Preparing for Esophageal Cancer Surgery: Essential Tips and Nutrition
Preoperative Preparation for Esophageal Cancer Surgery Hello Doctor, my father-in-law (78) underwent a CT and PET scan two days ago, which revealed a 7 cm tumor in the middle to lower esophagus, with spread to nearby lymph nodes. After consultation, a professor has agreed to perf...
Dr. Chen Sirong Reply:
Ms. Liang / 27 years old / Female. What else can I do besides drinking high-protein nutritional drinks? A: Companionship is the most important thing. Maintaining weight or even gaining weight is fine; after surgery, you will naturally lose weight. Thank you for your inquiry. Taoy...[Read More] Preparing for Esophageal Cancer Surgery: Essential Tips and Nutrition
Understanding Neck Masses: Risks, Treatments, and Recovery Options
Neck issues Hello, my mother is around 38 years old. About a month or two ago, she noticed a lump in her neck, which has been slowly decreasing in size but hasn't completely disappeared; there is still a hard lump that seems to move slightly when swallowing. We are now worri...
Dr. Chen Sirong Reply:
Ciel / 15 years old / Female 1. My mother is around 38 years old. About a month or two ago, she had a lump in her neck, which has been slowly decreasing in size, but it hasn't completely disappeared. There is still a hard lump that seems to move slightly when swallowing. A:...[Read More] Understanding Neck Masses: Risks, Treatments, and Recovery Options
Understanding Persistent Lymph Nodes: Concerns and Insights
Lymph nodes inside the right lower jaw? Hello Doctor, in early December, I noticed a swollen lymph node on the inside of my right jaw that was painful. I went to an ENT clinic for an examination, and the doctor diagnosed it as lymphadenitis and prescribed medication for three day...
Dr. Chen Sirong Reply:
Chuang / 23 years old / Female Hello, 1. After self-examination, I feel that today's lymph node is smaller. A: Malignant lymph nodes typically do not fluctuate in size; they tend to grow continuously. 2. Could it be that the medication for my bladder infection contains ...[Read More] Understanding Persistent Lymph Nodes: Concerns and Insights
Understanding Groin Lumps: When to See an Oncologist
Inguinal mass Hello, doctor. On January 29th, I suddenly noticed a small hard lump in my groin area. I found that it is movable and does not protrude. After researching online, I learned that it is located where lymph nodes are. Following my family's advice, I visited a fami...
Dr. Chen Sirong Reply:
Ms. Wu / 24 years old / Female 1. Should I see an oncologist? A: Currently, it is not necessary. 2. Due to a significant family history of cancer, A: If there are changes in size, color, or firmness, then consult a doctor. Thank you for your inquiry. Taoyuan Hospital ...[Read More] Understanding Groin Lumps: When to See an Oncologist
Understanding Swollen Lymph Nodes: Causes and Concerns
Hard lumps or swollen lymph nodes in the armpit? Hello doctor, I have noticed that my armpit feels like there is swollen lymph nodes (red and swollen, quite large) over the past week or two. It has grown from a small size to about 3 to 5 centimeters now, and it hurts quite a bit ...
Dr. Chen Sirong Reply:
Hsin / 25 years old / Female Hello, 1. I have noticed that my armpit feels like there is lymphadenopathy (red and swollen, quite large). It has grown from a small size to about 3 to 5 centimeters now, and it hurts quite a bit when I raise my arm. A: Since it is quite large, yo...[Read More] Understanding Swollen Lymph Nodes: Causes and Concerns
Understanding a Hard Lump on the Left Side of the Neck: What You Need to Know
A lump felt on the left side of the neck? About 3 to 5 months ago, I noticed a hard lump (approximately 1.8 cm) in the upper left side of my neck. I'm concerned that this could be lymphoma or some other serious condition. Additionally, I remember having a lump in my left arm...
Dr. Hu Ziren Reply:
Didi: If there are no discomforts, just wait for it to go away. :)) By Dr. Hu Ziren[Read More] Understanding a Hard Lump on the Left Side of the Neck: What You Need to Know
Choosing Chemotherapy Drugs for Triple-Negative Breast Cancer
Chemotherapy drug options for triple-negative breast cancer? Hello Doctor, my mother was diagnosed with triple-negative breast cancer last December, approximately 2.4 cm in size. The lymph node biopsy did not show any cancer cells because the tumor is located too close to the nip...
