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
Small Hard Lump on Inner Thigh: Should You Worry About Tumors?
There is a small hard lump on the inner side of the right thigh near the groin? Hello Doctor, I recently discovered a small lump about 1.5 centimeters in size on the inner side of my right thigh. It can be pinched and is painful when pressed, and it feels like there is a small pa...
Dr. Hu Ziren Reply:
It may just be lymphadenitis; observation is recommended. However, if it continues to enlarge and is accompanied by systemic symptoms (such as recurrent fever, night sweats, weight loss, etc.), it is advisable to see a general surgeon or an obstetrician-gynecologist.[Read More] Small Hard Lump on Inner Thigh: Should You Worry About Tumors?
Understanding Groin Lumps: When to Worry About Tumors or Infections
Inguinal mass About two months ago, I first noticed a hard lump approximately 4 centimeters in size in the groin area of my left leg. It feels soft on the surface but is hard at the base and painful when pressed, giving a sensation of being connected to other areas. After a few d...
Dr. Hu Ziren Reply:
Recurrent episodes that come and go; it is recommended to first consult a general surgeon.[Read More] Understanding Groin Lumps: When to Worry About Tumors or Infections
Understanding Blood Test Results: Concerns About Lymphocytes and Leukemia
Blood test Hello Dr. Hu, I would like to ask you about my blood test results. My WBC is 4.43, Neutrophils segmented 27.0, Lymphocytes 56.0, Monocytes 9.0, Eosinophils 5.0, Basophils 0.0, and Atypical lymphocytes 3.0. In August of this year, I also had a WBC test done at my family...
Dr. Hu Ziren Reply:
Atypical lymphocytes are a transient physiological response caused by viral infections and are not malignant. Therefore, it is recommended to wait until the cold has resolved or to have blood drawn for follow-up after three months.[Read More] Understanding Blood Test Results: Concerns About Lymphocytes and Leukemia
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 Painful Lumps: Lymphoma or Acne?
Subcutaneous edema Hello, doctor: Recently, I noticed a bump the size of a one-dollar coin that suddenly appeared in the lower abdomen. It is painful to touch, and when pressed, it bleeds and releases yellow fluid with a foul odor. Even when not pressed, there is discharge coming...
Dr. Hu Ziren Reply:
It is likely just folliculitis; it is recommended to maintain hygiene and monitor the condition.[Read More] Understanding Painful Lumps: Lymphoma or Acne?
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
Understanding Your Mother's Blood Test Results: Key Values Explained
Please assist in interpreting the examination report? Hello doctor, could you please help me review my mother's test report and identify which values are problematic? Thank you. Blood Test Parameters: - White Blood Cell Count (WBC): 4.7 - Red Blood Cell Count (RBC): 4.23 - ...
Dr. Chen Yunfang Reply:
Hello: There are abnormal blood cells in your blood; please see a hematologist. Thank you![Read More] Understanding Your Mother's Blood Test Results: Key Values Explained
Understanding Neck Lumps: When to Seek Medical Attention
Cervical lymphadenopathy Hello doctor, I have a lump located at the junction of my chin and neck, and the situation is as follows: 1. Duration: It has been over 1.5 years. 2. Size and texture: 1 to 1.5 cm, smooth, elastic, and movable. 3. Medical history: (1) In the past, wheneve...
Dr. Chen Sirong Reply:
Hello, because I am an oncologist, I can only answer questions related to tumors. 1. There is a lump in the middle of the junction between the chin and neck, and the situation is as follows: A: It has been over 1.5 years. The lump is smooth, elastic, and movable. It does not ap...[Read More] Understanding Neck Lumps: When to Seek Medical Attention
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
Could Your Blood Test Results Indicate a Blood Disorder?
Could a blood cell report indicate a blood-related disease? Dear Doctor: I would like to ask for your interpretation of my health check report for this year. In the past few years, the CBC/DC section only showed an issue with elevated platelet counts (without further examination ...
Dr. Chen Yunfang Reply:
Hello: Not all numbers are normal; some may be elevated or decreased. However, whether treatment is necessary requires a personal medical consultation to assess if the individual is experiencing discomfort or has a history of illness. Does this qualify as a blood disorder? It is ...[Read More] Could Your Blood Test Results Indicate a Blood Disorder?
Understanding Blood Test Results: What Your Doctor Wants You to Know
For questions regarding blood test reports, please consult your doctor? Hello, Doctor. I actually visited a family medicine clinic this morning because my liver enzyme levels were around 40 and my cholesterol was just over 200, so I have been following up every three months. Howe...
Dr. Chen Yunfang Reply:
Hello: The answer is the same, but in my words: I will ask you to come back in two weeks for a follow-up blood test. That's it; the current data doesn't indicate much. Medicine is a science, and we don't speculate without evidence. We only speak based on the eviden...[Read More] Understanding Blood Test Results: What Your Doctor Wants You to Know
Understanding Nodal Marginal Zone Lymphoma: Treatment Options During Pregnancy
Lymphoma Hello Doctor: I have non-Hodgkin lymphoma, specifically nodal marginal zone lymphoma (low-grade, stage I). 1. In April, I discovered a 2 cm enlargement of the right parotid gland, with no symptoms such as fever, swelling, or itching. 2. On July 1, I underwent surgery to ...
Dr. Hu Ziren Reply:
1. The need for radiation therapy depends on the area being irradiated. If the radiation field does not include the breast or chest cavity, it is generally still possible to hold a child and breastfeed. 2. The rate of progression from low-grade lymph node marginal zone lymphoma ...[Read More] Understanding Nodal Marginal Zone Lymphoma: Treatment Options During Pregnancy
Understanding Persistent Lymphadenopathy: Causes and Concerns
Recurrent lymphadenopathy Hello Doctor: I would like to ask about my lymph nodes, which are swollen all over my body (on both sides of my collarbone, armpits, groin, and behind my knees). They do not feel hard; rather, they are soft and noticeably protruding. They have been swoll...
Dr. Hu Ziren Reply:
It is recommended to consult a hematology-oncology specialist for a detailed examination.[Read More] Understanding Persistent Lymphadenopathy: Causes and Concerns
Understanding Right Groin Mass and Joint Pain: Possible Causes and Next Steps
Right groin mass + bilateral shoulder/knee/hip joint pain? Hello, doctor. I am a 59-year-old female housewife. From 2018 to 2019, I occasionally experienced dull pain in my right lower abdomen at night (at most once a month), which resolved after urination. Around October 2019, I...
Dr. Chen Sirong Reply:
Lan / 59 years old / Female Regarding the issue of a mass in the right lower groin: 1. You have already undergone abdominal and pelvic ultrasound, so you have seen a doctor. 2. You should have had the doctor you consulted examine it! What did the doctor say? If there are any is...[Read More] Understanding Right Groin Mass and Joint Pain: Possible Causes and Next Steps
Understanding Enlarged Lymph Nodes: Causes, Concerns, and Next Steps
Abnormal lymphadenopathy? Hello Dr. Chen, Three weeks ago, I noticed swelling of the lymph nodes on both sides of my lower jaw where it connects to my neck. It is not visible externally, but I felt pain when I looked down, which is how I discovered it. Initially, there was tende...
Dr. Chen Sirong Reply:
1. It's been over three weeks, but the lymph nodes have not completely disappeared. What could be the reason? Could it turn into lymphadenitis or lymphoma? A: In some individuals, enlarged lymph nodes may not return to their normal size. This is a possible scenario; if the...[Read More] Understanding Enlarged Lymph Nodes: Causes, Concerns, and Next Steps