Understanding Metastatic Lymph Nodes in Bile Duct Cancer: A Patient's Journey
Malignant tumors of the liver and bile ducts with lymph node metastasis? My mother has had a shadow on her liver for over ten years. The doctor said it was fine as long as it didn't grow. Last year, she visited the doctor due to a gastrointestinal flu, and the doctor found t...
Dr. Chen Sirong Reply:
I suspect that Xiaoyu has cholangiocarcinoma. For cases that can be completely resected, the 5-year survival rate is 30-40%, and the average lifespan is 32-38 months. This is actually considered a cancer with a relatively poor prognosis. I would like to ask if the physician can p...[Read More] Understanding Metastatic Lymph Nodes in Bile Duct Cancer: A Patient's Journey
Understanding Lumps in the Throat: Should I Be Concerned?
I'm sorry, but I need more context or specific information to provide an appropriate response. Please provide more details about your situation? Hello, Doctor. My last name is Lin, and I am 28 years old. I have a problem that has been bothering me. I discovered a lump in my ...
Dr. Chen Sirong Reply:
1. The lump that has been present since you were 20 years old, I suspect is not cancer. If it were cancer, it would have manifested and posed a serious threat to your life by now, given that you are currently 28. 2. Now that you have just noticed a hard mass in your neck, it cou...[Read More] Understanding Lumps in the Throat: Should I Be Concerned?
Targeted Therapy for Nasopharyngeal Cancer: Efficacy and Prognosis
Can nasopharyngeal carcinoma be treated with targeted therapy? Hello Dr. Chen: Recently, a friend of mine was diagnosed with nasopharyngeal carcinoma, and the pathology report indicates it is stage II. Aside from a hard mass in the neck measuring about 3 cm, there are no other cl...
Dr. Chen Sirong Reply:
1. Due to the high sensitivity of nasopharyngeal carcinoma cells to radiation, radiation therapy has been the primary treatment for nasopharyngeal carcinoma. While radiation therapy can effectively control local tumor cells, nasopharyngeal carcinoma is prone to metastasis; theref...[Read More] Targeted Therapy for Nasopharyngeal Cancer: Efficacy and Prognosis
Understanding Nasopharyngeal Cancer: Survival Rates, Recurrence, and Nutrition
Hello, doctor! Hello, doctor! I would like to ask about my father, who was diagnosed with stage IV nasopharyngeal cancer a month ago. What is the likelihood of recovery? Is there a chance of recurrence? What kind of foods can he eat? Will chemotherapy cause significant suffering ...
Dr. Chen Sirong Reply:
1. The probability of recovery in stage IV is divided into IVA, where there is more severe local invasion of the nasopharynx; IVB, where lymph node metastasis occurs to the supraclavicular lymph nodes; and IVC, where there is distant metastasis to the liver, lungs, or bones. The ...[Read More] Understanding Nasopharyngeal Cancer: Survival Rates, Recurrence, and Nutrition
Stage 4 Lymphoma: Should You Consider Chemotherapy for Bone Marrow Involvement?
Hematologic lymphoma In the case of stage IV lymphoma that has metastasized to the bone marrow, the decision to undergo chemotherapy depends on various factors, including the patient's overall health, specific type of lymphoma, and the presence of symptoms. **If chemothera...
Dr. Fan Sheng Reply:
If the lymphoma is of high malignancy and has progressed to stage IV with bone marrow involvement, there are no other options for life-saving treatment besides chemotherapy. We have to fight it with that. For those with low malignancy who are in their fifties, chemotherapy is als...[Read More] Stage 4 Lymphoma: Should You Consider Chemotherapy for Bone Marrow Involvement?
Understanding Groin Lumps: Causes, Symptoms, and When to See a Doctor
What is a lump in the groin area? I recently discovered a small hard lump near my groin area. It doesn't seem to have changed in appearance, but it is somewhat painful when pressed. I experienced something similar a few months ago, and a friend suggested it might be due to t...
Dr. Fan Sheng Reply:
Ms. Chia-Ying: Based on your description, it is indeed possible that it could be folliculitis or lymphadenitis, rather than a malignant tumor. Ensuring proper ventilation and reducing tight pressure and friction should be beneficial. You may consult with specialists in gynecology...[Read More] Understanding Groin Lumps: Causes, Symptoms, and When to See a Doctor
Navigating Rare Breast Cancer Treatment: Seeking Guidance for Unusual Cases
Treatment for breast cancer patients with special conditions - please help! Hello, doctor! We truly value medical resources, but we are feeling quite lost, which is why we are seeking your advice. My mother was diagnosed with breast cancer at the He Shin Cancer Hospital in May th...
