Understanding Chemotherapy for Head and Neck Cancer: A Patient's Journey
Chemotherapy for head and neck cancer Hello Dr. Chen, my sister was diagnosed with stage II squamous cell carcinoma of the left buccal mucosa two years ago without lymphatic metastasis. The doctor at that time performed a tumor resection without lymphadenectomy and did not recomm...
Dr. Chen Yunfang Reply:
Hello: 1. I cannot answer this question; you would need to ask her attending physician for that information. 2. I also cannot answer this question because I do not have specific information about the medication name and dosage, and I am unaware of the patient's physical cond...[Read More] Understanding Chemotherapy for Head and Neck Cancer: A Patient's Journey
Understanding HPV Persistence and Cancer Risks After Treatment
The recurrence rate of HPV (Human Papillomavirus)? Hello, I am a patient with HPV type 16 throat cancer who has completed chemoradiation. My doctor has confirmed that the tumor is no longer visible. I would like to ask the following questions: 1. Will the HPV in my body still be...
Dr. Hu Ziren Reply:
1. P16 is just one type of protein expression associated with HPV infection, and its significance in head and neck cancer is that patients who are P16 positive tend to have a better prognosis (for example, they respond better to chemoradiation compared to other causes such as smo...[Read More] Understanding HPV Persistence and Cancer Risks After Treatment
Understanding Enlarged Lymph Nodes: Symptoms and When to Seek Help
Cervical lymph nodes Hello Doctor, I am currently studying in the UK. About three months ago, I noticed a movable lymph node about 1 cm in size on the right side of my neck. Over time, it has increased in size, reaching approximately 2.8 cm by the end of May. However, a few days ...
Dr. Yan Jingheng Reply:
Enlarged lymph nodes in the neck are not necessarily indicative of lymphoma; a pathological biopsy is required for confirmation. They could also be benign tumors, and lymphoma may be associated with head and neck cancers. Additionally, since your lymph nodes have been enlarged fo...[Read More] Understanding Enlarged Lymph Nodes: Symptoms and When to Seek Help
Understanding Left Supraclavicular Swelling: When to Seek Medical Advice
Swelling in the left supraclavicular fossa? Hello, doctor. I have swelling on the left side of my neck, approximately in the area of the supraclavicular fossa. It is not painful or itchy, but I can feel two firm lumps when I press on it. Should I seek medical attention? Which spe...
Dr. Hu Ziren Reply:
It may just be some benign subcutaneous tumors (such as lipomas, lymph nodes, tendon tumors, etc.), and observation is recommended.[Read More] Understanding Left Supraclavicular Swelling: When to Seek Medical Advice
Understanding Stage IA1 Lung Adenocarcinoma and Tumor Marker Abnormalities
Stage I lung adenocarcinoma with abnormal tumor markers? Hello Doctor, this is my mother's pathology report from that time. NOMED: 28000-B-M81403, 29000-B-M09450 DX: Lung, right middle lobe, wedge resection - Invasive acinar adenocarcinoma, moderately differentiated (G2)...
Dr. Chen Sirong Reply:
Huang, 27 years old, male, has been diagnosed with stage I lung cancer. The Cyfra 21-1 level is 4.11, which is greater than the standard of 3.3 (first test). It is advisable to conduct follow-up testing for Cyfra 21-1 earlier, which is out-of-pocket, so you can have it checked ev...[Read More] Understanding Stage IA1 Lung Adenocarcinoma and Tumor Marker Abnormalities
Understanding Neck Lumps: Lipoma vs. Lymph Nodes in Children
Follow-up question #207281 regarding lymph nodes in the neck? Hello Dr. Chen, Thank you very much for your response to the inquiry regarding "lymph nodes in the neck" in article #207281. You mentioned the possibility of a "lipoma," so I would like to ask you ...
Dr. Chen Sirong Reply:
Kris / 42 years old / Male Q1-2A: I suggest you not to get too caught up in whether it is a lipoma; instead, focus on the current issue and get a neck ultrasound or CT scan. Q3: Dr. Chen, if a "lipoma" forms, is there a possibility that it could disappear on its own...[Read More] Understanding Neck Lumps: Lipoma vs. Lymph Nodes in Children
Understanding Lymph Node Swelling in the Neck: Common Concerns and Questions
Questions about cervical lymph nodes? Hello Dr. Chen: When I was about 4 to 5 years old, I discovered an oval-shaped mass in the middle of my right neck that was oriented vertically. It felt soft and movable. Although the mass was not very large, it was clearly visible. My mother...