Dr. Lai Yicheng Reply:
Dear Ms. Clare, Thank you for your letter. I appreciate your concern for your mother; you are a caring daughter. Regarding the choice of chemotherapy drugs for triple-negative breast cancer that you mentioned, there are some discrepancies with your mother's attending physic...[Read More] Choosing Chemotherapy Drugs for Triple-Negative Breast Cancer
Can Liver Cancer Be Surgically Removed If No Metastasis Is Found?
Does liver cancer metastasize? Dear Dr. Hu, This year, my friend was diagnosed with liver cancer. Both the CT scan and MRI evaluations indicate no lymphatic or distant metastasis, making surgical resection possible. Can you confirm if these examinations can reliably rule out me...
Dr. Hu Ziren Reply:
Hello, online user: Yes, if there is metastasis, surgery is not possible; however, for liver cancer surgery, in addition to assessing whether there is distant metastasis, it is also necessary to consider the tumor's location and the patient's overall function (such as a...[Read More] Can Liver Cancer Be Surgically Removed If No Metastasis Is Found?
Should You See a Doctor for Persistent Lymph Nodes in the Neck?
Cervical lymph nodes Doctor, about two years ago, I discovered a lump in my neck and went to the hospital for examination. At that time, I underwent a nasopharyngoscopy, which showed no issues. The doctor then arranged for an ultrasound-guided fine needle aspiration, which indica...
Dr. Chen Yunfang Reply:
Hello: Although the lymph nodes have been examined previously and found to be normal, it is still recommended that you see a physician every six months for routine follow-up. Thank you for your understanding.[Read More] Should You See a Doctor for Persistent Lymph Nodes in the Neck?
Understanding Persistent Neck Lymph Node Pain After Chemotherapy
Is the persistent pain in the neck lymph nodes after chemotherapy an indication that it hasn't been controlled? Hello Doctor, my father is 50 years old and has stage IV gastric cancer that has metastasized to the lymph nodes in his shoulder and abdomen, as well as to a small...
Dr. Hu Ziren Reply:
Hello, online user: It is recommended to continue chemotherapy and complete the entire treatment course.[Read More] Understanding Persistent Neck Lymph Node Pain After Chemotherapy
Post-Liver Cancer Surgery: Evaluating Adrenal Nodules for Metastasis
Adrenal nodules discovered after liver cancer surgery? Hello Dr. Chen, In April of this year, a family member underwent surgery for liver cancer. The preoperative CT assessment indicated T2N0M0 (Hospital A), while the preoperative MRI assessment indicated T1N0M0 (Hospital B). T...
Dr. Chen Yunfang Reply:
Hello: The adrenal glands are located deep within the body and are surrounded by many highly vascularized organs and tissues, which is why fine needle aspiration is generally avoided due to potential risks. If a tumor develops in the adrenal gland, the only definitive method for ...[Read More] Post-Liver Cancer Surgery: Evaluating Adrenal Nodules for Metastasis
How to Properly Examine Axillary Lymph Nodes: Arm Position Matters
There is a hard lump in the armpit? Hello, doctor: What is the correct position for examining the axillary lymph nodes? Should the arm be raised at a 90-degree angle to the body, or should it be lifted above the head? Why does the size of the lymph nodes feel different depending ...
Dr. Chen Sirong Reply:
1. What is the correct position for examining the axillary lymph nodes? Should the arm be raised at a 90-degree angle to the body, or should it be lifted above the head? A: This video shows sitting with the arm at a 45-degree angle to the body: https://www.youtube.com/watch?v=izL...[Read More] How to Properly Examine Axillary Lymph Nodes: Arm Position Matters
Understanding Breast Cancer Surgery and Post-Operative Treatment Options
Preoperative and postoperative treatment for breast cancer? Hello Doctor, My mother has been undergoing regular mammograms every six months and was diagnosed with breast cancer last week. The tumor is located at the 9 o'clock position in the right breast, measuring 1.2 cm,...
Dr. Lai Yicheng Reply:
Dear Madam, Thank you for your letter. Here are my responses: 1. If the malignant tumor is small, partial resection followed by adjuvant radiation therapy can be considered. However, if your mother has multiple benign fibromas in both breasts as you described, total mastectomy ...[Read More] Understanding Breast Cancer Surgery and Post-Operative Treatment Options
Understanding Beta-2 Microglobulin Levels in Lymphoma Diagnosis
Please provide your questions related to the B2-M index? Hello Dr. Hu, A month ago, I developed a cluster of five lymph nodes of varying sizes on the right side of my neck within a week. The doctor tested my cancer marker, and my Beta-2 microglobulin level was 2415 (the referen...