Dr. Fan Sheng Reply:
Dear Jason: The principle of positron emission tomography (PET) is to utilize glucose labeled with radioactive elements to detect areas in the body with particularly high metabolic rates. It is generally assumed that tumor cells have a higher metabolic rate than normal tissues, s...[Read More] Navigating Rare Breast Cancer Treatment: Seeking Guidance for Unusual Cases
Understanding Lymph Node Issues: Causes, Symptoms, and Treatments
Lymphatic issues Hello, Doctor: I would like to ask you about lymphatic issues. Recently, I discovered a lump on the left side of my neck, approximately 1.5 cm by 1.5 cm in size. It moves when touched and is not painful when pressed. I went to a general clinic, and the doctor sai...
Dr. Fan Sheng Reply:
It sounds like it might not be a big issue. If you're really concerned, you should consult a surgeon to have it removed for testing to obtain the most accurate diagnosis.[Read More] Understanding Lymph Node Issues: Causes, Symptoms, and Treatments
Cost of Comprehensive Health Checkups and Blood Tests for Tumor Concerns
Regarding the cost of blood tests in hospital health check-ups? Hello, doctor! Recently, I have noticed a few round lumps (about 2 to 3) on the side of my neck and near my Adam's apple. They feel movable and are not painful. There is also a small round lump on my right shoul...
Dr. Fan Sheng Reply:
A full-body health check-up costs approximately six thousand to twelve thousand NTD out-of-pocket. Blood tests range from about four hundred fifty to eight hundred NTD.[Read More] Cost of Comprehensive Health Checkups and Blood Tests for Tumor Concerns
Understanding Blood Test Results: Signs of Tumors and Next Steps
Blood test Two weeks ago, I went to the hospital for an examination because I have been experiencing loose stools for over a year, widespread body aches (especially in the lower back), and foamy urine (which previously did not show any abnormalities in tests). The blood test resu...
Dr. Chen Sirong Reply:
1. If you have had loose stools for a year, you may consult a colorectal surgeon or a gastroenterologist. 2. For lower back pain and foamy urine, you can see a nephrologist or an orthopedic specialist. 3. If there is suspicion of a tumor, you may consider self-paying for a full...[Read More] Understanding Blood Test Results: Signs of Tumors and Next Steps
Understanding Chemotherapy Duration and Recurrence Risks for Neck Lymphoma
Secondary and unspecified malignant tumors of the lymph nodes? How long does chemotherapy typically last for the above-mentioned condition, and how many weeks does each cycle usually take? The tumor is located in the neck, and if the superficial tumor has disappeared but there is...
Dr. Chen Sirong Reply:
Hello: 1. Based on the information you provided, it is difficult to determine whether it is: a. an undifferentiated malignant tumor of the cervical lymph nodes with an unknown primary site, but suspected to be a head and neck cancer with cervical lymph node involvement, or b. l...[Read More] Understanding Chemotherapy Duration and Recurrence Risks for Neck Lymphoma
Understanding Lumps and Pain: When to Worry About Cancer Risks
Unaware of what illness I have? Doctor, since August, I have noticed a hard, round lump on the right side of my neck behind my ear. It is not visible, only palpable, and it has not gone away for a long time. Is there a significant chance that this could be cancer? Is there also a...
Dr. Fan Sheng Reply:
If the mass behind the ear has not changed much since August, the likelihood of it being cancer is low. However, it is still advisable to see an otolaryngologist to check for any nasopharyngeal tumors. The most straightforward way to conduct other examinations would be to remove ...[Read More] Understanding Lumps and Pain: When to Worry About Cancer Risks
Early Symptoms of Lymphoma: What to Look For
Symptoms of lymphoma? What are the early symptoms of lymphoma?
Dr. Chen Sirong Reply:
Hello: 1. The most common symptom is palpable lymphadenopathy. 2. Fever. 3. Weight loss. 4. Night sweats. 5. Other symptoms may vary depending on the site of involvement, such as bone pain, gastrointestinal discomfort, etc. Sincerely, Dr. Chen Sih-Rong, Oncology.[Read More] Early Symptoms of Lymphoma: What to Look For
Understanding Groin Lymphadenopathy After Surgery: What You Need to Know
Inguinal lymphadenopathy Hello, Doctor. Last year, I underwent surgery for lymphoid cell carcinoma. My recovery after the surgery was normal. During the operation, the doctor noticed enlarged lymph nodes in the groin area, so they made incisions on both the left and right sides o...