Dr. Chen Sirong Reply:
Kris / 42 years old / Male Q1. Is it possible for the lymph nodes to remain enlarged without decreasing in size or disappearing, and still be present today? A: 1.A It is uncertain whether it is a lipoma or a lymph node. 1.B It can still be present. Q2. Dr. Chen, are the lymph...[Read More] Understanding Lymph Node Swelling in the Neck: Common Concerns and Questions
Understanding Treatment Options for Head and Neck Lymphoma: Surgery vs. Chemotherapy
Head and neck lymphatic cancer Hello Doctor: I underwent surgery for a head and neck lymphatic tumor in 2023, and the tumor was diagnosed as stage III lymphoma. Recently, I found another tumor on the left side of my clavicle. I consulted the same hospital and the doctor suggested...
Dr. Chen Sirong Reply:
Wei Cheng / 35 years old / Male 1. Most head and neck cancer cells are squamous cells and undifferentiated cells; the decision to perform surgery depends on the location. 2. Lymphoma cells are a type of lymphocyte that has transformed into cancer cells; surgery is not necessa...[Read More] Understanding Treatment Options for Head and Neck Lymphoma: Surgery vs. Chemotherapy
Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights
Six months after treatment for tongue cancer, there has been recent swelling and pain in the cervical lymph nodes? A 65-year-old male, who underwent treatment for stage 0 tongue cancer six months ago, has recently experienced pain and swelling in the lymph nodes in the neck. A CT...
Dr. Yan Jingheng Reply:
Hello, 1. Pain relief medications can have different effects on individuals, but acetaminophen is generally considered the mildest pain reliever. 2. For tongue cancer surgery, if it was detected at a very early stage, monitoring after surgery may suffice. However, if the lymph no...[Read More] Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights
Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Cervical lymph nodes Last March, I discovered a swollen lymph node in my neck. Since then, I have noticed several more swollen lymph nodes in my neck. I have been continuously monitoring the situation. Initially, an ultrasound was performed, followed by a CT scan of my neck, and ...
Dr. Chen Sirong Reply:
1. Is it possible for symptoms like fever and night sweats to appear now if the swollen lymph node was initially lymphoma? A: It is possible, but just a possibility. However, if the lymphoma is present, that lymph node would likely continue to grow. If it hasn't increased in...[Read More] Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Cervical lymph nodes Last March, I discovered a swollen lymph node in my neck. Since then, I have noticed an increase in the number of swollen lymph nodes in my neck. I have been continuously monitoring this condition. Initially, an ultrasound was performed, followed by a neck CT...
Dr. Chen Sirong Reply:
Mr. Wang / 20 years old / Male 1. Is it possible for a lymphoma that initially presented as a swollen lymph node to now show symptoms of fever and night sweats? A: It is possible, but only a possibility. However, if the lymphoma is present, the swollen lymph node would continue ...[Read More] Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis
Lymphadenopathy Hello Doctor: Around October, I experienced sharp pain in my jaw and throat. Upon pressing, I discovered a hard swollen lymph node near my salivary glands, approximately 2 cm in size. In November, I was very worried and went to see an ENT specialist and an endocri...
Dr. Chen Sirong Reply:
Hello [email protected]: 1. Is it possible that my colorectal carcinoma in situ has metastasized to the cervical lymph nodes? A: "In situ" means that it is localized and does not metastasize. 2. If the ultrasound shows no issues, do I need to go to an ENT spec...[Read More] Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis
Understanding Lymphocyte and Eosinophil Levels in Tumor Diagnosis
Lymphocyte 48.2 and Eosinophil 0.6? Hello, Dr. Yan! Recently, I visited the doctor due to a sore throat, and an ultrasound examination revealed a 1.2 cm lymph node in my neck. I was scratched by a cat recently; could this be cat scratch fever? I have already gone to the hospital ...
Dr. Yan Jingheng Reply:
Hello, as you mentioned, the (percutaneous biopsy/imaging-guided drainage procedure) will be performed in a few days. Of course, a diagnosis can only be confirmed after the biopsy results are available, so it is advisable to wait for the pathology report.[Read More] Understanding Lymphocyte and Eosinophil Levels in Tumor Diagnosis
Improving Mouth Opening After Stage III Oral Cancer Treatment: Tips and Techniques
Stage III Oral Cancer Hello: In July of this year, I underwent a stage III oral cancer surgery that involved the removal of oral tissue and neck lymph nodes. I completed 33 sessions of radiation therapy and 8 sessions of chemotherapy by the end of September. Currently, I am in re...
