Understanding Chemotherapy for Head and Neck Cancer: A Patient's Journey
Chemotherapy for head and neck cancer Hello Dr. Chen, my sister was diagnosed with stage II squamous cell carcinoma of the left buccal mucosa two years ago without lymphatic metastasis. The doctor at that time performed a tumor resection without lymphadenectomy and did not recomm...
Dr. Chen Yunfang Reply:
Hello: 1. I cannot answer this question; you would need to ask her attending physician for that information. 2. I also cannot answer this question because I do not have specific information about the medication name and dosage, and I am unaware of the patient's physical cond...[Read More] Understanding Chemotherapy for Head and Neck Cancer: A Patient's Journey
Understanding Enlarged Lymph Nodes: Symptoms and When to Seek Help
Cervical lymph nodes Hello Doctor, I am currently studying in the UK. About three months ago, I noticed a movable lymph node about 1 cm in size on the right side of my neck. Over time, it has increased in size, reaching approximately 2.8 cm by the end of May. However, a few days ...
Dr. Yan Jingheng Reply:
Enlarged lymph nodes in the neck are not necessarily indicative of lymphoma; a pathological biopsy is required for confirmation. They could also be benign tumors, and lymphoma may be associated with head and neck cancers. Additionally, since your lymph nodes have been enlarged fo...[Read More] Understanding Enlarged Lymph Nodes: Symptoms and When to Seek Help
Understanding Groin Lumps: Causes and When to Seek Medical Advice
Inguinal mass Three weeks ago, I discovered a hard lump about 1 centimeter in diameter on the left side of my groin where it connects to the thigh. The shape feels round or oval, and it is not painful when pressed. It does not move much, and it is difficult to feel unless I press...
Dr. Hu Ziren Reply:
It may just be lymph nodes or other benign tissues (such as lipomas), and observation is sufficient.[Read More] Understanding Groin Lumps: Causes and When to Seek Medical Advice
Understanding Persistent Lumps in the Armpit: When to Seek Medical Advice
I have a hard lump about 1.2 centimeters in size under my armpit that has been present for several years? Several years ago (more than five years), I noticed a small hard lump under my right armpit. It does not have any black spots, feels deep, and does not hurt when touched or p...
Dr. Chen Sirong Reply:
Youzi / 27 years old / Female 1. I would like to ask what this condition might be? A: Benign lymphadenopathy, lipoma? Accessory breast tissue? It's really hard to say without a thorough examination (inspection, auscultation, palpation, inquiry). 2. Which department shoul...[Read More] Understanding Persistent Lumps in the Armpit: When to Seek Medical Advice
Understanding the Progression of Lung Cancer Tumor Spread: Key Insights
How does the progression of lung cancer tumor metastasis occur? Hello Doctor, I would like to ask about the progression of lung cancer tumors. Do they typically spread first through the lymphatic system in the lungs and then progress to the trachea, major blood vessels, heart, br...
Dr. Chen Sirong Reply:
Hua Hua / 66 years old / Female Hello, 1. Can you explain how lung cancer tumors spread? Do they typically start by spreading to the lymph nodes in the lungs and then progress to the trachea, major blood vessels, heart, brain, and bones? A: 1.1 This question is somewhat like fo...[Read More] Understanding the Progression of Lung Cancer Tumor Spread: Key Insights
Understanding Lumps in the Armpit: When to Seek Medical Advice
There is a hard lump in the armpit? Hello, doctor. I apologize for bothering you, but I would like to ask you some questions. I originally had a hard lump in my right armpit for about two to three months. After a while, I got busy and thought it was just a normal occurrence relat...
Dr. Chen Yunfang Reply:
Hello: If you are concerned, you should schedule an appointment with a surgical specialist in breast surgery. If the lump you mentioned is a lymph node, a biopsy will likely be arranged during the outpatient visit. Thank you.[Read More] Understanding Lumps in the Armpit: When to Seek Medical Advice
Can Surgery for Meniscus Tear Spread Cancer Cells in Lymphoma Patients?
Will cancer cells spread during general surgery for conditions other than cancer? Hello Doctor, my mother was recently diagnosed with a meniscus tear in her knee, and now she walks slowly, which affects her daily life. She needs surgery to walk, but at the same time, she has also...
Dr. Chen Sirong Reply:
Ms. Sun / 29 years old / Female Hello, 1. May I ask if these two surgeries can be performed simultaneously? A: Orthopedic surgery is an operation, while lymphoma is treated with chemotherapy, which does not require surgery. 2. Is it possible to manage both treatment regimens ...[Read More] Can Surgery for Meniscus Tear Spread Cancer Cells in Lymphoma Patients?
