Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Cervical lymphadenopathy It has been a month since I discovered the issue, so I went to the clinic for an ultrasound. The doctor said it looks like benign lymphadenopathy (on both sides). I often palpate it myself, so I can confirm that it is painful and movable. However, my sist...
Dr. Chen Sirong Reply:
Hello, I'm a 22-year-old male. In this situation, do I need to get a special examination? A: 1. You have already seen a doctor. 2. If there are changes such as enlargement, hardness, discoloration, or symptoms (redness, swelling, heat, pain), then see a doctor again. Wishing...[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Lymphadenopathy issues? Two years ago, I discovered swelling in the submandibular lymph nodes, and not long after, I also found swelling in the posterior cervical lymph nodes and axillary lymph nodes, all located on the left side of my body. Today, I consulted with a hematologist...
Dr. Chen Sirong Reply:
Xiao Hei / 19 years old / Female. Doctor, should I still be worried? A: Don't worry; just have regular check-ups. Wishing you good physical and mental health. Taoyuan Hospital, Dr. Chen Si-Rong.[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Understanding Enlarged Lymph Nodes: Symptoms and Next Steps
Issues related to cervical lymph nodes and groin lymph nodes? Hello Doctor: I noticed that the lymph nodes on both sides of my groin have been enlarged for over six months. When I touch them, they feel like a whole cluster, with each node slightly enlarged. Some are oval-shaped, ...
Dr. Hu Ziren Reply:
Generalized lymphadenopathy, it is recommended to see a hematologist-oncologist.[Read More] Understanding Enlarged Lymph Nodes: Symptoms and Next Steps
Understanding Lymph Node Issues: Concerns About Swelling and Cancer
Lymphatic issues Hello doctor, I suspect I have lymphadenopathy and I'm worried it might be lymphoma, but I'm not sure if I'm overthinking it. I have a few questions to ask: 1. Is lymphadenopathy dangerous even if it hasn't been continuously enlarging? I have...
Dr. Chen Sirong Reply:
Student Li / 13 years old / Male Hello, 1. Is it dangerous if lymph nodes are enlarged but do not continue to grow? A: Many enlarged lymph nodes can remain for years without resolving. If they do not increase in size, change color, become hard, or present new symptoms, then t...[Read More] Understanding Lymph Node Issues: Concerns About Swelling and Cancer
Could My Symptoms Indicate Multiple Myeloma After COVID-19?
Multiple Myeloma Hello, doctor. Last month, after being diagnosed with COVID-19, I developed petechiae on my calves two weeks later. I went to the hospital, and the physician said it was vasculitis induced by the immune response after the infection. After taking steroids for a we...
Dr. Chen Sirong Reply:
Guang, 43 years old, male. Please forgive me, as I am not a hematology specialist. I recommend that you see a hematologist for blood tests. Wishing you good health. Taoyuan Hospital, Chen Si-Rong.[Read More] Could My Symptoms Indicate Multiple Myeloma After COVID-19?
Understanding Enlarged Lymph Nodes: Symptoms and Concerns
Lymphadenopathy/Tumor In the past six months, I have experienced frequent warmth and swelling in the lymph nodes near the left side of my jaw close to my neck, along with a sensation of foreign body presence. It is not painful, but it feels slightly larger than the right side. Ad...
Dr. Chen Sirong Reply:
Hong, 28 years old, male, is advised to see an otolaryngologist. Based on the physician's examination and assessment, it is more suitable for him to visit the Taoyuan Hospital for health and wellness. Dr. Chen Si-Rong.[Read More] Understanding Enlarged Lymph Nodes: Symptoms and Concerns
Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates
Stage II oral cancer Hello Doctor, my sister was diagnosed with stage II left oral mucosal cancer in September last year. Bone scans and neck CT scans showed no metastasis. After the primary physician surgically removed the tumor and sutured with artificial skin (without performi...
Dr. Chen Sirong Reply:
Anonymous / 46 years old / Female Hello, I have been diagnosed with stage II oral cancer, and after the tumor was removed, it has been less than a year, and now it has metastasized to the lymph nodes. Is this possible? A: Yes, it can occur. If metastasis happens, how is the ca...[Read More] Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates
Understanding Papillary Thyroid Carcinoma and Lymph Node Metastasis in Seniors
Papillary Thyroid Carcinoma Hello! My mother is 71 years old. Earlier this year, a cytological examination revealed a malignant tumor (a papillary carcinoma) in the isthmus of her thyroid, while both lobes of the thyroid were unaffected. After consulting with the doctor, she unde...
