Understanding Oral Cancer Metastasis: Treatment Options and Costs
Oral cancer metastasis Hello Doctor: My father is 60 years old and was diagnosed with stage IV gingival cancer that had invaded the mandible in June of last year. He underwent surgery to remove the mandible and had lymphadenectomy, and the postoperative report showed no cancer ce...
Dr. Lai Yicheng Reply:
Dear Miss Chuang, Thank you for your letter. Here is my response: 1. Your father is currently receiving the standard treatment regimen of "cisplatin + gemcitabine" for head and neck cancer. If this treatment fails, there are many other chemotherapy agents available, s...[Read More] Understanding Oral Cancer Metastasis: Treatment Options and Costs
Understanding Axillary Pain: When to Seek Medical Advice
Axillary swelling and pain? Hello doctor, recently I noticed a painful sensation in my right armpit while showering. Initially, I thought it was a pimple, but there doesn't seem to be any visible issue. When my arm is hanging down, I don't feel anything unusual, but whe...
Dr. Lai Yicheng Reply:
Hello Ms. Hsiao, Thank you for your message. In response to your inquiry: the swollen sensation in your right armpit, could it be related to your menstrual cycle? If the swelling and pain only occur before and after your menstruation, it may be associated with hormonal changes....[Read More] Understanding Axillary Pain: When to Seek Medical Advice
Could a Lump in My Shoulder Indicate a Tumor? Seeking Medical Advice
Feeling a lump similar to a tumor in the shoulder? Hello Doctor, I would like to ask about the pain I've been experiencing in my right shoulder and neck area. It has been very sore and feels tight and stiff for about 2 to 3 months. Recently, when I applied a muscle relief oi...
Dr. Lai Yicheng Reply:
Dear Mr. Chou, Thank you for your letter. In response to your described symptoms, it is difficult to assess your actual condition without a physical examination. We recommend that you visit an otolaryngologist for further evaluation and treatment. If needed, we can assist with a...[Read More] Could a Lump in My Shoulder Indicate a Tumor? Seeking Medical Advice
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?
Understanding Neck Masses: A Patient's Journey Through Diagnosis and Treatment
Neck mass Hello doctor, about 13 years ago, when I was around 16 or 17 years old, I discovered a lump under my right ear on my neck. At first, it was a small bump that felt like a mosquito bite, which was itchy and painful. After about two weeks, it developed into a larger lump, ...
Dr. Chen Sirong Reply:
Yuan Yuan / 30 years old / Female 1. The tissue that was removed 13 years ago should not be a concern now. 2. It is advisable to return for follow-up appointments; regular monitoring is beneficial, ideally every 1-2 years. 3. You can visit an ENT specialist when you have a ...[Read More] Understanding Neck Masses: A Patient's Journey Through Diagnosis and Treatment
Understanding a Hard Lump on the Back of the Neck: Is It a Tumor?
There is a hard lump in the back of the neck? Hello, I discovered a hard lump about 1 centimeter in size near the right side of my nape, just below the hairline, last night. It does not move and I do not have any symptoms such as fever or illness. Could this possibly be a tumor?
Dr. Lai Yicheng Reply:
Dear Orange, In response to your inquiry, I would like to address the hard lump approximately 1 cm in size located on the right side of your posterior neck, near the hairline. It is non-mobile and you do not exhibit any symptoms such as fever or illness. I personally believe it ...[Read More] Understanding a Hard Lump on the Back of the Neck: Is It a Tumor?
Exploring Torisel Coverage for Metastatic Kidney Cancer Treatment Options
Hello, doctor. Regarding the application for reimbursement of Torisel for metastatic renal cell carcinoma? Hello, doctor. My mother was diagnosed with kidney cancer, which has already metastasized to the lungs, bones, adrenal glands, neck, and multiple lymph nodes. The biopsy fro...
