Understanding Enlarged Lymph Nodes: When to Seek Further Testing
The number of lymph nodes is increasing? Hello doctor, about a month ago I noticed a small lymph node on the right side of my neck. After taking antibiotics, it did not go away and gradually became a chain of swollen nodes, varying in size. I have not felt anything on the other s...
Dr. Hu Ziren Reply:
Hello, online user: 1. I recommend that you see a hematologist-oncologist; 2. If a biopsy is needed, I suggest an excisional biopsy of the lymph node rather than a core needle biopsy, as the diagnostic value of a core needle biopsy for lymphoma is not high. By Dr. Hu Zi-ren.[Read More] Understanding Enlarged Lymph Nodes: When to Seek Further Testing
Understanding Your Lymph Node Pathology Report: Key Insights and Next Steps
Pathology Report Hello Doctor, I recently had a lymph node removed, and the pathology report is as follows: Received in formalin consists of a piece of lymph node, measuring 1.4 x 0.6 x 0.3 cm. It is tan and elastic firm. The entire specimen is embedded in one block. Micro: The s...
Dr. Chen Yunfang Reply:
Hello: According to this pathology report, the lymph node that was removed is not malignant. However, since it is located in the groin area, further monitoring is recommended. To be specific, this report can only confirm that this particular lymph node is not problematic; it cann...[Read More] Understanding Your Lymph Node Pathology Report: Key Insights and Next Steps
Understanding Lymphadenopathy: Abnormal Blood Test Results Explained
Lymphadenopathy Hello Doctor, I have a problem with enlarged lymph nodes that won't go away, so the hematologist drew my blood and found two abnormal values: platelet distribution width at 9.0 fL (reference range 10.0-16.0) and eosinophils at 8.2% (reference range 0.0-7.0). ...
Dr. Chen Yunfang Reply:
Hello: The values from the instruments in each hospital can indeed vary, so please trust this fact. Since the testing instruments purchased cannot be standardized across Taiwan, a test result that shows abnormal levels at one facility may appear normal at another. It is essential...[Read More] Understanding Lymphadenopathy: Abnormal Blood Test Results Explained
Understanding Lymph Node Swelling: Key Insights on Diagnosis and Treatment
Lymphadenopathy Hello, Doctor. Over the past two months, I have noticed several lymph nodes in my body, including in the head and neck, armpits, and groin. Recently, I visited a surgeon and decided to remove the lymph nodes in my groin, one on each side. The doctor chose the left...
Dr. Hu Ziren Reply:
Hello, netizen: 1. If it is indeed lymphoma, the pathological characteristics throughout the body should be consistent, so any lymph node that is biopsied should yield similar results; 2. The transverse orientation in the groin area is likely related to blood vessels or tendons/l...[Read More] Understanding Lymph Node Swelling: Key Insights on Diagnosis and Treatment
Understanding Lymphadenopathy: When to Seek Further Medical Advice
Lymphadenopathy Hello Doctor: Recently, I have been suffering from swollen lymph nodes. I am quite thin, with body fat below 10%, and I can feel many lymph nodes, especially in the groin area. However, the doctor said that being thin and being able to feel lymph nodes are not rel...
Dr. Hu Ziren Reply:
Hello, online user: 1. Lymphadenopathy refers to lymph nodes with a diameter greater than 1 or 1.5 cm; 2. Do you experience pain when you palpate it? Is there any elasticity when you touch it? Does it move when you palpate it? 3. Are there any accompanying symptoms such as fever,...[Read More] Understanding Lymphadenopathy: When to Seek Further Medical Advice
Managing Lymph Node Malignancy During Pregnancy: Key Considerations
Pregnant women diagnosed with malignant lymphoma? Hello, doctor. My wife was diagnosed with a malignant lymphadenoma in mid-April, and the biopsy and pathology report confirmed this. After completing a CT scan, no tumors were found in other areas. We originally planned to proceed...
Dr. Chen Sirong Reply:
Concerned Father / 36 years old / Male Hello, due to the lack of biopsy report specifying the type of lymphoma, it is difficult to determine whether to: A) proceed with radiation therapy on the right arm and undergo chemotherapy after pregnancy, or B) immediately terminate the p...[Read More] Managing Lymph Node Malignancy During Pregnancy: Key Considerations
Understanding Treatment Options and Prognosis for Multiple Myeloma
Treatment of Multiple Myeloma Hello Dr. Chen: My husband is 73 years old and was diagnosed with multiple myeloma last year. He has completed eight cycles of Velcade treatment and, after a two-month rest, his doctor performed another blood test, finding that his IgG level increase...
