Understanding Lymph Nodes: Symptoms and When to Seek Further Evaluation
Cervical lymph nodes On the left side of my neck, near the jaw, there are several movable lumps that feel like small balls. There is also a rubber ball-like lump in front of my earlobe. The left side of the back of my head is more prominent than the right side, and the area behin...
Dr. Chen Sirong Reply:
Daoist Priest / 28 years old / Male 1. Clear Intentions: The Daoist priest should project positive thoughts to all his body cells, allowing them to maintain a healthy state. 2. Doctors advise continued observation, which is correct; everyone is gradually moving closer to death ...[Read More] Understanding Lymph Nodes: Symptoms and When to Seek Further Evaluation
Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Inguinal lymphadenopathy A couple of days ago, I suddenly noticed swollen lymph nodes in my groin area. I'm not sure when it started, but they are about 1 centimeter or smaller (I’m hesitant to keep touching them). There are many of them, and they are painful (with a dull ac...
Dr. Chen Sirong Reply:
Nickname / 20 years old / Male 1. Two days ago, I suddenly noticed swollen lymph nodes in my groin area. I'm not sure when it started, but they are about 1 cm or smaller (I don't want to touch them too much). There are many of them, and they are painful (a dull ache). ...[Read More] Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Assessing the Malignancy Risk of a Small Groin Lump: What You Need to Know
Is there a possibility of malignancy? There is a small, painless lump about 1 cm in size on the left side of my groin, which is not visible externally and can only be felt with some pressure. When I first discovered it, it felt firm and slightly mobile, so I decided to monitor it...
Dr. Chen Sirong Reply:
Mimi / 42 years old / Female would like to ask about the appearance of a swelling that initially enlarged and then disappeared, leaving a small 1 cm lump. Is there a significant possibility of malignancy? A: 1. All previous doctors have examined it. 2. Blood tests at that time we...[Read More] Assessing the Malignancy Risk of a Small Groin Lump: What You Need to Know
Understanding Abnormal White Blood Cell Counts: What You Need to Know
White blood cell count is approaching abnormal levels? Recent blood test results show a white blood cell count of 6,900 (normal range: 3,600-11,200), hemoglobin (HB) of 15.9 (normal range: 13.7-17), erythrocyte distribution width (EDW) of 13.0 (normal range: 11.7-15), platelet co...
Dr. Chen Yunfang Reply:
Hello: 1. A white blood cell count within the normal range is considered normal. However, I cannot provide an answer without knowing your specific situation. 2. No, it cannot be determined. 3. As mentioned before, I cannot answer this without knowing your circumstances. Thank you...[Read More] Understanding Abnormal White Blood Cell Counts: What You Need to Know
Understanding White Blood Cell Counts and Lymph Node Concerns in Oncology
White blood cell testing issues Recent blood test results show a white blood cell count of 6,900 (normal range: 3,600-11,200), hemoglobin (HB) of 15.9 (normal range: 13.7-17), erythrocyte distribution width (EDW) of 13.0 (normal range: 11.7-15), platelet count of 260 (normal rang...
Dr. Hu Ziren Reply:
The white blood cell count is within the normal range according to the instrument's interpretation, indicating that it is normal and does not require continuous monitoring. The lymph nodes have shown no changes over the past year, suggesting a higher likelihood of being beni...[Read More] Understanding White Blood Cell Counts and Lymph Node Concerns in Oncology
Understanding Groin Lumps: When to Seek Medical Advice
There is a lump in the groin area? Hello Dr. Chen: At the end of last year, I discovered a small hard lump above the inner thigh on the right side. It was painless and resembled a pus-filled cyst, but I couldn't squeeze anything out. There was a small wound that turned black...
Dr. Chen Sirong Reply:
Zhen / 50 years old / Female 1. Could it be lymph nodes? Lymphoma? A: Redness, swelling, heat, and pain are signs of an inflammatory response, but it's uncertain whether it's a tumor, lymph nodes, or a sebaceous cyst. 2. Should I self-monitor first? A: It is rec...[Read More] Understanding Groin Lumps: When to Seek Medical Advice
Understanding Castleman Disease: Diagnosis, Treatment, and Resources in Taiwan
Lymphadenopathy Hello doctor, I previously inquired about my blood test results indicating a high probability of lymphoma. The specimen report has now come back stating that it is Castleman disease. I understand that this is a rare condition, and although it is not cancer, it may...
