Understanding Groin Lumps: Could They Be Normal Lymph Nodes?
Inguinal mass Hello doctor, I have noticed a small lump on each side of my groin. It has not changed in appearance and can only be felt when pressed; its size is probably less than one centimeter, and it is movable. Recently, I had a lump on my testicle that was surgically remove...
Dr. Chen Sirong Reply:
Tang / 20 years old / Male Hello, due to the following reasons: 1. There are palpable masses on both sides, which can only be detected upon pressure, measuring no more than one centimeter, and they are mobile. 2. The doctor found no issues during the preoperative examination. 3....[Read More] Understanding Groin Lumps: Could They Be Normal Lymph Nodes?
Understanding Lymph Nodes: When to Seek Further Evaluation
Cervical lymph nodes Hello Doctor: About five or six years ago, I developed a movable, oval-shaped mass approximately 1.5 cm in length in the area where my right lower jaw connects to my neck. It has a rubber-like texture, and pressing on it causes discomfort. At that time, I had...
Dr. Chen Sirong Reply:
C / 24 years old / Female Hello: 1. Do I need to go to a major hospital's ENT department to request an ultrasound or fine needle aspiration? Due to the pandemic, it's a bit difficult right now. A: Currently, it is not necessary. 2. Can lymph node fibrosis reach such a l...[Read More] Understanding Lymph Nodes: When to Seek Further Evaluation
Understanding Malignant Salivary Gland Tumors: Radiation Therapy Necessity and Risks
Malignant tumors of the salivary glands? Doctor, I would like to ask a question. My family member recently underwent surgery to remove a salivary gland tumor, which was later found to have malignant components. The doctor mentioned that they will need to undergo six weeks of radi...
Dr. Chen Sirong Reply:
Hello! 1. Is radiation therapy absolutely necessary? A: Yes, it is necessary because when performing surgery, a safe margin must be maintained. The parotid gland is small, and if the tumor is too large, it may affect the appearance. Therefore, it can be predicted that the safe ma...[Read More] Understanding Malignant Salivary Gland Tumors: Radiation Therapy Necessity and Risks
Understanding Lymphadenopathy in Thyroid Cancer Patients: Risks and Treatment Options
Lymphadenopathy Last November, I was diagnosed with stage 2 thyroid cancer (2.5 cm) and underwent a total lobectomy. However, I discovered a round mass in the upper left neck that is not painful and feels immobile. I have no other discomfort in my body. In mid-November, I also re...
Dr. Hu Ziren Reply:
If there is a metastasis to the lymph nodes, it is recommended to first perform a lymphadenectomy, and then consider treatment with iodine-131 or radiation therapy. As for other concerns (such as bleeding risks, surgical risks, etc.), it is advisable to discuss them with the prim...[Read More] Understanding Lymphadenopathy in Thyroid Cancer Patients: Risks and Treatment Options
Understanding Long-Lasting Lumps: When to Worry About Lymph Nodes and Breast Cysts
Lymphadenopathy behind the ear, submandibular and submental lymphadenopathy, breast mass? Hello, doctor. I have several palpable lumps on my body that have been present for 5 to 10 years and are not painful. I am 174 cm tall and weigh 85 kg, which indicates that I am overweight w...
Dr. Chen Yunfang Reply:
Hello: There is no definitive answer to this. If you are concerned, please visit a hospital and consult with an oncologist or an otolaryngologist. Thank you.[Read More] Understanding Long-Lasting Lumps: When to Worry About Lymph Nodes and Breast Cysts
Understanding Rising CEA Levels During Chemotherapy for Colon Cancer
Elevated CEA levels in recurrent colorectal cancer? Hello Dr. Chen, I am from Taoyuan and currently in Canada. In May 2019, I was diagnosed with cancer located between the ascending colon and the transverse colon, which was classified as stage III. After an emergency surgery for ...
Dr. Chen Sirong Reply:
Tony Chen / 57 years old / Male Hello, medical condition: 1. Diagnosed with recurrent metastatic colorectal cancer in the lymph nodes near the aorta, measuring 17mm in diameter. 2. CEA levels have been consistently rising. The Canadian physician recommends continuing chemotherap...[Read More] Understanding Rising CEA Levels During Chemotherapy for Colon Cancer
Will Removing Enlarged Lymph Nodes Affect My Health?
Will the removal of enlarged lymph nodes have an impact on the body? Hello, doctor. I have two enlarged lymph nodes under my armpit, approximately 1.5 cm and 1 cm in size, which I noticed about a month ago (I’m not sure when they appeared). My blood test results are normal. The d...
