Understanding Neck Lumps: Could They Be Lymphoma?
A lump in the neck? Hello Doctor: Around January of this year, I noticed a lump in my throat area. It was initially somewhat large, but after I had a cold and recovered, the lump decreased in size, though it didn't completely disappear; it's about 0.5 cm now. In Februar...
Dr. Chen Sirong Reply:
Afa / 16 years old / Male 1. Around January of this year, I noticed a lump in my throat area. It was initially somewhat large, but after recovering from a cold, it shrank a bit, though it hasn't completely disappeared. It's about 0.5 cm in size. 2. In February, anoth...[Read More] Understanding Neck Lumps: Could They Be Lymphoma?
Understanding Shoulder Pain: Possible Tumor-Related Causes
Shoulder pain? I have lumps in my neck, armpit, and groin. There are two lumps in my left armpit, each less than one centimeter. Sometimes, my left armpit feels a bit sore, but it is not painful, and the lumps are movable.
Dr. Chen Sirong Reply:
Xiaomi / 17 years old / Male 1. The most likely cause is still lymphadenopathy or other benign conditions. 2. To obtain a definitive diagnosis, it is necessary to visit a hospital for a physician's evaluation, and possibly a biopsy. 3. If you prefer not to go to the hospita...[Read More] Understanding Shoulder Pain: Possible Tumor-Related Causes
Survival Rates After Relapse of Acute Lymphoblastic Leukemia Post-Transplant
The survival rate after relapse following transplantation in acute leukemia? Acute Lymphoblastic Leukemia (ALL, pre-B) has a reported success rate of about 50% for the first transplant, and if there is a relapse after an allogeneic stem cell transplant, the prognosis can vary. Th...
Dr. Chen Yunfang Reply:
Hello: Since you did not provide the patient's "age" or "how long after the transplant the relapse occurred," I will summarize the current clinical literature findings: 1. If the patient is a child and relapses within a year and a half post-transplant, th...[Read More] Survival Rates After Relapse of Acute Lymphoblastic Leukemia Post-Transplant
Understanding Groin Pain: Is It a Swollen Lymph Node?
Inguinal mass? Hello Doctor, I suddenly noticed that at night, I experience pain in the groin area near the genital region when walking or changing positions. There are no visible abnormalities on the surface, but it hurts when I press on it, and I can feel a small lump when I ap...
Dr. Chen Sirong Reply:
Ms. Lin / 21 years old / Female Hello, I have a small lump in my groin and I'm unsure if it is an enlarged lymph node. 1. The most likely cause is indeed an enlarged lymph node or another benign condition. 2. To confirm the diagnosis, it is essential to visit a hospital ...[Read More] Understanding Groin Pain: Is It a Swollen Lymph Node?
Understanding a Soft Bump Near Your Ear: What Could It Be?
There is a lump located at the area where the ear connects to the face? Hello Doctor, I have a lump in the area where my ear connects to my face. I’m not sure what it is; it doesn’t hurt when I press on it, and it’s not uncomfortable. It feels very elastic and has been there for ...
Dr. Lai Yicheng Reply:
Dear Ms. Bear, Thank you for your letter. In response, I personally believe that the soft tissue mass located above your ear, where it connects to your face, has not grown for a long time. Since I have not had the opportunity to examine your soft tissue directly, I recommend tha...[Read More] Understanding a Soft Bump Near Your Ear: What Could It Be?
Understanding Neck Lumps: When to Worry About Lymph Nodes
Neck issues Hello doctor, I am 22 years old. Recently, I noticed a movable lump about 1 to 2 centimeters in size near my neck, around the right clavicle area. It is somewhat hard and does not hurt when pressed. It has been present for about a week. I am unsure if this is just a s...
Dr. Lai Yicheng Reply:
Hello Ms. Lin: Thank you for your inquiry. You may visit the Ear, Nose, and Throat (ENT) department at the hospital for consultation. For general surgery consultations, please also consider the services available. Changhua Hospital cares about you. Sincerely, Dr. Lai Yi-Cheng, De...[Read More] Understanding Neck Lumps: When to Worry About Lymph Nodes
Sudden Neck Lump: What Could It Be and Should You Worry?
Sudden protrusion? I'm sorry to bother you, but I would like to ask about a sudden lump that has appeared on the side of my neck. I noticed it recently, and it hurts when I press on it; it feels like a solid mass. I have a family history of cardiovascular disease and I am ov...