Dr. Hu Ziren Reply:
Beta-2 microglobulin is a protein found on the surface of nucleated cells. Its elevation can sometimes indicate activation of immune cells in the body. Therefore, blood tests during allergic reactions may be affected to some extent.[Read More] Understanding Beta-2 Microglobulin Levels in Lymphoma Diagnosis
Understanding Post-Breast Cancer Treatment Options and Chemotherapy Insights
Breast cancer treatment Hello, Dr. Lai! I would like to inquire about the follow-up treatment for breast cancer. The report states the following: Size: 22mm, Lymph nodes: no metastasis, Margins: clear, Distant metastasis: none, Stage: IIA, Classification: Luminal B type, ER: >...
Dr. Lai Yicheng Reply:
Dear Miss Debbie, Thank you for your letter. Here is my response: HER2 is positive [+++], which indicates that targeted therapy can reduce the risk of recurrence or metastasis by one-third. If HER2 is positive [++], further FISH testing is required to confirm whether targeted ...[Read More] Understanding Post-Breast Cancer Treatment Options and Chemotherapy Insights
Understanding Groin Pain: Causes and Next Steps for Management
Groin pain There is periodic recurrent cramping pain around the groin area (including the lower abdomen on both sides and the lower abdomen near the female reproductive organs). There are frequent sharp pains during ovulation, and pain also occurs before menstruation. A CT scan w...
Dr. Chen Sirong Reply:
Yueyue / 28 years old / Female 1. I had a CT scan, and the surgeon only mentioned that there are many lymph nodes. There was no further explanation, and I don't know how to proceed. A: Does this mean benign lymph nodes? Is it possible to just monitor them? Without seeing ...[Read More] Understanding Groin Pain: Causes and Next Steps for Management
Managing Early Stage Stomach Cancer: Care Tips and Medication Effectiveness
Early-stage gastric cancer..? I would like to inquire about an elderly family member in their 60s. A few years ago, they suffered a stroke that left the left side of their body paralyzed. Recently, during a bowel movement, they noticed black stools, and upon examination, they wer...
Dr. Chen Sirong Reply:
Neighbor's younger sister / 36 years old / Female 1. I would like to ask if cancer medication is effective? A: The side effects are a matter of probability, depending on the specific medication. You can refer to the drug manufacturer's package insert for detailed info...[Read More] Managing Early Stage Stomach Cancer: Care Tips and Medication Effectiveness
Can X-rays Detect Lymph Nodes in the Head and Neck Area?
Can X-rays detect lymph nodes in the head and neck? Hello doctor, I have a hard lump in the lower left side of my head, approximately below the Fengchi point as described in Traditional Chinese Medicine. When I turn my head to the right, it becomes more noticeable. There is also ...
Dr. Chen Yunfang Reply:
Hello: To examine the lymph nodes in the head and neck, X-rays cannot provide sufficient information. However, a CT scan can clearly visualize the size and depth of the lymph nodes. Thank you for your response.[Read More] Can X-rays Detect Lymph Nodes in the Head and Neck Area?
Understanding Lymph Nodes: When to Seek Further Medical Attention
Lymph nodes (second question) Hello, doctor. Last time I inquired about my lymph nodes after taking antibiotics for five days, and they became hard. I was wondering if I needed to return for a follow-up. After my follow-up, the doctor only performed a physical examination and pre...
Dr. Chen Sirong Reply:
Hello. 1. Regarding your previous inquiry about the lymph nodes becoming hard after taking antibiotics for five days, is it necessary to return for a follow-up? A: If they are not continuing to enlarge, it is indeed acceptable to observe further. 2. Should you consider seeing an ...[Read More] Understanding Lymph Nodes: When to Seek Further Medical Attention
Concerns About Left Neck Lymph Nodes: Understanding Potential Cancer Risks
Lymph nodes near the left clavicle in the neck? Hello, doctor. I just received my health check report, which indicates a suspected lymph node near the left side of my neck close to the clavicle. I recalled that the muscle on the left side of my neck, which I check during thyroid ...
Dr. Hu Ziren Reply:
If it doesn't get any bigger and I already have an appointment, I think I'll wait to discuss it in detail with the doctor during the appointment. :)[Read More] Concerns About Left Neck Lymph Nodes: Understanding Potential Cancer Risks