Dr. Lai Yicheng Reply:
Dear Pharmacist, Thank you for your letter. Here is my response: 1. Regarding the diagnosis - The biopsy was taken from the L3 vertebra and the adrenal metastasis. The pathology report shows positive results for AMACR and PAX8. Both of these immunohistochemical tests are non-sp...[Read More] Exploring Torisel Coverage for Metastatic Kidney Cancer Treatment Options
Essential Nutritional Guidance for Stage III Tongue Cancer Patients
Tongue swelling or mass? Hello: I have stage III tongue cancer. What type of nutritional supplement should I focus on, high-protein formula or glucose-based products? Is it effective to consume collagen before surgery? Does regular collagen intake help with cellular repair? Which...
Dr. Chen Sirong Reply:
Xiao Xin / 30 years old / Female 1. For nutrition, I recommend consulting a nutritionist or having your physician refer you to the nutrition department during your hospitalization. They can provide tailored advice based on your actual health condition and dietary habits. The sup...[Read More] Essential Nutritional Guidance for Stage III Tongue Cancer Patients
Understanding Lymph Node Swelling: When to Seek Medical Advice
I am very nervous? It is normal to have one lymph node on each side beneath the chin. However, I have heard that swollen lymph nodes can indicate certain symptoms. Recently, I've been experiencing shortness of breath after walking for a while, and I feel the need to breathe ...
Dr. Chen Yunfang Reply:
Hello: Everyone has two salivary glands (submandibular glands) in their jaw, which is normal. If you are still very concerned, you can visit the ENT department at the hospital and ask the doctor to examine whether it is a salivary gland or a lymph node. Thank you.[Read More] Understanding Lymph Node Swelling: When to Seek Medical Advice
Understanding Treatment Options for Advanced Throat Cancer
Cancer treatment Hello Dr. Lai, my husband discovered a hard lump on the right side of his jaw near the neck in January, which has been growing larger. He visited the ENT department at the hospital, where the doctor used an endoscope and noted an ulcer in the deep throat. Due to ...
Dr. Lai Yicheng Reply:
Dear Ms. Chia, I received your letter regarding your husband's condition, and I would like to respond as follows: 1. The epiglottic vallecula is located anterior to the epiglottic cartilage and is associated with malignant tumors of the oropharynx. 2. The original treating...[Read More] Understanding Treatment Options for Advanced Throat Cancer
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 Lymph Nodes: What to Do When You Find a Swollen Node
Questions about lymph nodes? This past Monday, while I was squeezing a pimple, I accidentally noticed what seems to be a lymph node on the left side of my neck, slightly towards the back (not near the ear). It doesn't hurt when I press on it, but it is movable, and it's...
Dr. Chen Sirong Reply:
Huang, 19 years old, female, has a suspected lymph node on the left side of her neck, slightly towards the back. It does not hurt when pressed and is movable, approximately 1 cm in size. 1. I have researched online and found that similar cases that are painful and immobile shou...[Read More] Understanding Lymph Nodes: What to Do When You Find a Swollen Node
Should You Worry About Lumps in Your Child's Neck? Expert Advice
There are small lumps in the neck? Hello, this morning while playing with my child, I felt two distinct lumps inside the right back of the neck. One is larger than the other, and they move when touched. My child does not seem to be in pain. Should I take my child to the hospital ...
Dr. Chen Sirong Reply:
Nala / 1 year old / Male 1. There are two lumps that move when touched. The likelihood of them being benign is higher, but a physician's examination is necessary for an accurate diagnosis. 2. Should we go to the hospital for further examination? A visit to a general pedi...[Read More] Should You Worry About Lumps in Your Child's Neck? Expert Advice
Is It a Tumor or Lymph Node Inflammation? Understanding Your Symptoms
Is it a tumor or lymphadenitis? Hello, doctor: Today I suddenly noticed a round lump in the indentation where my left neck connects to my jaw. It usually doesn't hurt, but it does hurt when pressed, and it only becomes noticeable when I lower my head. It is about the width o...