Dr. Chen Sirong Reply:
Patient: 44 years old, female Hello! 1. The postoperative report indicates that there is one metastatic lymph node among six surrounding the thyroid (the doctor mentioned it is stage I). Is this considered distant metastasis? The doctor stated that this situation is relatively...[Read More] Understanding Papillary Thyroid Carcinoma and Lymph Node Metastasis in Seniors
Understanding Stage IV Nasopharyngeal Cancer and Its Treatment Options
Stage IV nasopharyngeal carcinoma with distant metastasis? My boyfriend is from mainland China and has recently been diagnosed with nasopharyngeal carcinoma at a hospital there. The cancer has metastasized to the bilateral cervical lymph nodes, supraclavicular lymph nodes, multip...
Dr. Hu Ziren Reply:
Yes, stage IV cancer is considered incurable. The treatment goals are primarily to control the disease and extend the patient's average survival time. It is recommended to follow the physician's advice and subsequent treatment plans.[Read More] Understanding Stage IV Nasopharyngeal Cancer and Its Treatment Options
Understanding Lymph Node Masses: Benign vs. Malignant Insights
There are lymph nodes in the neck? Hello Doctor: During my health check-up, my family medicine doctor felt a lump in my neck and arranged for an ultrasound and a biopsy. The doctor who performed the ultrasound said it was a benign lymph node and canceled the biopsy. Can benign ly...
Dr. Chen Sirong Reply:
Alice / 60 years old / Female Hello: 1. Can benign lymph nodes be distinguished from malignant ones through ultrasound examination? A: If the doctor is confident enough to forgo a biopsy, it should be based on the characteristics and composition (distinguishing between fluid,...[Read More] Understanding Lymph Node Masses: Benign vs. Malignant Insights
Understanding Tumor Diagnosis Challenges: A Case Study on Bone and Lung Issues
Positron Emission Tomography (PET) Report Hello Doctor, my father started experiencing severe coughing after the Lunar New Year this year. He has visited many hospitals, and by mid-March, he was admitted to the emergency department due to persistent fever and chills every night. ...
Dr. Chen Sirong Reply:
Vanessa / 30 years old / Female Hello, 1. The content does not include a PET report; the final section contains a pathology report. 2. Tuberculosis and cancer can sometimes be difficult to differentiate, and even our attending physicians have encountered similar situations. Ini...[Read More] Understanding Tumor Diagnosis Challenges: A Case Study on Bone and Lung Issues
Understanding Low White Blood Cell Counts After Lymphoma Chemotherapy
About six months after chemotherapy for lymphoma, the white blood cell count has not yet returned to normal levels? Hello Dr. Hu, I was diagnosed with Burkitt lymphoma last August. After undergoing four cycles of high-dose chemotherapy, it has been about four months since my last...
Dr. Hu Ziren Reply:
It currently appears that the cause may be the antifungal tablet. If the WBC is less than 2000 and does not return to normal after 5-6 months, it may be advisable to discuss further testing with a physician.[Read More] Understanding Low White Blood Cell Counts After Lymphoma Chemotherapy
Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Lymphadenopathy-related issues? Hello Doctor, I would like to ask you some questions: I currently have swollen lymph nodes in both groins and the inner thighs, feeling like a string of them has enlarged. A few of them are more elongated and oval-shaped, and they are movable. Ther...
Dr. Chen Sirong Reply:
Anonymous / 21 years old / Male 1. General surgery, whether to undergo examination is based on the opinion of the physician you consult. 2. The biopsy itself does not affect the immune system, but emotional stress can have an impact on immunity. Wishing you peace of mind and ...[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Understanding Enlarged Lymph Nodes Near the Ears: Causes and Concerns
Bilateral enlargement of the lymph nodes located beneath the ears? Hello Doctor: Recently, I noticed swollen lymph nodes on both sides under my ears. The left side is smaller, about 1 cm, while the right side is larger, nearly 2 cm. They feel firm and immobile, and I do not have ...
