Understanding Lymph Node Issues: Key Questions and Insights
Lymphatic issues Hello Doctor, I would like to inquire about lymphatic issues: 1. Self-reported: 1. On May 25, 2022, I discovered a movable, non-painful, neither soft nor hard mass on the right side of my neck. 2. On May 25, 2022, I found a movable, non-painful, neither so...
Dr. Chen Sirong Reply:
Chris / 37 years old / Male 1. Is the size of the lymph nodes observed through ultrasound within the normal range? Can the measurements vary between different physicians? A: Generally, lymph nodes larger than 1 cm require further evaluation or biopsy, while those under 1 cm ca...[Read More] Understanding Lymph Node Issues: Key Questions and Insights
Post-Surgery Weakness in Cholangiocarcinoma: Is Immediate Chemotherapy Advisable?
After surgery for bile duct cancer, if the patient is experiencing weakness, should adjuvant chemotherapy be initiated immediately? Hello, doctor. My mother was diagnosed with cholangiocarcinoma a month ago after being admitted to the emergency department for abdominal pain. She ...
Dr. Chen Sirong Reply:
Rita, 47 years old, female 1. Visiting medical centers such as Shin Kong Hospital, National Taiwan University Hospital, Linkou Chang Gung Memorial Hospital, Shuang Ho Hospital, Tri-Service General Hospital, and Mackay Memorial Hospital. 2. Hematology-Oncology department speciali...[Read More] Post-Surgery Weakness in Cholangiocarcinoma: Is Immediate Chemotherapy Advisable?
Understanding Lymph Node Issues After COVID-19: Key Concerns and Insights
Lymph node-related issues? Hello Dr. Chen, I have the following questions I would like to consult with you. Since I was diagnosed with COVID-19 at the end of April, I have frequently noticed swollen lymph nodes in the neck area, which has made me worried about potential underlyi...
Dr. Chen Sirong Reply:
Hui / 31 years old / Female 1. The doctor mentioned that there is a lymph node approximately 2.3 cm in size under my left armpit that needs to be monitored. Since I have not received any vaccinations, the doctor suggested monitoring it for six months. Should I consider getting i...[Read More] Understanding Lymph Node Issues After COVID-19: Key Concerns and Insights
Understanding Armpit Lumps: Tumors or Lymph Node Concerns?
Axillary lump This year, I suddenly discovered a small lump about 0.5 to 1 centimeter in size under my left armpit. It can only be felt when I stretch my arm or touch it, and it is not painful or itchy. It is movable, and I am unsure whether it is a tumor or related to the lymph ...
Dr. Hu Ziren Reply:
It may just be a benign subcutaneous nodule, such as a lipoma or lymph node. Observation is recommended.[Read More] Understanding Armpit Lumps: Tumors or Lymph Node Concerns?
Understanding Lymph Node Swelling: Causes Beyond Lymphoma
A cluster of lymph nodes? On May 13, I received my third dose of the Moderna vaccine. On the morning of July 14, I suddenly experienced pain in my left arm, which by the evening had extended to my left chest near the armpit. Upon palpation, the lymph nodes in the armpit were swol...
Dr. Chen Sirong Reply:
Patient: Xiao Liu / 40 years old / Male Question: Aside from ruling out lymphoma, what other organs could have cancer cell metastasis? Answer: Lymphadenopathy may be caused by: 1. Cancer 2. Changes due to immune response from vaccination. 1. It should be noted that almost all...[Read More] Understanding Lymph Node Swelling: Causes Beyond Lymphoma
Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Lymphadenopathy Hello, I experienced a high fever in mid-April that lasted for three days, with the highest temperature reaching over 39 degrees Celsius. After that, I noticed swelling in the lymph nodes on the right side of my neck. When I consulted a doctor at that time, they s...
Dr. Chen Yunfang Reply:
Hello: Please visit an otolaryngologist to perform a neck lymph node biopsy (preferably with the same physician who performed the initial biopsy). If possible, avoid needle aspiration and opt for an excisional biopsy of the entire lymph node, as it has greater diagnostic value. S...[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Understanding Groin Lumps: When to Worry About Tumors and Lymph Nodes
Inguinal mass? About a year and a half ago, a small, hard lump appeared in the upper left area of my groin. It doesn't hurt unless I squeeze it very hard, so I haven't paid much attention to it. However, it hasn't gone away or increased in size, and it still doesn&...