Dr. Chen Yunfang Reply:
Hello: You can visit the Otolaryngology clinic or the Hematology-Oncology clinic. Please have the physician examine you to confirm whether it is an abnormal "lymphadenopathy" or a normally present "salivary gland." The two can be quite similar, but they can be...[Read More] Is It a Tumor or Lymph Node Inflammation? Understanding Your Symptoms
Understanding Neck Lumps: When to Worry About Lymph Nodes
A lump has developed near the center of the back of the neck? Hello, around mid-December, I discovered a lump on the back of my neck (approximately in the area behind my ear, near the middle of my neck) that is about 2 centimeters in size. It feels oval-shaped, measuring about 1....
Dr. Chen Sirong Reply:
GARY / 30 years old / Male According to your description, there are two locations of concern: 1. The posterior neck (approximately the area behind the ear, near the middle of the neck) has a mass about 2 cm in size. It feels oval-shaped, measuring roughly 1.5 to 2 cm in length...[Read More] Understanding Neck Lumps: When to Worry About Lymph Nodes
Understanding Neck Lumps: Are They Signs of Nasopharyngeal Cancer?
Small hard lump in the neck? Hello, doctor. Before I caught a cold, I noticed a small hard lump about 2 cm in size on the left side of my neck near the jawline. It is not painful and is movable. Could this possibly be nasopharyngeal cancer or something concerning? (Since it is no...
Dr. Chen Sirong Reply:
Xiaomei / 12 years old / Female 1. It is quite rare for a 12-year-old girl to be diagnosed with cancer. 2. There is a lump that feels malignant but is movable, suggesting it is likely benign. Given her age, it is mostly likely to be benign, but she should visit a hospital for...[Read More] Understanding Neck Lumps: Are They Signs of Nasopharyngeal Cancer?
Understanding Movable Neck and Chest Lumps: When to Seek Specialist Care
A movable mass was found in the neck and chest? Hello Doctor, I have had a lipoma on the back of my neck since my teenage years, which was surgically removed by a plastic surgeon last year. This year, I discovered a movable round mass about 2 cm on the right side of my neck, whic...
Dr. Chen Sirong Reply:
Happy New Year! If you have a neck lump in Australia, you should see an ENT (Ear, Nose, and Throat) specialist or a Plastic Surgeon. Thank you for your message. Chen Sih-Rong, Taoyuan Hospital.[Read More] Understanding Movable Neck and Chest Lumps: When to Seek Specialist Care
Understanding Tongue Swelling: Causes and When to Seek Help
Swelling of the tongue, with the sensation that the tongue is being pushed upward? Hello Dr. Chen, First of all, thank you for your valuable time. I actually don't know how to clearly describe my problem. The first sensation I have is that I feel like the area of my jaw ne...
Dr. Chen Sirong Reply:
Kevin C / 33 years old / Male Happy New Year 1. I have always been unsure about which type of doctor I should consult for my issue to effectively address my problem. A: Ear, Nose, and Throat (ENT) specialist. 2. I would also like to know if you could provide me with some insi...[Read More] Understanding Tongue Swelling: Causes and When to Seek Help
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 Thyroid Papillary Carcinoma: Key Questions and Answers
Could you please provide more details about your question regarding papillary thyroid carcinoma? Hello Doctor: Could you please give me some good advice? I am feeling very anxious and worried. In November, I went to see a family physician due to discomfort and a rapid heartbeat. ...
Dr. Lai Yicheng Reply:
Ms. Lee: 1. We will confirm the true condition once the fine needle aspiration (FNA) report is available, which will help determine if it is indeed papillary thyroid carcinoma. 2. If the FNA report confirms papillary thyroid carcinoma, please do not worry; this type of cancer has...[Read More] Understanding Thyroid Papillary Carcinoma: Key Questions and Answers