Dr. Chen Sirong Reply:
Ajie / 52 years old / Male 1. Is a biopsy result definitive? A: Of course, for a few diseases, most major hospital pathologists have a review system in place. The primary diagnosing physician will have other physicians in the department review the case before finalizing the re...[Read More] Understanding Castleman Disease: Diagnosis, Treatment, and Resources in Taiwan
Understanding Blood Test Results: Evaluating Lymphadenopathy and Anemia Risks
Blood Test Report Recently, I have noticed lymphadenopathy and splenomegaly in my neck, armpits, and groin (on both sides), particularly in the armpit, which is about the size of a chicken egg. It is painless, movable, and has a smooth surface, not very hard but somewhat elastic....
Dr. Chen Sirong Reply:
Ajie / 52 years old / Male 1. My hematologist directly recommended a biopsy. A: His suggestion is quite reasonable. 2. This back-and-forth has taken almost a month; why not start medication to address the inflammation first? Perhaps the lymphadenopathy would resolve. A: Diagn...[Read More] Understanding Blood Test Results: Evaluating Lymphadenopathy and Anemia Risks
Understanding Swollen and Painful Lymph Nodes: When to Seek Medical Attention
Axillary lymphadenopathy with pain and bleeding? Hello, Doctor: This week, I have been experiencing unexplained swelling and pain in my left armpit. Initially, there was no discoloration, but it was painful to the touch and felt soft. The pain has affected my sleep, as I wake up ...
Dr. Chen Sirong Reply:
Wenwen / 21 years old / Male 1. This is my first time experiencing a large, red, swollen, and painful area. Should I see a doctor? A: 1.1 Redness, swelling, heat, and pain are symptoms of inflammation. A physician can evaluate your condition and determine whether antibiotics, p...[Read More] Understanding Swollen and Painful Lymph Nodes: When to Seek Medical Attention
Understanding Abnormal Blood Test Results: Lymphocyte Levels and Cancer Risks
Abnormal blood test results? Two days ago, the clinic conducted a blood test report for a 40-year-old male. The results are as follows: WBC 5900 /µL, Neutrophil 44.7%, Lymphocyte 46.6% (elevated, normal range 18-45), Monocyte 6.5%, Eosinophil 1.3%, Basophil 0.9%, RBC 5.42 M/µL, H...
Dr. Chen Sirong Reply:
Light / 41 years old / Male. Could this be a precursor to blood cancer or lymphoma? A: 1. No 2. It could be caused by inflammation 3. Based on the blood test results, you currently do not have blood cancer, and lymphoma cannot be diagnosed solely through a blood test. Wishing you...[Read More] Understanding Abnormal Blood Test Results: Lymphocyte Levels and Cancer Risks
Understanding Blood Test Results: High Lymphocyte Levels and Cancer Concerns
Blood test? The blood test report from the clinic two days ago shows the following results for a 40-year-old male: - WBC: 5900 /µL - Neutrophil: 44.7% - Lymphocyte: 46.6% (elevated, normal range: 18-45%) - Monocyte: 6.5% - Eosinophil: 1.3% - Basophil: 0.9% - RBC: 5.42 M/µL - He...
Dr. Chen Yunfang Reply:
Hello: This does not necessarily indicate lymphoma; I do not have any abnormal findings in this report. Thank you.[Read More] Understanding Blood Test Results: High Lymphocyte Levels and Cancer Concerns
Understanding Lymph Node Issues: Key Questions and Insights
Lymphatic issues Hello Doctor, I would like to inquire about lymphatic issues: 1. Self-reported: 1. On May 25, 2022, I discovered a movable, non-painful, neither soft nor hard mass on the right side of my neck. 2. On May 25, 2022, I found a movable, non-painful, neither so...
Dr. Chen Sirong Reply:
Chris / 37 years old / Male 1. Is the size of the lymph nodes observed through ultrasound within the normal range? Can the measurements vary between different physicians? A: Generally, lymph nodes larger than 1 cm require further evaluation or biopsy, while those under 1 cm ca...[Read More] Understanding Lymph Node Issues: Key Questions and Insights
Understanding Lymph Node Issues: Could It Be Lymphoma?
Issues with cervical lymph nodes? Hello, Doctor. About three to four months ago, I discovered a large and painful lymph node on the inner side of my left jaw. It hurts a lot when I clench my jaw. Initially, I visited a clinic where the doctor said it was likely an enlarged lymph ...
Dr. Chen Yunfang Reply:
Hello: It is impossible for a physician to determine whether someone has cancer without having met them in person. You need to seek medical attention in person, unless an otolaryngologist has performed a lymph node biopsy for you, which would allow them to answer that question. T...[Read More] Understanding Lymph Node Issues: Could It Be Lymphoma?