Dr. Hu Ziren Reply:
It was discovered over a year ago, and there has been no significant increase in size recently, so it is unlikely to be a tumor. It is recommended to ignore it.[Read More] Understanding Groin Lumps: When to Worry About Tumors and Lymph Nodes
Understanding Lumps in the Armpit: What You Need to Know
Axillary lump Hello, doctor. I am 25 years old and discovered a lymph node in my neck when I was 16-17 years old. I also had one in my groin at that time. A biopsy of the neck lymph node showed normal results. These lymph nodes have not changed for nearly 10 years. However, in th...
Dr. Hu Ziren Reply:
The lymph nodes in the neck have undergone fine-needle aspiration and ultrasound imaging, which did not reveal any abnormalities. Additionally, since they are very small (less than 1 cm), the likelihood of cancer is extremely low. It is recommended to simply monitor the situation...[Read More] Understanding Lumps in the Armpit: What You Need to Know
Post-Chemotherapy Management for Breast Cancer Patients: Key Considerations
Post-Chemotherapy Management The patient has right breast cancer and has undergone a total mastectomy and axillary lymph node dissection. The pathology report indicates the following: Stage: IIB, Tumor size: 2.4 cm, Lymph nodes: positive for metastasis (2, 11), Distant metastasis...
Dr. Chen Sirong Reply:
Patient: 46 years old, male 1. I would like to ask, what are the key reasons for the consultation with the radiologist to assess whether additional radiation therapy and oral chemotherapy are necessary? A: If the lymph nodes have not metastasized, and the tumor is less than 4 c...[Read More] Post-Chemotherapy Management for Breast Cancer Patients: Key Considerations
Understanding Lymphadenopathy and Sjögren's Syndrome: Symptoms and Concerns
Unilateral lymphadenopathy, Sjögren's syndrome? I apologize for the inconvenience, but I would like to ask the doctor about some symptoms I experienced as a child. I discovered a lump under my right armpit and underwent a breast ultrasound, where the doctor diagnosed it as a...
Dr. Chen Sirong Reply:
Doudou / 32 years old / Female 1. I apologize! I am an oncology specialist. Based on your condition, after evaluation by the physician, there is a suspicion of Sjögren's syndrome, which is an autoimmune disease that commonly occurs in individuals aged 40 to 60, predominantl...[Read More] Understanding Lymphadenopathy and Sjögren's Syndrome: Symptoms and Concerns
Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Inguinal mass Hello Doctor, I noticed pain and slight swelling in my left groin area at the end of May. I consulted a general surgeon, and the doctor performed an ultrasound, which showed two lymph nodes that appeared to be benign: one about 1 cm in the groin area and another sma...
Dr. Chen Sirong Reply:
Miss Liao / 46 years old / Female Hello, 1. Could these pains be caused by smaller lymph nodes? A1.1 The human body has two types of pain localization: 1.1.1 Visceral pain is usually difficult to localize accurately. 1.1.2 Pain in the muscles and bones of the limbs can b...[Read More] Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Managing Side Effects of Nasopharyngeal Cancer Treatment: Key Considerations
Radiation therapy for nasopharyngeal carcinoma is reduced? My father was diagnosed with stage IV nasopharyngeal carcinoma, but there was no distant metastasis; however, there was involvement of the lymph nodes in the head and neck region and the left optic nerve. Initially, he un...
Dr. Chen Sirong Reply:
1. What are the consequences of stopping radiation therapy? A: The tumor may grow and compress the optic nerve, potentially leading to blindness in the left eye. It could invade the brain, nose, and lymph nodes in the neck, causing recurrence and growth that may lead to skin ulce...[Read More] Managing Side Effects of Nasopharyngeal Cancer Treatment: Key Considerations
Understanding Enlarged Clavicular Lymph Nodes: Concerns and Insights
Enlargement of the supraclavicular lymph nodes? Hello, Doctor! My mother is 67 years old. She previously lived in China for an extended period while taking care of children. During that time, she received the Sinopharm vaccine on June 24 of last year. At the end of August, she no...
Dr. Chen Yunfang Reply:
Hello: 1. The cytology report indicates that the specimen is insufficient for diagnostic purposes, which means this test is not useful. 2. Lymph nodes smaller than 1 cm should be biopsied (I mean excisional biopsy, where the entire node is removed for pathological examination, no...[Read More] Understanding Enlarged Clavicular Lymph Nodes: Concerns and Insights
Understanding Groin Lymph Nodes: When to Seek Medical Attention
Inguinal lymph nodes Hello, Doctor. I apologize for reaching out while I am currently abroad, and I plan to return to Taiwan in three months. I would like to hear your opinion on whether I should return to Taiwan for medical evaluation at this time. Since December of last year, I...