Dr. Chen Yunfang Reply:
Hello: The human body has many lymphatic vessels and lymph nodes, numbering in the hundreds or thousands. Removing just 1 or 2 nodes is not a significant issue. It will not cause any lasting side effects, nor will it affect your immune resistance, so there's no need to worry...[Read More] Will Removing Enlarged Lymph Nodes Affect My Health?
Understanding a Hard Lump in the Armpit: Possible Causes and Concerns
There is a hard lump (approximately 2 cm) in the armpit? There is a hard lump in the armpit (approximately 2.5 cm) that has grown significantly over the past two weeks. It does not hurt, feels firm to the touch, is visibly protruding, and there is no redness or swelling. What cou...
Dr. Chen Yunfang Reply:
Hello: Please make an appointment with a general surgeon as soon as possible to see if a biopsy of the axillary lymph nodes is necessary. Thank you.[Read More] Understanding a Hard Lump in the Armpit: Possible Causes and Concerns
Understanding Neck Lumps: When to See a Specialist for Concerns
I felt a lump in my neck? Hello doctor, a few days ago I felt something on the left side of my neck that is soft and movable. When I press on it, it feels a bit sore, but not too painful. I noticed it after feeling some warmth and pain in my neck while sleeping. Additionally, I s...
Dr. Hu Ziren Reply:
It may just be localized inflammation causing lymphadenopathy; observation is recommended. It also seems to be related to the menstrual cycle.[Read More] Understanding Neck Lumps: When to See a Specialist for Concerns
Understanding Lymph Node Issues: Insights on Biopsy Results and Cancer Concerns
Cervical lymphadenopathy? Hello doctor, I would like to ask about the lymph nodes in my left occipital and left cervical regions. The lymph node in the left occipital area is approximately 1 cm and was discovered in September 2020. Ultrasounds conducted in September 2020 and Janu...
Dr. Chen Sirong Reply:
1. The left occipital lymph nodes have not changed, so monitoring should suffice as long as they do not increase in size. 2. The left cervical lymph nodes have decreased in size, which likely indicates that it is not cancer. 3. If there is metastatic cancer or lymphoma, fine ...[Read More] Understanding Lymph Node Issues: Insights on Biopsy Results and Cancer Concerns
Understanding Enlarged Lymph Nodes: Cancer Risk Assessment
Lymphadenopathy There is lymphadenopathy in the left inguinal region that has been present for 3 weeks, measuring approximately 2x2 cm. There are no other abnormalities in the body, the lymph node is mobile, and it feels somewhat firm. Is there a high probability of cancer?
Dr. Chen Sirong Reply:
16-year-old male high school student: 1. The location is somewhat awkward. 2. The size of 2x2 cm is a bit too large. 3. It is recommended to visit a general surgery outpatient clinic for a personal evaluation by a physician. 4. Please inform family members or the school doctor. W...[Read More] Understanding Enlarged Lymph Nodes: Cancer Risk Assessment
Understanding Nasopharyngeal Cancer Recurrence: Treatment Options Explained
Nasopharyngeal carcinoma recurrence Doctor, this is the 10th year since my nasopharyngeal carcinoma recurrence. An MRI has revealed lymph nodes behind my right ear and neck. I underwent a traditional lymphadenectomy, and the Epstein-Barr virus test came back normal. Why is it nec...
Dr. Chen Sirong Reply:
Cai Cai / 40 years old / Female The recommendation from the hospital you visited is reasonable. For neck recurrence, surgery followed by chemotherapy and radiation therapy should be considered to reduce the chances of further recurrence. Of course, choosing between the two optio...[Read More] Understanding Nasopharyngeal Cancer Recurrence: Treatment Options Explained
Understanding Safe Radiation Doses and Treatment Continuity in Oncology
A small issue? Hello, doctor. I would like to ask if an 800-milliCurie dose is considered a safe total amount for treatment, or if this is also the safe value during scanning examinations. Is it necessary to continue treatment with the original hospital and physician, rather than...
Dr. Chen Sirong Reply:
1. Is a dose of 1.800 millicuries the safe total amount for treatment, or is this the safety value for the dose during scanning examinations? Answer: Yes, but this refers specifically to I-131 and does not include other examinations. 2. Is it necessary to stick with the origin...[Read More] Understanding Safe Radiation Doses and Treatment Continuity in Oncology
Understanding Left Groin Lumps: When to Seek Medical Advice
Left groin mass? Hello Doctor, today I accidentally felt a small round lump on the left side of my groin (above the pubic hair). It's less than one centimeter in size, not visible on the surface, and difficult to palpate. Sometimes it disappears and sometimes it appears; it ...