Dr. Chen Sirong Reply:
Mr. Wu / 35 years old / Male. I don't know what your doctor has taught you, but one suggestion is to stack tongue depressors to a thickness of 1.5 cm and then add another piece (to hold in your mouth). This means to practice more. Of course, it doesn't mean you should b...[Read More] Improving Mouth Opening After Stage III Oral Cancer Treatment: Tips and Techniques
Understanding Lymph Node Enlargement: When to See a Specialist
Lymphadenopathy Hello Doctor, I discovered an enlarged lymph node on the right side of my neck six months ago, and it hasn't gone down since. Then in August, I noticed a few small lumps on the left side of my neck, and in October, I found a few more new ones. I saw a doctor ...
Dr. Hu Ziren Reply:
There is lymphadenopathy on both sides of the neck and in the axilla; it would be advisable to consult a hematology-oncology specialist.[Read More] Understanding Lymph Node Enlargement: When to See a Specialist
Understanding Neck Lumps: Could It Be Lymphoma or Something Else?
Neck mass I recently discovered a lump on the back of my left neck, which I compared online and seems to be near the occipital lymph nodes, approximately 0.5 cm in size and feels firm to the touch. It does not hurt when pressed, and it has not gone away for about two weeks. I hav...
Dr. Chen Sirong Reply:
Allenlin / 24 years old / Male 1. Could these characteristics possibly indicate lymphoma? A: It is possible. However, since both doctors who examined you said it is not, the likelihood is low. 2. Are there other diseases that could cause this phenomenon? A: Yes, unknown v...[Read More] Understanding Neck Lumps: Could It Be Lymphoma or Something Else?
Understanding Enlarged Lymph Nodes: Symptoms and Next Steps
Issues related to cervical lymph nodes and groin lymph nodes? Hello Doctor: I noticed that the lymph nodes on both sides of my groin have been enlarged for over six months. When I touch them, they feel like a whole cluster, with each node slightly enlarged. Some are oval-shaped, ...
Dr. Hu Ziren Reply:
Generalized lymphadenopathy, it is recommended to see a hematologist-oncologist.[Read More] Understanding Enlarged Lymph Nodes: Symptoms and Next Steps
Could My Symptoms Indicate Multiple Myeloma After COVID-19?
Multiple Myeloma Hello, doctor. Last month, after being diagnosed with COVID-19, I developed petechiae on my calves two weeks later. I went to the hospital, and the physician said it was vasculitis induced by the immune response after the infection. After taking steroids for a we...
Dr. Chen Sirong Reply:
Guang, 43 years old, male. Please forgive me, as I am not a hematology specialist. I recommend that you see a hematologist for blood tests. Wishing you good health. Taoyuan Hospital, Chen Si-Rong.[Read More] Could My Symptoms Indicate Multiple Myeloma After COVID-19?
Understanding Enlarged Lymph Nodes: Symptoms and Concerns
Lymphadenopathy/Tumor In the past six months, I have experienced frequent warmth and swelling in the lymph nodes near the left side of my jaw close to my neck, along with a sensation of foreign body presence. It is not painful, but it feels slightly larger than the right side. Ad...
Dr. Chen Sirong Reply:
Hong, 28 years old, male, is advised to see an otolaryngologist. Based on the physician's examination and assessment, it is more suitable for him to visit the Taoyuan Hospital for health and wellness. Dr. Chen Si-Rong.[Read More] Understanding Enlarged Lymph Nodes: Symptoms and Concerns
Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates
Stage II oral cancer Hello Doctor, my sister was diagnosed with stage II left oral mucosal cancer in September last year. Bone scans and neck CT scans showed no metastasis. After the primary physician surgically removed the tumor and sutured with artificial skin (without performi...
Dr. Chen Sirong Reply:
Anonymous / 46 years old / Female Hello, I have been diagnosed with stage II oral cancer, and after the tumor was removed, it has been less than a year, and now it has metastasized to the lymph nodes. Is this possible? A: Yes, it can occur. If metastasis happens, how is the ca...[Read More] Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates