administered, which is free of charge. Following that, radiation therapy and hormonal therapy...[Read More] Is Genetic Testing Necessary for Stage 1 Breast Cancer Patients?
Understanding Lumps in Lymph Nodes: Could It Be a Tumor?
Lymphadenopathy with a mass? About two weeks ago, I developed a hard lump on the inner thigh. Initially, it was small and soft, but now it has grown larger and harder, causing pain when walking or pressing on it. I consulted a general surgeon, and they diagnosed it as lymphadenit...
Dr. Chen Sirong Reply:
Yuri / 19 years old / Female, is it possible that this is a tumor? A: 1. Of course, it is impossible to completely rule out the possibility of malignancy through online consultation. 2. Diagnosing cancer may require a period of observation, so continuous monitoring is importan...[Read More] Understanding Lumps in Lymph Nodes: Could It Be a Tumor?
Understanding Swollen and Painful Lymph Nodes: When to Seek Medical Attention
Axillary lymphadenopathy with pain and bleeding? Hello, Doctor: This week, I have been experiencing unexplained swelling and pain in my left armpit. Initially, there was no discoloration, but it was painful to the touch and felt soft. The pain has affected my sleep, as I wake up ...
Dr. Chen Sirong Reply:
Wenwen / 21 years old / Male 1. This is my first time experiencing a large, red, swollen, and painful area. Should I see a doctor? A: 1.1 Redness, swelling, heat, and pain are symptoms of inflammation. A physician can evaluate your condition and determine whether antibiotics, p...[Read More] Understanding Swollen and Painful Lymph Nodes: When to Seek Medical Attention