Dr. Chen Yunfang Reply:
Hello: Please arrange for a surgeon to perform a groin lymph node biopsy as soon as possible; it sounds concerning. Thank you.[Read More] Understanding Groin Lymph Nodes: When to Seek Medical Attention
Persistent Mouth Sores: Could They Be Linked to Lymphoma?
The mouth ulcer has been persisting for quite a while without healing? Hello doctor, last week I went to the hospital for an examination and found a small lump under my skin, measuring about 0.5 to 1.5 centimeters. It doesn't hurt and doesn't move. I consulted another p...
Dr. Chen Yunfang Reply:
Hello: I looked at the photos, and it doesn't appear to be cancer. Please eat more fruits and vegetables, and wait a bit longer. Additionally, if you have habits such as smoking, drinking alcohol, or chewing betel nut, please quit. If there is no improvement in 2-3 weeks, pl...[Read More] Persistent Mouth Sores: Could They Be Linked to Lymphoma?
Understanding Post-Chemotherapy Radiation Therapy for Triple-Negative Breast Cancer
Breast cancer treated with neoadjuvant chemotherapy followed by lumpectomy, currently undergoing radiation therapy (inquiry made on April 14, follow-up on previous case)? Hello, (Old Case) A family member has a "triple-negative" left breast cancer measuring over 4 cm, a...
Dr. Chen Sirong Reply:
Ms. Chu / 52 years old / Female {New Inquiry} Initially, family members underwent "ultrasound, mammography (standing compression of the breast), and biopsy." After a week, they consulted the doctor, who said, "The lymph nodes are not infected." Whether the lym...[Read More] Understanding Post-Chemotherapy Radiation Therapy for Triple-Negative Breast Cancer
Understanding Radiation Therapy After Chemotherapy for Triple-Negative Breast Cancer
In cases of breast cancer where chemotherapy is administered first followed by a lumpectomy, radiation therapy is typically recommended afterward. This approach is often referred to as neoadjuvant chemotherapy, which aims to shrink the tumor before surgical intervention. After th...
Dr. Chen Sirong Reply:
Ms. Zhu / 52 years old / Female 1. Does the family member only need radiation therapy for the left breast? Is it the entire left breast or just the area where the tumor was previously located? A: The radiation field for the breast includes the area below the collarbone, above ...[Read More] Understanding Radiation Therapy After Chemotherapy for Triple-Negative Breast Cancer
Can My Mom Wear Graphene Clothing After Breast Cancer Surgery?
Can my mom wear graphene underwear or clothing after her breast cancer surgery, now that her stitches have just been removed? Hello Doctor, my mother has stage I breast cancer. She underwent surgery to remove the tumor and some lymph nodes. She just had her stitches removed and w...
Dr. Chen Sirong Reply:
Mr. Lai / 40 years old / Male Hello, 1. The mention of many people wearing garments containing graphene after surgery on television should not refer to post-cancer surgery. 2. Regarding clothing made with germanium or graphene, the impact on cancer should be explained by the ...[Read More] Can My Mom Wear Graphene Clothing After Breast Cancer Surgery?
Unexplained Fever: Could It Be Related to Cancer?
Fever I would like to consult a doctor. Since the end of January, I suddenly developed a fever of 38 degrees Celsius, accompanied by chills and fatigue, but no other symptoms. After visiting a clinic and self-testing for COVID-19, I took antipyretics, which brought my temperature...
Dr. Hu Ziren Reply:
Fever of unknown origin caused by tumors is usually accompanied by systemic symptoms such as night sweats, weight loss, and loss of appetite, so observation is recommended. However, if other symptoms occur, such as easy flushing, sensitivity to heat and cold, and dry hair, a visi...[Read More] Unexplained Fever: Could It Be Related to Cancer?
Understanding Lymph Nodes: What to Do If You Find One Near Your Collarbone
A lymph node is palpable in the left supraclavicular fossa? Hello Doctor, on February 14th, I accidentally felt a lymph node in the indentation of my left clavicle, about the size of a red bean. It is round in shape, movable, but not painful. I am hesitant to press on it too hard...
Dr. Chen Sirong Reply:
Xiao Zhen / 38 years old / Female Hello, 1. Which department should I visit? A: General Surgery, and it's also good to have a breast examination. Taoyuan Hospital, Dr. Chen Si-Rong.[Read More] Understanding Lymph Nodes: What to Do If You Find One Near Your Collarbone