Understanding Hard Lymphadenopathy: Tumors or Other Causes?
Lymphadenopathy (inflammation? tumor) Dear Dr. Fan, I have had a single enlarged lymph node on the left side of my neck for three months. There are no other discomforts in my body, and anti-inflammatory treatment has been ineffective. The lymph node is painless and has not incre...
Dr. Fan Sheng Reply:
Mr. BF: A hard lymph node enlargement, aside from fibrosis, is most concerning for cancer metastasis. Lymph nodes in the neck that are affected by cancer metastasis often originate from nasopharyngeal carcinoma. Therefore, I recommend that you first visit an otolaryngologist for ...[Read More] Understanding Hard Lymphadenopathy: Tumors or Other Causes?
Understanding Lymph Node Shrinkage and Cancer Symptoms: When to Seek Help
Regarding the duration of inflammation? When do lymph nodes typically shrink? It seems that the ones in my neck and head have reduced to about 1 to 2 centimeters and haven't changed since then. I played table tennis today and my groin area feels sore. What are the characteri...
Dr. Chen Sirong Reply:
1. Many people's situations are similar to yours; once they reach a certain level of anxiety, it may persist indefinitely. It's okay; if you grow up and feel the need, you can see a doctor then. 2. The characteristics of malignant tumors include being hard and fixed i...[Read More] Understanding Lymph Node Shrinkage and Cancer Symptoms: When to Seek Help
Understanding Follow-Up Treatments for Diffuse Large B-Cell Lymphoma
Post-treatment for lymphoma? Dr. Fan, a family member has been diagnosed with diffuse large B-cell lymphoma and is currently undergoing the first phase of treatment, which involves chemotherapy combined with rituximab. From the information provided in the rituximab medication gui...
Dr. Fan Sheng Reply:
Dear Hudson: The continuous treatment with rituximab is applicable for low-grade lymphomas, but it is not necessary for diffuse large B-cell lymphoma (DLBCL). For DLBCL, a combination of chemotherapy and six cycles of rituximab achieves a high cure rate. Your doctor is correct, s...[Read More] Understanding Follow-Up Treatments for Diffuse Large B-Cell Lymphoma
Understanding Sudden Swelling of Lymph Nodes: Causes and Concerns
Sudden enlargement of lymph nodes? Recently, I have noticed a long (about 5 cm) protrusion on the left side of my neck that seems to be a lymph node. It moves when pressed but is not painful. Additionally, I previously had a fever, and the lymph node on the right side of my neck ...
Dr. Fan Sheng Reply:
Please refer to the content of the last response and do not evade it any longer; face it bravely![Read More] Understanding Sudden Swelling of Lymph Nodes: Causes and Concerns
How Long Should I Monitor Symptoms Before Seeing a Doctor?
Please ask your question? How long should I observe my symptoms before going to the hospital for a check-up? I had blood tests done last October and this February, and both were normal! Recently, I've been experiencing widespread itching and allergies, and sometimes I scratc...
Dr. Chen Sirong Reply:
The lymph nodes in the groin are enlarged, but there are no specific issues with the genital area or lower limbs. If they do not continue to grow and remain as they are, there is no need to see a doctor; this is likely due to a previous temporary infection. The infection has reso...[Read More] How Long Should I Monitor Symptoms Before Seeing a Doctor?
Understanding Groin Lumps: Causes and Concerns for Your Health
Several protrusions in the groin area? Recently, I have noticed some lumps on both sides of my groin, and my thighs feel sore. I'm not sure if it's because I'm too thin (over 160 cm tall and in my 40s kg range), which makes it easier to feel them. My shoulders also...
Dr. Chen Sirong Reply:
1. Lymph nodes in the groin can become enlarged due to malignant tumors or bacterial and viral infections. For example, a bacterial infection from a broken skin condition like athlete's foot can cause redness and swelling that spreads to the groin, or sexually transmitted in...[Read More] Understanding Groin Lumps: Causes and Concerns for Your Health
Understanding Lymph Node Issues: Are They a Sign of Cancer?