Understanding Lymph Node Swelling: Causes Beyond Lymphoma
A cluster of lymph nodes? On May 13, I received my third dose of the Moderna vaccine. On the morning of July 14, I suddenly experienced pain in my left arm, which by the evening had extended to my left chest near the armpit. Upon palpation, the lymph nodes in the armpit were swol...
Dr. Chen Sirong Reply:
Patient: Xiao Liu / 40 years old / Male Question: Aside from ruling out lymphoma, what other organs could have cancer cell metastasis? Answer: Lymphadenopathy may be caused by: 1. Cancer 2. Changes due to immune response from vaccination. 1. It should be noted that almost all...[Read More] Understanding Lymph Node Swelling: Causes Beyond Lymphoma
Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Lymphadenopathy Hello, I experienced a high fever in mid-April that lasted for three days, with the highest temperature reaching over 39 degrees Celsius. After that, I noticed swelling in the lymph nodes on the right side of my neck. When I consulted a doctor at that time, they s...
Dr. Chen Yunfang Reply:
Hello: Please visit an otolaryngologist to perform a neck lymph node biopsy (preferably with the same physician who performed the initial biopsy). If possible, avoid needle aspiration and opt for an excisional biopsy of the entire lymph node, as it has greater diagnostic value. S...[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Evaluation
Understanding Groin Lymph Nodes: When to Seek Medical Attention
Inguinal lymph nodes Hello, Doctor. I apologize for reaching out while I am currently abroad, and I plan to return to Taiwan in three months. I would like to hear your opinion on whether I should return to Taiwan for medical evaluation at this time. Since December of last year, I...
Dr. Chen Yunfang Reply:
Hello: Please arrange for a surgeon to perform a groin lymph node biopsy as soon as possible; it sounds concerning. Thank you.[Read More] Understanding Groin Lymph Nodes: When to Seek Medical Attention
Persistent Mouth Sores: Could They Be Linked to Lymphoma?
The mouth ulcer has been persisting for quite a while without healing? Hello doctor, last week I went to the hospital for an examination and found a small lump under my skin, measuring about 0.5 to 1.5 centimeters. It doesn't hurt and doesn't move. I consulted another p...
Dr. Chen Yunfang Reply:
Hello: I looked at the photos, and it doesn't appear to be cancer. Please eat more fruits and vegetables, and wait a bit longer. Additionally, if you have habits such as smoking, drinking alcohol, or chewing betel nut, please quit. If there is no improvement in 2-3 weeks, pl...[Read More] Persistent Mouth Sores: Could They Be Linked to Lymphoma?
Understanding Leukemia Symptoms and Blood Test Results: What You Need to Know
Symptoms and Tests for Leukemia Hello Doctor, I apologize for the interruption. For the past 10 days, I have been experiencing a low-grade fever accompanied by severe, nearly all-day dizziness, extreme fatigue, and night sweats. I have also started to notice unexplained small bru...
Dr. Chen Yunfang Reply:
Hello: 1. Both the first and second test results are normal. 2. White blood cell counts fluctuate; each time you draw blood, the results can vary. The normal range is 4,000 to 9,000, but even if the count is slightly outside this range, it does not necessarily indicate disease. 3...[Read More] Understanding Leukemia Symptoms and Blood Test Results: What You Need to Know
Understanding Lymphadenopathy: Concerns About Cancer Recurrence and Treatment Options
Lymphadenopathy raises concerns about cancer metastasis or recurrence? Hello Doctor, my mother was diagnosed with a malignant tumor on her ovary two years ago. At that time, it was decided to remove the ovary without chemotherapy. Post-surgery, regular follow-ups showed no signs ...
Dr. Chen Yunfang Reply:
Hello: After reviewing the medical history, your choices are quite reasonable. Since you have been following the same physician for many years, I suggest continuing with them. Even if there is a recurrence of lymphoma, you can simply proceed with chemotherapy, as there are no oth...[Read More] Understanding Lymphadenopathy: Concerns About Cancer Recurrence and Treatment Options
Understanding a Lumps Under the Chin: When to Seek Medical Advice
There is a mass under the chin that appears to be a tumor? Hello, when I was in middle school, a lump about a little over one centimeter in diameter suddenly appeared under my chin. It was oval-shaped, soft, movable, and painless. At that time, we were studying lymphatic tissues ...
Dr. Hu Ziren Reply:
It is likely just a calcified lymph node or another benign subcutaneous tumor. Observation is recommended. Essentially, maintaining normal lifestyle and dietary habits is sufficient, and there is no need for special precautions.[Read More] Understanding a Lumps Under the Chin: When to Seek Medical Advice