Understanding Groin Lymph Nodes: When to Seek Medical Evaluation
Inguinal lymph nodes I am not sure if it's because I am relatively thin, but I can feel several lymph nodes in my body, particularly on both sides of the groin area. There are quite a few that feel relatively large, oval-shaped, and about 2 centimeters in size. Their positio...
Dr. Chen Yunfang Reply:
Hello: 1. The ability to palpate lymph nodes is not related to body weight. While everyone has a lymphatic system, under normal circumstances, lymph nodes are not palpable. If they can be felt, it is considered abnormal. Many times, this can occur due to conditions such as cold...[Read More] Understanding Groin Lymph Nodes: When to Seek Medical Evaluation
Understanding Non-Painful Groin Mass: Is It Bladder Cancer?
Inguinal mass There is a hard lump in the bladder that is not painful. I have experienced this situation before, but it resolved on its own. I am concerned whether it could be bladder cancer, but I do not have any symptoms of bladder cancer. I would like to know what this conditi...
Dr. Chen Sirong Reply:
Patient: 16 years old, male 1. There is a hard lump in the bladder that is not painful. I have had this situation before, but it resolved on its own. A: The bladder is an internal organ, and you should not be able to self-examine for a hard lump in the bladder. It is likely a ...[Read More] Understanding Non-Painful Groin Mass: Is It Bladder Cancer?
Understanding a Small Hard Lump Below the Clavicle: What to Know
A small hard lump beneath the clavicle? Hello Doctor, my mother recently found a small hard lump under her right clavicle, close to the collarbone. It doesn't hurt much when pressed. We consulted a doctor who said it is likely not a lymph node because it is located below the...
Dr. Chen Sirong Reply:
Ms. Lin / 52 years old / Female Hello, of course, you need to continue waiting for the CT scan. There's no rush. It's rare for a physician to agree to perform an examination for your mother under the National Health Insurance at Taoyuan Hospital, Dr. Chen Sih-Jung.[Read More] Understanding a Small Hard Lump Below the Clavicle: What to Know
Understanding Ureteral Cancer: Treatment Options and Concerns for Patients
Ureteral cancer Dear Dr. Lai, My mother was diagnosed with stage III ureteral malignancy in April of this year. On April 21, 2016, she underwent surgery at Keelung Chang Gung Memorial Hospital to remove her left kidney, ureter, and a portion of the bladder cuff. The doctor menti...
Dr. Lai Yicheng Reply:
Dear Ms. Errorwu, Thank you for your inquiry. Here are the responses: 1. Regarding the ureteral tumor that is close to the lymph nodes but has not metastasized distantly, whether chemotherapy is necessary depends on the pathology report indicating lymph node invasion. If there ...[Read More] Understanding Ureteral Cancer: Treatment Options and Concerns for Patients
Understanding Persistent Lymph Nodes: Autoimmune Disease or Cancer Risk?
The lymph nodes have been swollen for nearly three years? Hello doctor, I was diagnosed with an autoimmune disease - multiple sclerosis two to three years ago. I started receiving interferon treatment in July 2013. In November of the same year, I experienced full-body itching for...
Dr. Lai Yicheng Reply:
Dear Miss Annie, Thank you for your letter. In response to your inquiry, are you very thin? In thin patients, it is sometimes possible to palpate the inguinal or cervical lymph nodes. If the lymph nodes have not continued to enlarge over the past 2-3 years, they are likely benig...[Read More] Understanding Persistent Lymph Nodes: Autoimmune Disease or Cancer Risk?
Should I Remove a 0.3cm Benign Neck Tumor? Expert Advice
Can a 0.3 cm benign tumor in the neck be surgically removed? Hello Doctor, In February of this year, I discovered a lump in the lymph nodes on the right side of my neck. I managed to wait until mid-May to have it checked in Taiwan, where it was found to be 0.3 cm and benign. The...
Dr. Chen Sirong Reply:
Tina / 50 years old / Female. The meaning is that after the surgeon incises your skin, they cannot locate the 0.3 cm mass amidst the surrounding tissue. If all the lymph nodes in the area need to be removed, that would be an overreaction. The opinion of the physician you consulte...[Read More] Should I Remove a 0.3cm Benign Neck Tumor? Expert Advice
Radiation Therapy Concerns: Options After Stage II Breast Cancer Surgery
Radiation therapy issues Dr. Chen: Hello! I have two questions I would like to ask you, thank you! 1/ After a lumpectomy for stage II breast cancer, is it possible to choose not to undergo chemotherapy? Since the lymph nodes are clear, the doctor mentioned that I could opt for ra...