Dr. Chen Sirong Reply:
Miss Chiu / 18 years old / Female has a protrusion on the side of her neck. It hurts when pressed and feels like a lump. A: The first suspicion would be lymphadenopathy. However, it is essential to go to the hospital for a diagnosis by a physician, especially since a small number...[Read More] Sudden Neck Lump: What Could It Be and Should You Worry?
Understanding Lymphatic Swelling in the Neck: Causes and Next Steps
There is lymphatic edema in the left side of the neck? Hello, doctor. Three years ago, I discovered lymphatic swelling on the left side of my neck (about five centimeters from the thyroid position, approximately 1.5 times larger than the corresponding lymph node on the right side...
Dr. Lai Yicheng Reply:
Dear Mr. Huan, In response to your inquiry, please find the answers below: 1. Your concern about "tumors in the neck metastasizing to the oral cavity" is not a phenomenon that occurs clinically. Additionally, the description of "left cervical lymphatic swelling, ...[Read More] Understanding Lymphatic Swelling in the Neck: Causes and Next Steps
Should I Consider Preventive Mastectomy After Previous Breast Cancer?
If one breast has been removed and the opposite breast frequently shows calcifications that require monitoring, is it possible to perform a prophylactic mastectomy? Hello Dr. Lai, I am 45 years old. In 2012, I was diagnosed with stage 2A breast cancer in my left breast and underw...
Dr. Lai Yicheng Reply:
Dear Ms. Hu, In response to your inquiry, I find it challenging to answer your question. Similar to American actress Angelina Jolie, who underwent prophylactic mastectomy, there are differing opinions within the medical community, and perspectives vary. I recommend discussing th...[Read More] Should I Consider Preventive Mastectomy After Previous Breast Cancer?
Understanding Enlarged Lymph Nodes and Low White Blood Cell Count
Lymphadenopathy with leukopenia? Last week, I visited a gastroenterologist due to gastrointestinal discomfort. After undergoing an endoscopy, no abnormalities were found, only mild gastritis. I also asked the gastroenterologist to refer me to an ENT specialist to examine the lymp...
Dr. Lai Yicheng Reply:
Mr. Zhao: Thank you for your inquiry. Here are the responses: 1. Since each individual's constitution is different, it is indeed possible. If you are concerned about anesthesia leading to low white blood cell counts, please discuss with your physician whether a re-evaluation...[Read More] Understanding Enlarged Lymph Nodes and Low White Blood Cell Count
Lump in Groin: Symptoms and Specialist Consultation Guide
There is a lump in the groin area? About April 12, after exercising and showering, I noticed a lump on the right side of my groin (approximately 2 cm in size, oval-shaped, uncomfortable when pressed but not painful, with no significant color difference on the surface; it has been...
Dr. Chen Sirong Reply:
Patient: Xiao Hou / 26 years old / Male 1. On April 12, after exercising and showering, I discovered a hard lump on the right side of my groin (approximately 2 cm in size, oval-shaped, uncomfortable to press but not painful, with no significant color change on the surface; it ha...[Read More] Lump in Groin: Symptoms and Specialist Consultation Guide
Understanding Groin Lymphadenopathy: Symptoms and Concerns for Athletes
Inguinal lymphadenopathy I have a significant lymph node near my left hip joint (as stated by the clinic doctor) that has been increasing in size over the past three weeks since my last visit. It has become movable and is about half the size of my index finger. When I saw the doc...
Dr. Chen Sirong Reply:
Mini / 18 years old / Female 1. It is getting larger. The doctor said that if it continues to grow, I should pay attention, but it hasn't exceeded two centimeters, so I'm unsure whether to go to a larger hospital. A: It is recommended to continue monitoring with your...[Read More] Understanding Groin Lymphadenopathy: Symptoms and Concerns for Athletes
Understanding Lung Adenocarcinoma: Diagnosis, Treatment, and Next Steps
Diagnosed with lung adenocarcinoma? Hello, I hope you don't mind me reaching out for advice. My mother (68 years old) was found to have four tumors during an LDCT scan (1 in the right middle lobe, 2 in the right upper lobe, and 1 in the left upper lobe). She only feels some ...
Dr. Lai Yicheng Reply:
Dear Ms. Joyce, Regarding your letter, as you described, "After surgery, three tumors were confirmed to be lung adenocarcinoma (RML*1, RUL*1, LUL*1)." Therefore, the postoperative cancer staging should be M1a. As for whether there is metastasis beyond the lungs, I reco...[Read More] Understanding Lung Adenocarcinoma: Diagnosis, Treatment, and Next Steps
Understanding Lymphoma: Neck Pain and Lumps Explained
I would like to inquire about lymphoma? Hello Doctor, I would like to inquire about something. About a month ago, I started experiencing soreness in my neck and shoulders. I feel tightness in my neck, and I noticed a small lump above my collarbone. I'm not sure if it is a ly...