Lymphatic issues 1. I have a slender lymph node on the left side of my neck and under both armpits, approximately 2.5 centimeters in length. It moves when pressed and is not painful. What could this be? Is it possible that it is cancer? 2. If I have blood drawn, will it be able...
Dr. Fan Sheng Reply:
Silly old man: Is 31 considered old? As you mentioned, the biggest fears are lymphoma or HIV, so please go to the hospital for a consultation, get a blood test, and have a biopsy done.[Read More] Understanding Lymph Node Issues: Are They a Sign of Cancer?
Understanding Lymphadenopathy: What You Need to Know About Swollen Lymph Nodes
Lymphadenopathy Hello Dr. Chen, I have a small lump on each side of my neck and groin that moves when pressed. They are not painful and are about 1.5 centimeters in size. I went to the hospital for an examination, and the doctor said they are lymph nodes. After a blood test, the ...
Dr. Chen Junyi Reply:
It is recommended to consult an otolaryngologist.[Read More] Understanding Lymphadenopathy: What You Need to Know About Swollen Lymph Nodes
Understanding Neck Lymphadenopathy: Causes and Management
Cervical lymphadenopathy Hello Doctor, I previously wrote to you. Right now, I only have some swollen areas on the back of my head and neck, which have been present for about one to two months. The abdominal swelling seems to be a result of my own anxiety from touching it. I don&...
Dr. Chen Sirong Reply:
1. The soft ones are less likely to be malignant tumors. 2. Tumors that move around are also less likely to be malignant. 3. Symmetrical tumors are less likely to be malignant as well. 4. After removing these three conditions, how many remain? 5. You can continue to obser...[Read More] Understanding Neck Lymphadenopathy: Causes and Management
Understanding Post-Surgery Pain in Breast Cancer Patients: What to Expect
Post-surgery for breast cancer Hello Doctor: My mother is 59 years old. In June of this year, a hard lump was found in her left breast, which was diagnosed as breast cancer with metastasis to the lymph nodes. She underwent surgery to remove both the tumor and the lymph nodes. How...
Dr. Chen Junyi Reply:
It may be beneficial to seek assistance from a rehabilitation specialist for issues arising from the surgery.[Read More] Understanding Post-Surgery Pain in Breast Cancer Patients: What to Expect
Understanding Neck and Knee Lumps: When to Seek Medical Attention
There is a lump in the neck and popliteal region? A few months ago, I noticed a lump on my neck. I went to see a doctor, but they said it was nothing to worry about, so I didn't pay much attention to it. Recently, I found another lump in the area of my axilla that is about a...
Dr. Fan Sheng Reply:
DEAR PIX: It could be a benign lymphadenitis, which wouldn't be a concern. However, it might also be malignant lymphoma, which would be serious. Please consult with a doctor at a major hospital's hematology-oncology department to discuss whether a biopsy is necessary. W...[Read More] Understanding Neck and Knee Lumps: When to Seek Medical Attention
Understanding Hard Lumps Under the Armpit: Causes and Concerns
Axillary lump Hello doctor, I recently noticed a hard lump under my armpit that feels firm to the touch (the lump is located slightly lower than the nipple). It doesn't hurt much when pressed. Could you please tell me what this might indicate? Thank you for your response.
Dr. Fan Sheng Reply:
Mr. Wang: The situation you described raises concerns about malignant lymphoma, so please seek treatment at the hematology-oncology outpatient clinic as soon as possible. Thank you![Read More] Understanding Hard Lumps Under the Armpit: Causes and Concerns
Post-Surgery Treatment Options for Stage 0 Breast Cancer Patients
Breast cancer treatment Dear Doctor: For a patient with stage 0 carcinoma in situ (tumor size 3 cm, postoperative lymph node involvement less than 1%, chromosomal abnormalities 1-9%) who has undergone a total mastectomy, is there still a need for further treatment (such as 5 year...
Dr. Chen Junyi Reply:
It may depend on the status of the hormone receptors.[Read More] Post-Surgery Treatment Options for Stage 0 Breast Cancer Patients
Understanding Malignant Tumors of the Mandible: Causes and Treatment Options
What is a malignant tumor of the mandible? What is a malignant tumor of the mandible? Are there many clinical cases? What are the causes of its formation? If it metastasizes to the lymph nodes, how should it be treated?
Dr. Chen Junyi Reply:
Please clarify the disease name for easier response.[Read More] Understanding Malignant Tumors of the Mandible: Causes and Treatment Options
Understanding Neck Discomfort: Lymph Nodes and Thyroid Concerns
Lymph nodes and the issue of numbness in the front side of the neck? Hello Doctor: I have a few questions to ask. Initially, I went to see a doctor because I was experiencing a "full" and "numb" sensation in the front of my neck. After several visits, no clear...
Dr. Chen Sirong Reply:
1. I understand that your concerns are reasonable. 2. You have already undergone appropriate examinations. 3. Currently, there are no issues with your health. 4. The tingling sensation may be related to the spinal nerves, but it is rarely due to a tumor. 5. Given the current ...[Read More] Understanding Neck Discomfort: Lymph Nodes and Thyroid Concerns
Evaluating the Risks and Treatment Options for Thyroid Tumors in Older Patients
Benign thyroid tumor 1. The patient is a 65-year-old female with a benign thyroid tumor on the left side, approximately 0.7 cm in size as per positron emission tomography (PET) imaging. What is the likelihood of it becoming malignant given the metastasis to the junction of the ri...
Dr. Chen Sirong Reply:
1. There is a small chance that it could become malignant, but most thyroid cancers can be detected and treated early, with a treatment success rate of over 90%. Therefore, I suggest there is no need to worry. 2. I recommend monitoring the situation for now. If it grows larger,...[Read More] Evaluating the Risks and Treatment Options for Thyroid Tumors in Older Patients
Understanding Neck Lumps: When to Worry About Cancer Risks
Neck mass Hello Doctor: I just felt a small hard lump on the left side of my neck, around the area of the Adam's apple. It hurts when I press on it, and I think it feels like bone. Coincidentally, I visited an ENT today for a sore throat due to a cold, and the doctor perform...
Dr. Chen Junyi Reply:
You can observe patiently for 1-2 weeks, and if there is no improvement, promptly consult an oncologist.[Read More] Understanding Neck Lumps: When to Worry About Cancer Risks
Understanding Androcur: Efficacy and Long-Term Use in Prostate Cancer
Androcur medication issues? Dear Dr. Fan, I am unsure whether to direct my question to the Hematology-Oncology department or Urology. My inquiry is as follows: My uncle is a terminal prostate cancer patient with metastases to the pelvis, femur, and lymph nodes. The initial hormo...
Dr. Fan Sheng Reply:
Hello: You mentioned that your uncle is a terminal prostate cancer patient, and he should have undergone either orchiectomy or received subcutaneous injections of androgen deprivation therapy. Generally, this approach can be effective for about one and a half to two years. After ...[Read More] Understanding Androcur: Efficacy and Long-Term Use in Prostate Cancer
Managing Symptoms and Nutrition for Patients with Rectal Cancer
Sigmoid colon cancer For a patient with sigmoid colon cancer whose cancer cells have spread to the lymph nodes and is undergoing their eighth round of chemotherapy, experiencing increasing pain, vomiting after treatment, body aches, weakness, and loss of appetite, it is important...
Dr. Fan Sheng Reply:
Qianqian: Chemotherapy can cause severe vomiting that is difficult to control with food. Please discuss with your doctor about possibly increasing the use of antiemetics. The new generation of antiemetic medications should be quite effective. As for what foods to eat after chemot...[Read More] Managing Symptoms and Nutrition for Patients with Rectal Cancer
Navigating Stage 3 Lung Cancer Treatment: Key Questions and Concerns
Issues regarding treatment for stage 3 lung cancer...! A decision on whether to proceed with targeted therapy needs to be made in the next two days? The father is 60 years old and has been experiencing swelling in the jaw and neck (so severe that the neck is almost not visible) a...
Dr. Chen Junyi Reply:
In theory, treatment should proceed only after obtaining a definitive pathological report. However, due to the more tolerable side effects of targeted therapy, the attending physician may decide to initiate treatment in critical situations.[Read More] Navigating Stage 3 Lung Cancer Treatment: Key Questions and Concerns