Dr. Chen Sirong Reply:
Ms. Li / 54 years old / Female 1/ Can a patient with stage II breast cancer choose not to undergo chemotherapy after a lumpectomy? Since the lymph nodes are clear, the doctor mentioned that radiation therapy and continuous medication for ten years are options. A: It's diff...[Read More] Radiation Therapy Concerns: Options After Stage II Breast Cancer Surgery
Understanding Lymph Nodes: Causes of Swelling and Night Sweats
A lump in the neck? Hello, doctor. Around February, I noticed a lymph node about 1 cm in size on my neck. I thought it was a pimple and squeezed it, releasing some white fluid, but it didn't go away. Eventually, I couldn't stand it anymore and went to see an ENT special...
Dr. Lai Yicheng Reply:
Dear Xiaowen, Thank you for your inquiry. Regarding your question, I am unable to provide an accurate assessment without seeing your condition in person. Please visit the dermatology or surgery department at the hospital for an in-person evaluation by a physician. Best regard...[Read More] Understanding Lymph Nodes: Causes of Swelling and Night Sweats
Understanding Lymph Node Hyperplasia and Subcutaneous Nodules in the Abdomen
Lymphadenopathy and subcutaneous nodules in the abdomen? Hello Doctor: About four months ago, I discovered a lymph node approximately 1.5 cm in size on the left side of my neck (at position 2A), and there is also a lymph node around 1 cm on the right side. A fine needle aspiratio...
Dr. Chen Yunfang Reply:
Hello: Based on what you described, those small nodules can only be definitively diagnosed through a pathological biopsy; speculation is merely speculation! However, if it is indeed a malignant cancer, it would typically grow rapidly, making it unlikely to be observed for an exte...[Read More] Understanding Lymph Node Hyperplasia and Subcutaneous Nodules in the Abdomen
Understanding Pain Under the Nipples: Possible Causes and Concerns
Pain when pressing on the left or right nipple? Pain upon pressure on the nipples, specifically located just below the nipples, is noted. There is no pain when pressing the surrounding areas. The left nipple feels less severe, but still painful, while the right nipple feels more ...
Dr. Lai Yicheng Reply:
What are the main symptoms of breast cancer? 1. Painless breast lump. 2. Nipple retraction. 3. Abnormal nipple discharge, especially if it is bloody. 4. Changes in breast shape, with localized indentations or protrusions. 5. Skin changes on the breast resembling orange peel, redn...[Read More] Understanding Pain Under the Nipples: Possible Causes and Concerns
Understanding Groin Lumps: Causes, Treatments, and When to Seek Surgery
There is a lump in the groin area? I have had a hard lump in my groin for three months. It started suddenly with a hard lump on the left side of my groin, which swelled up and caused pain while walking. A surgeon diagnosed it and to find the cause, I underwent an ultrasound, bloo...
Dr. Chen Sirong Reply:
Anonymous / 27 years old / Male 1. There has been a hard lump in the groin for three months. 2. The surgical diagnosis included ultrasound, blood tests (elevated white blood cell count), and a CT scan (approximately 4x3 cm), but no aspiration or biopsy was performed. 3. Aft...[Read More] Understanding Groin Lumps: Causes, Treatments, and When to Seek Surgery
Managing Lymph Node Malignancy During Pregnancy: Key Considerations
Pregnant women diagnosed with malignant lymphoma? Hello, doctor. My wife was diagnosed with a malignant lymphadenoma in mid-April, and the biopsy and pathology report confirmed this. After completing a CT scan, no tumors were found in other areas. We originally planned to proceed...
Dr. Chen Sirong Reply:
Concerned Father / 36 years old / Male Hello, due to the lack of biopsy report specifying the type of lymphoma, it is difficult to determine whether to: A) proceed with radiation therapy on the right arm and undergo chemotherapy after pregnancy, or B) immediately terminate the p...[Read More] Managing Lymph Node Malignancy During Pregnancy: Key Considerations
Understanding Treatment Options and Prognosis for Multiple Myeloma
Treatment of Multiple Myeloma Hello Dr. Chen: My husband is 73 years old and was diagnosed with multiple myeloma last year. He has completed eight cycles of Velcade treatment and, after a two-month rest, his doctor performed another blood test, finding that his IgG level increase...
Dr. Chen Yunfang Reply:
Hello: 1. Regarding the first question, I cannot answer it because I do not know which stage your husband was in initially. 2. For the second question, besides Venclexta and Revlimid, commonly used medications for treating multiple myeloma include Thalidomide, Melphalan (Alke...[Read More] Understanding Treatment Options and Prognosis for Multiple Myeloma
Understanding a Soft Neck Lump: Is It Lymphoma or Something Else?