Dr. Hu Ziren Reply:
It may only be the lymph nodes; it is recommended not to press on them constantly and just to observe.[Read More] Understanding Left Groin Lumps: When to Seek Medical Advice
Understanding Hard Lumps in the Armpit: Causes and When to Seek Help
There is a small hard lump in the armpit? I have noticed a small hard lump in my left armpit for about a month. It is currently approximately 1*0.5 cm in size. Since the appearance of the lump, I feel that it is continuing to grow. I often experience numbness and weakness in my l...
Dr. Chen Sirong Reply:
Zhuang / 23 years old / Male I can only respond based on what you wrote about the size being 1*0.5mm. 1. 0.5mm is very small; can you really feel it? 2. I do not believe your symptoms are caused by it, unless it is directly on a nerve. 3. For the mass, please consult a general...[Read More] Understanding Hard Lumps in the Armpit: Causes and When to Seek Help
Understanding Lumps on Thigh: Possible Lymphadenopathy Concerns
Swelling in the thigh suspected to be lymphadenopathy? Hello Dr. Chen, around September 25th, I experienced lower back pain, thinking it would improve, but I only went for a consultation on October 1st. The diagnosis was sciatica, and one day I felt pain radiating to the left sid...
Dr. Chen Yunfang Reply:
Hello: If the lump does not disappear or decrease in size after two weeks, please see a hematologist or a general surgeon. If the doctor finds anything unusual, they will arrange for a lymph node biopsy. Thank you.[Read More] Understanding Lumps on Thigh: Possible Lymphadenopathy Concerns
Understanding Small Lymph Nodes: When to Seek Further Evaluation
Small lymph nodes Hello Doctor, I have a small lymph node about 0.5 cm in size located at the back of my neck, near the occipital area. It has been there for almost ten years. I have consulted two nearby ENT clinics, and the doctors examined it and said it was normal. Should I pa...
Dr. Chen Yunfang Reply:
Hello: Lymph nodes larger than 1 centimeter should be taken seriously and warrant further examination.[Read More] Understanding Small Lymph Nodes: When to Seek Further Evaluation
Understanding Left Lower Abdominal Masses: Possible Causes and Concerns
Hard mass in the left lower abdomen? Hello, doctor. Recently, when lying flat, I can feel 4 to 5 firm lumps arranged in a line in my lower left abdomen. They are not painful or itchy, and they are especially noticeable in the morning, feeling larger (about one to two finger joint...
Dr. Chen Sirong Reply:
Tang / 29 years old / Female Hello, 1. The outpatient appointment is scheduled for a CT scan in two weeks: further remote consultation is no longer meaningful. 2. Thank you, doctor, for taking the time to address my concerns and alleviate my anxiety. A: You have already rec...[Read More] Understanding Left Lower Abdominal Masses: Possible Causes and Concerns
Managing Nutrition and Diabetes During Stage IV Oral Cancer Chemotherapy
Patient is undergoing chemotherapy for stage IV oral cancer but has diabetes? Hello Doctor, my father is 50 years old, does not smoke, drink, or chew betel nut, and does not have dentures, yet he was recently diagnosed with stage IV oral cancer that has spread to the lymph nodes....
Dr. Chen Yunfang Reply:
Hello: For my cancer patients, I do not expect them to maintain perfect blood sugar levels; keeping it below 200 is sufficient. There is no need for strict control, as the cancer itself and the treatment process often lead to decreased appetite. By the end of the treatment, most ...[Read More] Managing Nutrition and Diabetes During Stage IV Oral Cancer Chemotherapy
Understanding Risks and Concerns for Breast Cancer Patients Undergoing Chemotherapy
Hormone receptor negative, HER2 positive, lymph node metastasis (T2N2M0 / Stage IIB) Hello Dr. Chen, my mother was diagnosed with stage II breast cancer (HER2+, with lymph node metastasis) last month. She has undergone one round of chemotherapy, and 12-13 days after chemotherapy,...
Dr. Chen Sirong Reply:
Kathy / 45 years old / Female 1. Is there a risk associated with tooth extraction after chemotherapy? Are there any precautions? A: There is a risk of infection. It may be considered to suture the extraction site (usually, tooth extractions do not require sutures, allowing the w...[Read More] Understanding Risks and Concerns for Breast Cancer Patients Undergoing Chemotherapy