Dr. Yan Jingheng Reply:
1. Essentially, fine needle aspiration can obtain tissue and is the standard diagnostic method for lymph node diseases, with the pathology report being the definitive reference. 2. Whether the lymph node enlarges with pressure depends on the force applied; normal pressure shoul...[Read More] Understanding Enlarged Lymph Nodes Near the Ears: Causes and Concerns
Understanding Elevated Platelet Counts: What You Need to Know
Abnormally high platelet levels (increasing with each of the two tests)? Hello Doctor, three years ago I had a blood test (results below), and the only abnormal finding was a platelet count of 469. At that time, the doctor mentioned that it was fine to just monitor it. However, I...
Dr. Hu Ziren Reply:
It may just be caused by inflammation (such as a cold). It is recommended to follow up with a blood test in three months. If the levels remain elevated, consider consulting a hematologist.[Read More] Understanding Elevated Platelet Counts: What You Need to Know
Understanding Pancreatic Cysts: Diagnosis, Size Variations, and Treatment Options
Pancreatic cysts Hello Doctor, last July during a health check, an X-ray revealed an abnormality, so in August, I went to Hospital A for an ultrasound which found a cyst at the body and tail of the pancreas measuring approximately 1.5 cm. They advised monitoring, and in September...
Dr. Hu Ziren Reply:
1. Different imaging techniques, various operators, and different interpreting physicians may introduce some measurement discrepancies. It appears to be just a cyst; observation is recommended. 2. However, if the following conditions are present, surgical removal is advised: size...[Read More] Understanding Pancreatic Cysts: Diagnosis, Size Variations, and Treatment Options
Post-Surgery Treatment Options for Stage I Breast Cancer: Key Considerations
Post-treatment for Stage I Breast Cancer? Hello Doctor, my wife was diagnosed with breast cancer earlier this year at the age of 42. The pathology report after surgery is as follows: ER: 98+ PR: 98+ Her2: 2+ FISH: Negative Ki67: 9% Tumor size: 1.9 cm. During lymph node surgery, 4...
Dr. Hu Ziren Reply:
According to the report, the type of breast cancer is associated with a low risk of recurrence. It is recommended to follow the attending physician's advice to take Tamoxifen for 5-10 years and undergo postoperative radiotherapy, with regular follow-ups. There are no dietary...[Read More] Post-Surgery Treatment Options for Stage I Breast Cancer: Key Considerations
Understanding Eosinophil Levels and Lymph Node Concerns in Oncology
Blood and lymph node issues? Hello Doctor, I would like to ask you some questions regarding my blood. Recently, I experienced chest tightness and went to the emergency room where I had a complete blood count and white blood cell differential. I found that my eosinophil (eos) coun...
Dr. Hu Ziren Reply:
If the white blood cell count is normal but the differential shows a slight elevation, and specifically if eosinophils are elevated, there are many potential causes (such as allergies, medications, dermatitis, etc.). It is recommended to follow up in 3 to 6 months.[Read More] Understanding Eosinophil Levels and Lymph Node Concerns in Oncology
Do I Need Chemotherapy for Stage 1A Breast Cancer with Ki-67 at 30%?
In stage 1A breast cancer with a Ki-67 index of 30%, is chemotherapy necessary? Hello, Doctor! I just underwent a lumpectomy, and the postoperative pathology report indicates that the original tumor size was 1.3 cm, with ER positive, 80% PR positive, 70% HER-2 positive, and Ki-67...
Dr. Chen Sirong Reply:
Amily / 46 years old / Female Hello! 1. Does the data above indicate a low or high risk of recurrence? I calculated the IHC4 score, and the postoperative specimen is 1.89, while the core needle biopsy specimen is 1530. Both are classified as intermediate malignancy. It is reco...[Read More] Do I Need Chemotherapy for Stage 1A Breast Cancer with Ki-67 at 30%?
Understanding Oral Lesions: Insights on Squamous and Lymphoid Hyperplasia
Slice issue Hello Doctor, I found a small granuloma in my oral cavity and would like to ask what it might be. Thank you. Oropharynx, uvula, left, laser excision, (1) squamous epithelial hyperplasia, (2) lymphoid hyperplasia. Description: The specimen submitted consists of one...
Dr. Yan Jingheng Reply:
To determine the composition of granulation tissue, a biopsy is needed for evaluation by a pathologist. Based on your pathology report, it appears to be benign tissue. You can continue to follow up with oral surgery.[Read More] Understanding Oral Lesions: Insights on Squamous and Lymphoid Hyperplasia