Understanding Left Supraclavicular Swelling: When to Seek Medical Advice
Swelling in the left supraclavicular fossa? Hello, doctor. I have swelling on the left side of my neck, approximately in the area of the supraclavicular fossa. It is not painful or itchy, but I can feel two firm lumps when I press on it. Should I seek medical attention? Which spe...
Dr. Hu Ziren Reply:
It may just be some benign subcutaneous tumors (such as lipomas, lymph nodes, tendon tumors, etc.), and observation is recommended.[Read More] Understanding Left Supraclavicular Swelling: When to Seek Medical Advice
Can Nasopharyngeal Cancer Recur? Understanding Risks and Diagnosis
Is it possible for nasopharyngeal carcinoma to recur? Hello Doctor, I would like to ask about my family member. Two and a half years ago, they were diagnosed with nasopharyngeal carcinoma T1N1 and underwent 33 sessions of proton therapy and 5 cycles of chemotherapy. Subsequent ex...
Dr. Chen Sirong Reply:
Ms. Li / 40 years old / Female Hello~~ 1. I would like to ask the doctor~~ Is the diagnosis primarily based on the biopsy report? A: Yes, the diagnosis is primarily based on the biopsy report. However, if there are suspicions and the biopsy is inconclusive, we may repeat the...[Read More] Can Nasopharyngeal Cancer Recur? Understanding Risks and Diagnosis
Understanding Recurrent Lumps Under the Right Armpit: Causes and Solutions
Three lumps in the right armpit? Hello Doctor, starting around November of last year, I noticed 2 to 3 lumps under my right armpit. They are painful when pressed and have been gradually increasing in size. At that time, I visited a breast surgery clinic, and the doctor suspected ...
Dr. Hu Ziren Reply:
It may just be folliculitis or eczema. It is recommended to see a dermatologist or a plastic surgeon. Please note: this issue is outside my area of expertise![Read More] Understanding Recurrent Lumps Under the Right Armpit: Causes and Solutions
Understanding Your EBV Test Results: Managing Anxiety and Health Concerns
Thank you, doctor, for taking the time to respond, which has helped ease my anxiety and allowed me to sleep better? Hello Doctor, I am very anxious and would like to ask a few questions. I have not had any cough, but I constantly feel like I have phlegm. I visited several clinics...
Dr. Chen Yunfang Reply:
Hello: Yes, it is very dangerous. The normal EBV DNA levels in healthy individuals are close to zero, which likely indicates a possibility of nasopharyngeal carcinoma. Please wait for the biopsy pathology results; until the pathology report is available, everything remains highly...[Read More] Understanding Your EBV Test Results: Managing Anxiety and Health Concerns
Understanding Your Low-Dose CT Report: Key Findings Explained
Low-Dose Computed Tomography Report Hello, three years ago I had a check-up that was normal. This time I paid out of pocket for another examination and just received the report. It indicates that there is a 3.5 mm ground-glass opacity (GGO) close to the right minor fissure that n...
Dr. Chen Sirong Reply:
Hope / 39 years old / Female 1. I would like to ask what this means. A: 1.1 A 3.3 mm nodule in the breast cannot be definitively classified as normal or abnormal; it will be considered normal and will be monitored for any growth. However, there is no need to be anxious about i...[Read More] Understanding Your Low-Dose CT Report: Key Findings Explained
Understanding Stage IA1 Lung Adenocarcinoma and Tumor Marker Abnormalities
Stage I lung adenocarcinoma with abnormal tumor markers? Hello Doctor, this is my mother's pathology report from that time. NOMED: 28000-B-M81403, 29000-B-M09450 DX: Lung, right middle lobe, wedge resection - Invasive acinar adenocarcinoma, moderately differentiated (G2)...
Dr. Chen Sirong Reply:
Huang, 27 years old, male, has been diagnosed with stage I lung cancer. The Cyfra 21-1 level is 4.11, which is greater than the standard of 3.3 (first test). It is advisable to conduct follow-up testing for Cyfra 21-1 earlier, which is out-of-pocket, so you can have it checked ev...[Read More] Understanding Stage IA1 Lung Adenocarcinoma and Tumor Marker Abnormalities
Understanding Neck Lumps: Lipoma vs. Lymph Nodes in Children
Follow-up question #207281 regarding lymph nodes in the neck? Hello Dr. Chen, Thank you very much for your response to the inquiry regarding "lymph nodes in the neck" in article #207281. You mentioned the possibility of a "lipoma," so I would like to ask you ...