Dr. Chen Sirong Reply:
Hello: 1. It may be due to poor lymphatic circulation, or it could be a recurrence or localized fibrosis after surgery. 2. You may consult with a surgeon for confirmation. Sincerely, Dr. Chen Sih-Rong, Oncology.[Read More] Understanding Groin Lymphadenopathy After Surgery: What You Need to Know
Understanding Axillary Tumors: Ultrasound Diagnosis During Pregnancy
Axillary tumor Hello Doctor: Last week, I discovered a small tumor about the size of a potato under my right armpit, which moves when touched or pressed. I live in Canada and today I saw my family doctor. I am currently 27 weeks pregnant, and the doctor only arranged for a breast...
Dr. Fan Sheng Reply:
Ms. Chen: The small lump in your armpit may be a lymph node. The first step of breast cancer metastasis is often to the axillary lymph nodes. This might be why the doctor arranged for a breast ultrasound. An experienced physician can assess the likelihood of malignancy of an intr...[Read More] Understanding Axillary Tumors: Ultrasound Diagnosis During Pregnancy
Understanding Lymph Node Tumors: Treatment Options and Recovery Insights
Lymphoma Hello Doctor: A few days ago, my father went for an endoscopy due to stomach pain and was diagnosed with a gastric ulcer and a duodenal ulcer. The doctor mentioned that my father's intestines appeared to have a growth, and after a biopsy, the report indicated it is ...
Dr. Chen Sirong Reply:
Hello: 1. Are you certain it is lymphoma of the intestines? 2. If so, a biopsy should be performed, followed by a whole-body PET scan or CT scan. 3. After understanding the extent of the spread, chemotherapy can be administered. 4. If the local area does not completely respond to...[Read More] Understanding Lymph Node Tumors: Treatment Options and Recovery Insights
Understanding Lymphoma: Symptoms, Treatment, and Survival Rates Explained
Lymphoma??? Hello Doctor, my father is 58 years old and is currently hospitalized at Mackay Memorial Hospital in Taipei. The doctor said he has lymphoma. What exactly is lymphoma? What are the implications? What is the treatment success rate in the early stages? I have researched...
Dr. Fan Sheng Reply:
Milo: Lymphoma, as you mentioned, is when lymphocytes transform into cancer cells. However, based on the pathological tissue morphology and clinical staging, the treatment methods and prognosis can vary. Radiation therapy is not necessarily the most common initial approach; chemo...[Read More] Understanding Lymphoma: Symptoms, Treatment, and Survival Rates Explained
Understanding Popliteal Masses: Symptoms, Causes, and Next Steps
Popliteal cyst Hello Dr. Fan, Recently, I discovered two lumps in the popliteal fossa of my right leg that resemble tumors. Initially, they were painful to the touch and movable. One lump is larger and visible, while the other can only be felt with pressure. The larger lump has ...
Dr. Fan Sheng Reply:
Vivi: Based on your description, the two lumps appear to be more like lymphadenitis. As the inflammation subsides, the lumps have also decreased in size, which suggests there may not be a significant issue. However, the skin problem is difficult to assess, so it is best to consul...[Read More] Understanding Popliteal Masses: Symptoms, Causes, and Next Steps
Understanding Neck Lumps: Concerns for Cancer Patients and Symptoms to Watch
Neck mass? Hello, about 8-9 years ago, my mother was diagnosed with rectal cancer. After surgery, her condition was good, and there were no visible issues. However, four years ago, it was discovered that the cancer had metastasized to her lungs, and after another surgery, she bec...
Dr. Fan Sheng Reply:
Doris: Based on your description, lymphatic metastasis from rectal cancer remains the primary concern. It is advisable to perform blood tests for tumor markers related to rectal cancer, conduct a chest X-ray, and perform a liver ultrasound to check for any metastatic lesions else...[Read More] Understanding Neck Lumps: Concerns for Cancer Patients and Symptoms to Watch
Post-Thyroid Tumor Surgery Care: What to Expect and Monitor
Thyroid tumor surgery Hello Doctor, my husband is 42 years old and has been experiencing discomfort in his throat for many years. Earlier this year, during a cold, he visited an otolaryngologist who discovered a tumor on his thyroid gland. He was referred to the hospital for furt...
Dr. Fan Sheng Reply:
Hello: Thyroid tumors can be classified as benign or malignant. For benign tumors, it is sufficient to remove the tumor. However, for malignant tumors, it is necessary to remove almost the entire thyroid gland, and sometimes the surrounding lymph nodes must also be excised. There...[Read More] Post-Thyroid Tumor Surgery Care: What to Expect and Monitor