Dr. Chen Yunfang Reply:
Hello: Generally speaking, lymphoma tends to grow gradually over time and is usually painless, without pulsation. However, the lump you felt should be examined by a doctor at the hospital to determine if it is a lymph node. You can consult either a hematologist-oncologist or a ge...[Read More] Understanding Lymphoma: Neck Pain and Lumps Explained
Understanding Chemotherapy for Elderly Patients with Breast Cancer
About breast cancer chemotherapy? Dear Director Lai, I apologize for the intrusion. My mother is 76 years old and was diagnosed with stage II breast cancer in February of this year (with a 2.5 cm tumor in the left breast; CT and bone scans showed no metastasis). She underwent su...
Dr. Lai Yicheng Reply:
Dear Mr. Huang, I understand from your letter that according to the National Health Insurance guidelines for targeted therapy, your mother must first complete chemotherapy before being eligible for "Hecancerping." If you wish to use the targeted medication directly, no...[Read More] Understanding Chemotherapy for Elderly Patients with Breast Cancer
Understanding Long-Term Lymph Nodes: When to Seek Medical Attention
Chronic lymphadenopathy Hello, I have had multiple lymph nodes in my body for many years. For about three years, I have had them on the left side of my neck, behind my ears, and in the groin area. They have been persistent but do not cause any pain or seem to be enlarging. Some a...
Dr. Lai Yicheng Reply:
Dear Mr. Jacky, Thank you for your message. In response, lymph nodes can become enlarged when there is inflammation, infection, or the presence of tumor cells. It is recommended to consult a surgeon or a hematologist-oncologist for evaluation. A thorough examination by a physici...[Read More] Understanding Long-Term Lymph Nodes: When to Seek Medical Attention
Understanding Groin Lumps: Are They Tumors or Something Else?
There is a lump in the groin area? Hello, doctor. About a month or two ago, I noticed a growth in my groin area that is about the size of half a finger. It has a black dot on the surface, and it doesn't hurt or cause any discomfort. What could this be? Is it a tumor?
Dr. Chen Sirong Reply:
Mr. Wu / 20 years old / Male About one or two months ago, I noticed a growth in the groin area that is about the size of half a finger. It has a black dot on the surface, does not cause any sensation, and is not painful. What could this be? 1. Without an actual examination, it ...[Read More] Understanding Groin Lumps: Are They Tumors or Something Else?
Understanding Enlarged Lymph Nodes: Causes and When to Seek Help
Lymphadenopathy A few weeks ago, I felt a lump in my neck and went to see an ENT doctor who said it was swollen lymph nodes. However, since it is soft and movable, it is not a major concern and can be monitored. Recently, I have noticed that the lump seems to be getting larger. C...
Dr. Lai Yicheng Reply:
Dear Madam, Thank you for your message. Here is my response: Lymphadenopathy may be an immune response to bacterial or viral infections, leading to inflammation characterized by redness, swelling, heat, and pain. It is common to notice enlarged cervical lymph nodes during a col...[Read More] Understanding Enlarged Lymph Nodes: Causes and When to Seek Help
Understanding Lumps Near the Elbow: When to Seek Medical Advice
Lymph nodes in the arm? Hello doctor, I have recently noticed three or four irregularly sized lumps near my right arm, from the palm to the elbow. I suspect they might be lymph nodes. Should I seek medical attention for this condition? If I am concerned about any issues, which sp...
Dr. Chen Yunfang Reply:
Hello: It is best to seek medical attention to determine the nature of the skin condition. You can consult a hematologist for blood disorders or a general surgeon to check if it is a lymph node issue. Alternatively, it could be a general rash.[Read More] Understanding Lumps Near the Elbow: When to Seek Medical Advice
Understanding Oral Cancer Metastasis: Treatment Options and Costs
Oral cancer metastasis Hello Doctor: My father is 60 years old and was diagnosed with stage IV gingival cancer that had invaded the mandible in June of last year. He underwent surgery to remove the mandible and had lymphadenectomy, and the postoperative report showed no cancer ce...
Dr. Lai Yicheng Reply:
Dear Miss Chuang, Thank you for your letter. Here is my response: 1. Your father is currently receiving the standard treatment regimen of "cisplatin + gemcitabine" for head and neck cancer. If this treatment fails, there are many other chemotherapy agents available, s...[Read More] Understanding Oral Cancer Metastasis: Treatment Options and Costs