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 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
Understanding Groin Masses: Symptoms, Causes, and Specialist Recommendations
Inguinal mass Hello Dr. Fan, my girlfriend discovered a lump in her groin area about three weeks ago. The lump is elongated and resembles a leech, approximately five centimeters long, and appears slightly darker than the surrounding skin. It is painful to the touch and seems to w...
Dr. Fan Sheng Reply:
Dear Kevin: It sounds like lymphadenopathy and inguinal hernia should both be considered. I recommend consulting with a hematologist-oncologist and a general surgeon. Thank you.[Read More] Understanding Groin Masses: Symptoms, Causes, and Specialist Recommendations
Understanding Symptoms: Possible Conditions Behind Limb Weakness and Lymph Node Swelling
Question Hello Doctor, since February 20th, I have suddenly experienced frequent weakness or soreness and numbness in my limbs. I have undergone MRI scans of my neck and lower back, a CT scan of my brain, and even an electromyography, all of which showed no issues. Additionally, ...
Dr. Fan Sheng Reply:
Frances: If there is persistent lymphadenopathy, considerations include 1. tumors, such as lymphoma or nasopharyngeal carcinoma; 2. infections, such as tuberculosis or HIV; 3. autoimmune diseases. Based on what you described, a diagnosis cannot be made immediately. It is recommen...[Read More] Understanding Symptoms: Possible Conditions Behind Limb Weakness and Lymph Node Swelling
Understanding Nasopharyngeal Cancer: Symptoms, Recurrence, and Aftermath
Nasopharyngeal carcinoma Dear Dr. Chen, 1. Previously, in July 2008, I inquired about experiencing body-wide tingling after undergoing radiation therapy for nasopharyngeal carcinoma in July 2005. A PET scan, which I paid for out of pocket, suggested recurrence in the left neck a...
Dr. Chen Sirong Reply:
Hello, Shang-Jun. 1. The probability of recurrence of nasopharyngeal carcinoma after treatment is less than 3% after three years, so try to relax a bit. 2. Have you considered consulting a neurosurgeon or an internist? The cause of neck nerve compression could be due to fibros...[Read More] Understanding Nasopharyngeal Cancer: Symptoms, Recurrence, and Aftermath
Hard Lumps Between Groin and Thigh: What Could They Be?
There are two hard lumps between the groin and the pubic area? Hello, I have noticed two hard, round lumps between my groin and my thighs, where my legs connect to my body. They don't usually hurt, but they are a bit painful when pressed. What could these be? Which specialis...
Dr. Chen Sirong Reply:
Hello, A-Bai. Most lumps in the groin area are due to lymphadenopathy, which is usually benign. Benign lymphadenopathy is often caused by infections such as athlete's foot leading to wound infections, cellulitis, or infections from other areas. Malignant lymphadenopathy, on ...[Read More] Hard Lumps Between Groin and Thigh: What Could They Be?
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
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 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 Lumps in the Groin: Causes and When to Seek Help
There is a hard lump in the groin area? Hello Doctor, I have been dealing with athlete's foot and itching in my groin area for several years. Recently, I started dating someone and I'm concerned about potential awkward situations, so I want to resolve these issues. Rece...
Dr. Chen Sirong Reply:
Hello: 1. For athlete's foot and itching in the groin area, it is important to patiently follow the dermatologist's instructions for applying medication. 2. Most lumps are benign lymphadenopathy, which may be caused by an athlete's foot infection, and it is necessa...[Read More] Understanding Lumps in the Groin: Causes and When to Seek Help
Understanding Axillary Tumors: Fibromas vs. Lymphadenopathy Risks
Axillary tumor I'm not sure if these are the same as what others refer to as "fibromas" or if it's due to lymphadenopathy. However, I remember having a very small lump under my left armpit since childhood. It doesn't hurt when I pull on it slightly, and t...
Dr. Chen Sirong Reply:
Hello: 1. Due to discoloration and pain, it is necessary to see a doctor promptly. 2. Most cases are benign and can be managed effectively. Sincerely, Dr. Chen Sih-Jung, Oncology.[Read More] Understanding Axillary Tumors: Fibromas vs. Lymphadenopathy Risks
Understanding Irregular Tumors: When to Seek Medical Advice
Abnormal tumor I have an irregular lump on my left cheek, about the size of a fingertip, which I discovered while washing my face. The other side of my cheek does not have anything like this. The lump is movable when I touch it, but it makes me feel uneasy. I'm not sure whic...