Dr. Chen Sirong Reply:
Kris / 42 years old / Male Q1-2A: I suggest you not to get too caught up in whether it is a lipoma; instead, focus on the current issue and get a neck ultrasound or CT scan. Q3: Dr. Chen, if a "lipoma" forms, is there a possibility that it could disappear on its own...[Read More] Understanding Neck Lumps: Lipoma vs. Lymph Nodes in Children
Understanding Lymph Node Swelling in the Neck: Common Concerns and Questions
Questions about cervical lymph nodes? Hello Dr. Chen: When I was about 4 to 5 years old, I discovered an oval-shaped mass in the middle of my right neck that was oriented vertically. It felt soft and movable. Although the mass was not very large, it was clearly visible. My mother...
Dr. Chen Sirong Reply:
Kris / 42 years old / Male Q1. Is it possible for the lymph nodes to remain enlarged without decreasing in size or disappearing, and still be present today? A: 1.A It is uncertain whether it is a lipoma or a lymph node. 1.B It can still be present. Q2. Dr. Chen, are the lymph...[Read More] Understanding Lymph Node Swelling in the Neck: Common Concerns and Questions
Understanding Treatment Options for Head and Neck Lymphoma: Surgery vs. Chemotherapy
Head and neck lymphatic cancer Hello Doctor: I underwent surgery for a head and neck lymphatic tumor in 2023, and the tumor was diagnosed as stage III lymphoma. Recently, I found another tumor on the left side of my clavicle. I consulted the same hospital and the doctor suggested...
Dr. Chen Sirong Reply:
Wei Cheng / 35 years old / Male 1. Most head and neck cancer cells are squamous cells and undifferentiated cells; the decision to perform surgery depends on the location. 2. Lymphoma cells are a type of lymphocyte that has transformed into cancer cells; surgery is not necessa...[Read More] Understanding Treatment Options for Head and Neck Lymphoma: Surgery vs. Chemotherapy
Understanding Lymph Node Issues: Symptoms and When to Seek Help
Lymphatic issues I have been experiencing persistent itching in the genital area, and a few months ago, I noticed a lump on the left side of my genitals. Additionally, I have been having frequent pain during urination and difficulty urinating. Last month, I visited a gynecologist...
Dr. Chen Sirong Reply:
Patient: 42-year-old female 1. Gynecological examination 2. Theoretically, there should be no gynecological cancer since the gynecological evaluation has been completed. 3. Lymph nodes can enlarge due to infection, but they may also indicate cancer spread to the lymph nodes...[Read More] Understanding Lymph Node Issues: Symptoms and When to Seek Help
Understanding Abnormal Blood Test Results in Children: What to Do Next?
Abnormal blood test results! Hello Doctor: My child recently underwent a health checkup for junior high school, and the blood test results showed abnormalities with a platelet count of 563. The school notified us to seek medical attention for a re-evaluation. We went to the hospi...
Dr. Chen Yunfang Reply:
Hello: It is true that the white blood cell and platelet counts are slightly higher than normal, but clinically, these numbers do not necessarily indicate the presence of a disease. I don't have much concern regarding these values. Let's schedule an appointment with a p...[Read More] Understanding Abnormal Blood Test Results in Children: What to Do Next?
Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights
Six months after treatment for tongue cancer, there has been recent swelling and pain in the cervical lymph nodes? A 65-year-old male, who underwent treatment for stage 0 tongue cancer six months ago, has recently experienced pain and swelling in the lymph nodes in the neck. A CT...
Dr. Yan Jingheng Reply:
Hello, 1. Pain relief medications can have different effects on individuals, but acetaminophen is generally considered the mildest pain reliever. 2. For tongue cancer surgery, if it was detected at a very early stage, monitoring after surgery may suffice. However, if the lymph no...[Read More] Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights
Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Cervical lymph nodes Last March, I discovered a swollen lymph node in my neck. Since then, I have noticed several more swollen lymph nodes in my neck. I have been continuously monitoring the situation. Initially, an ultrasound was performed, followed by a CT scan of my neck, and ...
Dr. Chen Sirong Reply:
1. Is it possible for symptoms like fever and night sweats to appear now if the swollen lymph node was initially lymphoma? A: It is possible, but just a possibility. However, if the lymphoma is present, that lymph node would likely continue to grow. If it hasn't increased in...[Read More] Understanding Lymph Nodes: Symptoms and Concerns in Oncology