Dr. Chen Yunfang Reply:
Hello: 1. Regarding the first question, I cannot answer it because I do not know which stage your husband was in initially. 2. For the second question, besides Venclexta and Revlimid, commonly used medications for treating multiple myeloma include Thalidomide, Melphalan (Alke...[Read More] Understanding Treatment Options and Prognosis for Multiple Myeloma
Understanding a Soft Neck Lump: Is It Lymphoma or Something Else?
A lump on the right side of the neck? Hello Doctor: In mid-February of this year, I noticed a lump on the right side of my neck. It is elongated, measuring about 1 cm in length and only 2-3 mm in width. Over the past two months, it has not significantly increased in size, and it ...
Dr. Chen Sirong Reply:
Ah Hong / 15 years old / Male 1. It shouldn't be like that. If it were cancer, it would continue to grow. 2. If it grows, becomes hard, changes color, or presents other symptoms, please seek medical attention immediately at Taoyuan Hospital, Dr. Chen Si-Rong.[Read More] Understanding a Soft Neck Lump: Is It Lymphoma or Something Else?
Understanding Stage 4 Lymphoma: Prognosis and Treatment Options
Stage IV Lymphoma I'm sorry to hear about your situation. It's important to consult with a healthcare professional for personalized advice and support.
Dr. Lai Yicheng Reply:
Miss Niu: You asked about the survival period? I am unable to answer that. Please consult your attending physician. Wishing you all the best. Changhua Hospital cares about you. Radiation Oncology, Dr. Lai Yi-Cheng.[Read More] Understanding Stage 4 Lymphoma: Prognosis and Treatment Options
Understanding Neck Lumps: Could They Indicate Lymphoma?
A lump in the neck? Hello doctor, around January I noticed a lump in my throat, approximately 0.5 cm in size. It is not painful and not very hard. Then in mid-February, I found another lump on the right side of my neck, less than 1 cm in size, which is also not very hard and hasn...
Dr. Lai Yicheng Reply:
Dear Student, I acknowledge your message. Without actually seeing your condition, it is difficult to make an accurate assessment. Please visit the hospital for a diagnosis from a dermatologist or a surgeon. Changhua Hospital cares about you. Sincerely, Dr. Lai Yi-Cheng De...[Read More] Understanding Neck Lumps: Could They Indicate Lymphoma?
Understanding Stage 4 Lymphoma: Options and Hope for Patients
Lymphoma metastasis Hello, I would like to ask if there is really no hope for stage IV lymphoma that has metastasized to the lungs (with half of the lungs affected). It has been a year since the onset of the disease... All treatments for lymphoma have been administered, and radia...
Dr. Lai Yicheng Reply:
Dear Sir/Madam, Thank you for your letter. I would like to clarify that the description of the treatment regimen for lymphoma is unclear, such as which specific medications were administered. It is difficult to provide you with comprehensive advice. However, I can offer general ...[Read More] Understanding Stage 4 Lymphoma: Options and Hope for Patients
Understanding Neck Lumps: Could They Be Lymphoma?
A lump in the neck? Hello Doctor: Around January of this year, I noticed a lump in my throat area. It was initially somewhat large, but after I had a cold and recovered, the lump decreased in size, though it didn't completely disappear; it's about 0.5 cm now. In Februar...
Dr. Chen Sirong Reply:
Afa / 16 years old / Male 1. Around January of this year, I noticed a lump in my throat area. It was initially somewhat large, but after recovering from a cold, it shrank a bit, though it hasn't completely disappeared. It's about 0.5 cm in size. 2. In February, anoth...[Read More] Understanding Neck Lumps: Could They Be Lymphoma?
Understanding Lymphatic Swelling in the Neck: Causes and Next Steps
There is lymphatic edema in the left side of the neck? Hello, doctor. Three years ago, I discovered lymphatic swelling on the left side of my neck (about five centimeters from the thyroid position, approximately 1.5 times larger than the corresponding lymph node on the right side...
Dr. Lai Yicheng Reply:
Dear Mr. Huan, In response to your inquiry, please find the answers below: 1. Your concern about "tumors in the neck metastasizing to the oral cavity" is not a phenomenon that occurs clinically. Additionally, the description of "left cervical lymphatic swelling, ...[Read More] Understanding Lymphatic Swelling in the Neck: Causes and Next Steps
Understanding Enlarged Lymph Nodes and Low White Blood Cell Count
Lymphadenopathy with leukopenia? Last week, I visited a gastroenterologist due to gastrointestinal discomfort. After undergoing an endoscopy, no abnormalities were found, only mild gastritis. I also asked the gastroenterologist to refer me to an ENT specialist to examine the lymp...