Dr. Chen Sirong Reply:
Hello: 1. If the mass on the left cheek is movable and feels soft, it is likely a benign tumor. 2. Most of the swelling below the ear is likely due to lymphadenopathy. 3. It is difficult to make a definitive diagnosis based solely on verbal descriptions; regular outpatient follow...[Read More] Understanding Irregular Tumors: When to Seek Medical Advice
What is Lymph Node Tumor? Understanding Symptoms and Treatment Options
Lymph node tumors, also known as lymphomas, are cancers that originate in the lymphatic system, which is part of the immune system. These tumors can be classified into two main types: Hodgkin lymphoma and non-Hodgkin lymphoma. Symptoms may include swollen lymph nodes, Lymph node ...
Dr. Fan Sheng Reply:
Hello: Lymphoid tissue can undergo benign hyperplasia and enlargement, as well as develop malignant lymphoma. It can also enlarge due to metastasis from cancers in other locations to the lymph nodes, all of which can be referred to as lymphadenopathy. To confirm the diagnosis, a ...[Read More] What is Lymph Node Tumor? Understanding Symptoms and Treatment Options
Understanding Lymphadenopathy: Symptoms, Causes, and Treatment Options
Tumor My boyfriend has irregular sleep patterns due to his military service. A few days ago, he mentioned that he was only sleeping about 4 hours each night and started experiencing some abdominal pain (located slightly below the appendix area). Initially, we thought it might be ...
Dr. Fan Sheng Reply:
Dear Miss, the enlargement of the lymph nodes in the right inguinal region, if it has already subsided, is likely due to inflammation and is mostly benign. As for the lower abdominal pain, you asked, "What could it be?" To be honest, I can't pinpoint it either. How...[Read More] Understanding Lymphadenopathy: Symptoms, Causes, and Treatment Options
Understanding Hard Lumps in the Neck: What Could They Mean?
There is a hard lump in the neck? Doctor, my mother is 62 years old. One day she felt a hard lump on each side of her jaw where it connects to her neck. The lumps are movable and do not cause any pain when pressed. She has had them for several months and has not experienced any o...
Dr. Chen Sirong Reply:
Hello: 1. The most likely diagnosis is lymphadenopathy. 2. It is mobile, which makes it more likely to be benign. 3. It is recommended to promptly visit an otolaryngology clinic for examination of the nasopharynx and oral cavity to check for other tumors. Sincerely, Dr. Chen Sih-...[Read More] Understanding Hard Lumps in the Neck: What Could They Mean?
Understanding Lymph Node Metastasis: Concerns and Surgical Options
Lymphatic metastasis Dr. Chen, I apologize for asking so many questions, but I am very concerned about my mother's condition, and I hope you can understand. During her radiation therapy, she experienced a recurrence and underwent a fine needle aspiration (FNA) and a PET CT s...
Dr. Chen Sirong Reply:
Hello: 1. If it has not metastasized, there is still hope. 2. I agree with your mother's attending physician's recommendations. 3. The wound may be difficult to manage, but we can only cooperate with the doctor. 4. Life is not in immediate danger, but the concern is tha...[Read More] Understanding Lymph Node Metastasis: Concerns and Surgical Options
Understanding Lumps on the Neck: Causes and Concerns
There are two lumps on the neck? Hello, doctor. This week, I noticed a painless, movable lump on my neck. There are also some near my collarbone. I saw an ENT specialist yesterday, and they said it was lymphadenopathy. They mentioned that since it is movable, it should not be a c...
Dr. Fan Sheng Reply:
Is it better now? If it has worsened, please urgently go to the hematology department for a blood test. It's important, very important.[Read More] Understanding Lumps on the Neck: Causes and Concerns
Understanding Tumors and Tuberculosis: A Patient's Journey
Tumors and pulmonary tuberculosis? Hello, before the Lunar New Year, my uncle discovered a tumor-like growth under his right armpit that was painful to touch. During the New Year period, he developed two more lumps above his right clavicle. Recently, he underwent surgery at the h...
Dr. Fan Sheng Reply:
Kate: Tuberculosis can indeed present with lymphadenopathy, as mentioned in the "Treatise on the Origins and Symptoms of Various Diseases" by Chao Yuanfang from the Sui Dynasty. Since the biopsy has confirmed the diagnosis, you can take the medication as prescribed by y...[Read More] Understanding Tumors and Tuberculosis: A Patient's Journey
Understanding Painful Lumps Behind the Ear: Possible Causes and Concerns
There is a lump behind the ear? A few days ago, I felt two lumps about 1 centimeter in size behind my ear. They are tender to the touch and movable. Could this be lymphadenitis? If so, why does it feel this way? I've been quite worried these past few days. What could it be? ...
Dr. Fan Sheng Reply:
Hello: This should be lymphadenitis, and it should be resolved by now, right? Asking about fried rice likely means there is a concern about HIV, as HIV may initially present with lymphadenopathy. Wishing you well.[Read More] Understanding Painful Lumps Behind the Ear: Possible Causes and Concerns