A lump on the right side of the neck? Hello Doctor: In mid-February of this year, I noticed a lump on the right side of my neck. It is elongated, measuring about 1 cm in length and only 2-3 mm in width. Over the past two months, it has not significantly increased in size, and it ...
Dr. Chen Sirong Reply:
Ah Hong / 15 years old / Male 1. It shouldn't be like that. If it were cancer, it would continue to grow. 2. If it grows, becomes hard, changes color, or presents other symptoms, please seek medical attention immediately at Taoyuan Hospital, Dr. Chen Si-Rong.[Read More] Understanding a Soft Neck Lump: Is It Lymphoma or Something Else?
Understanding Persistent Lymph Nodes: When to Seek Further Evaluation
Lymphadenopathy Hello, I have a lymph node on the left side of my neck that is about 1.5 centimeters in size. I've been aware of it since high school, and it hasn't disappeared. It tends to enlarge when I have a cold, and the smallest it gets is around 1.5 centimeters. ...
Dr. Chen Sirong Reply:
Ah Wei / 22 years old / Male 1. I have already seen an ENT specialist and had an ultrasound; the doctor said there are no issues. You should trust the doctor who is treating you rather than someone you have never met. 2. If there is any enlargement, discoloration, hardness, or...[Read More] Understanding Persistent Lymph Nodes: When to Seek Further Evaluation
Understanding Stage 4 Lymphoma: Prognosis and Treatment Options
Stage IV Lymphoma I'm sorry to hear about your situation. It's important to consult with a healthcare professional for personalized advice and support.
Dr. Lai Yicheng Reply:
Miss Niu: You asked about the survival period? I am unable to answer that. Please consult your attending physician. Wishing you all the best. Changhua Hospital cares about you. Radiation Oncology, Dr. Lai Yi-Cheng.[Read More] Understanding Stage 4 Lymphoma: Prognosis and Treatment Options
Understanding Neck Lumps: Could They Indicate Lymphoma?
A lump in the neck? Hello doctor, around January I noticed a lump in my throat, approximately 0.5 cm in size. It is not painful and not very hard. Then in mid-February, I found another lump on the right side of my neck, less than 1 cm in size, which is also not very hard and hasn...
Dr. Lai Yicheng Reply:
Dear Student, I acknowledge your message. Without actually seeing your condition, it is difficult to make an accurate assessment. Please visit the hospital for a diagnosis from a dermatologist or a surgeon. Changhua Hospital cares about you. Sincerely, Dr. Lai Yi-Cheng De...[Read More] Understanding Neck Lumps: Could They Indicate Lymphoma?
Is Delayed Radiation Therapy Increasing Cancer Recurrence Risk?
Is it too late for radiation therapy? Hello Dr. Lai! Two years ago, I underwent a partial mastectomy on my left breast, and the tumor measured 2.6 cm with no lymph node involvement. My Oncotype recurrence score was 18%, and my doctor mentioned that taking an aromatase inhibitor f...
Dr. Lai Yicheng Reply:
Dear Madam, Thank you for your letter. I would like to respond as follows: The delay of nearly five months before starting radiation therapy has not been formally documented in the medical community regarding its impact on the likelihood of recurrence. Please rest assured and co...[Read More] Is Delayed Radiation Therapy Increasing Cancer Recurrence Risk?
Understanding Stage 4 Lymphoma: Options and Hope for Patients
Lymphoma metastasis Hello, I would like to ask if there is really no hope for stage IV lymphoma that has metastasized to the lungs (with half of the lungs affected). It has been a year since the onset of the disease... All treatments for lymphoma have been administered, and radia...
Dr. Lai Yicheng Reply:
Dear Sir/Madam, Thank you for your letter. I would like to clarify that the description of the treatment regimen for lymphoma is unclear, such as which specific medications were administered. It is difficult to provide you with comprehensive advice. However, I can offer general ...[Read More] Understanding Stage 4 Lymphoma: Options and Hope for Patients
Understanding Survival Rates After Leukemia Stem Cell Transplant
Leukemia stem cell transplantation Hello: Thank you for your detailed explanation! The patient is approximately 28 years old and was diagnosed with pre-B acute lymphoblastic leukemia (ALL). They experienced a relapse about one to two months after transplantation, followed by chem...
Dr. Chen Yunfang Reply:
Hello: As of now, although there has been a rapid recurrence, being young and having a graft-versus-host reaction can help (while the cellular rejection may harm other organs, it can also combat leukemia cells, so it's not entirely negative!). I would estimate the five-year ...[Read More] Understanding Survival Rates After Leukemia Stem Cell Transplant