Dr. Lai Yicheng Reply:
Mr. Zhao: Thank you for your inquiry. Here are the responses: 1. Since each individual's constitution is different, it is indeed possible. If you are concerned about anesthesia leading to low white blood cell counts, please discuss with your physician whether a re-evaluation...[Read More] Understanding Enlarged Lymph Nodes and Low White Blood Cell Count
Understanding Groin Lymphadenopathy: Symptoms and Concerns for Athletes
Inguinal lymphadenopathy I have a significant lymph node near my left hip joint (as stated by the clinic doctor) that has been increasing in size over the past three weeks since my last visit. It has become movable and is about half the size of my index finger. When I saw the doc...
Dr. Chen Sirong Reply:
Mini / 18 years old / Female 1. It is getting larger. The doctor said that if it continues to grow, I should pay attention, but it hasn't exceeded two centimeters, so I'm unsure whether to go to a larger hospital. A: It is recommended to continue monitoring with your...[Read More] Understanding Groin Lymphadenopathy: Symptoms and Concerns for Athletes
Understanding Lymphoma: Neck Pain and Lumps Explained
I would like to inquire about lymphoma? Hello Doctor, I would like to inquire about something. About a month ago, I started experiencing soreness in my neck and shoulders. I feel tightness in my neck, and I noticed a small lump above my collarbone. I'm not sure if it is a ly...
Dr. Chen Yunfang Reply:
Hello: Generally speaking, lymphoma tends to grow gradually over time and is usually painless, without pulsation. However, the lump you felt should be examined by a doctor at the hospital to determine if it is a lymph node. You can consult either a hematologist-oncologist or a ge...[Read More] Understanding Lymphoma: Neck Pain and Lumps Explained
Understanding Neck Ultrasound Results: Is It Lymphoma or Not?
Neck ultrasound issues? Today I had an ultrasound of my neck and found a 0.2 cm mass. I asked the doctor if it was a tumor, and the doctor said it was a lymph node and advised me to return for a follow-up in six months. Could this be lymphoma? The doctor didn't prescribe any...
Dr. Lai Yicheng Reply:
Mr. Wang: I understand from your letter that you are overly worried. The 0.2 cm finding on the neck ultrasound is most likely a lymph node, and the chance of lymphoma is low. Please perform self-examinations to check for any enlargement. If there is no change, as the doctor menti...[Read More] Understanding Neck Ultrasound Results: Is It Lymphoma or Not?
Could a Hard, Movable Lump on My Neck Artery Be a Tumor?
There is a lump on the carotid artery? During the New Year, I had a case of tonsillitis with pus. After taking antibiotics, it improved, but I noticed a lump about 3 cm on the left artery. It is hard, not painful, and movable. I would like to ask the doctor if it could possibly b...
Dr. Chen Sirong Reply:
A-Cheng / 23 years old / Male 1. It is quite rare for a 23-year-old to have head and neck cancer, but lymphoma is a possibility. Overall, the likelihood is low, but it is not entirely absent. 2. During the Lunar New Year, there was a case of tonsillar abscess, which improved aft...[Read More] Could a Hard, Movable Lump on My Neck Artery Be a Tumor?
Understanding Blood Test Results: Insights into Tumor-Related Concerns
Blood Inquiry Hello Doctor, last week I went to the emergency room due to headaches and dizziness. The blood test report showed CBC 8.95 10^3/µL, SEG 26.3%, LYMPH 55.4%, MONO 10.7%, PDW 9.2 fL, and other values were within the standard range. I have researched hematological sympt...
Dr. Chen Yunfang Reply:
Hello: Based on the blood test results you provided, there does appear to be a hematological issue. The most significant concern is the elevated percentage of lymphocytes, which accounts for 55.4% of the total white blood cell count. This is abnormal, as the normal range for lymp...[Read More] Understanding Blood Test Results: Insights into Tumor-Related Concerns
Understanding Persistent Lumps: Are They Signs of Lymphoma?
An unexplained mass for nearly two years? Hello doctor, I started noticing a lump under my left ear and below my right ear during the summer of 2014. It doesn't hurt or itch, and it feels soft to the touch. It has remained about the same size, roughly 1 centimeter, for over ...
Dr. Lai Yicheng Reply:
Hello, sir: It is recommended that you consult an otolaryngologist regarding the lumps behind your left ear and below your right ear, as well as seek dental treatment for your cavities. Maintaining good healthcare habits can provide peace of mind, and the specialists in each fiel...[Read More] Understanding Persistent Lumps: Are They Signs of Lymphoma?