Should I Consult an ENT Specialist for Neck Lymph Node Pathology?
Is it correct to perform pathological biopsies of cervical lymph nodes in thoracic surgery? Hello, doctor. Two months ago, I experienced discomfort and pain in my lower abdomen, which led me to visit a gastroenterology clinic for examination. Due to some abnormalities, I was refe...
Dr. Fan Sheng Reply:
Elsa: Currently, there are three methods that can be adopted: the first is the lymph node biopsy from the supraclavicular lymph nodes, which should be manageable by the thoracic surgeon; the second involves a needle biopsy of the retroperitoneal mass guided by a radiologist using...[Read More] Should I Consult an ENT Specialist for Neck Lymph Node Pathology?
Managing Ear Fluid Buildup in Nasopharyngeal Cancer Patients: Concerns and Solutions
Ear effusion I am a stage III nasopharyngeal cancer patient. I underwent treatment in December 2005, and it has been six years since then. However, I am often troubled by fluid accumulation in my ears, requiring me to go to the hospital for drainage every three months on average....
Dr. Chen Sirong Reply:
Hello, Ader. 1. For ear effusion, you should consult an otolaryngologist on how to manage it. There are surgical options available, and the success rates and potential side effects should be explained by a trusted otolaryngologist. 2. At 45 years old, you are still young. It&...[Read More] Managing Ear Fluid Buildup in Nasopharyngeal Cancer Patients: Concerns and Solutions
Understanding Hard Lymphadenopathy: Tumors or Other Causes?
Lymphadenopathy (inflammation? tumor) Dear Dr. Fan, I have had a single enlarged lymph node on the left side of my neck for three months. There are no other discomforts in my body, and anti-inflammatory treatment has been ineffective. The lymph node is painless and has not incre...
Dr. Fan Sheng Reply:
Mr. BF: A hard lymph node enlargement, aside from fibrosis, is most concerning for cancer metastasis. Lymph nodes in the neck that are affected by cancer metastasis often originate from nasopharyngeal carcinoma. Therefore, I recommend that you first visit an otolaryngologist for ...[Read More] Understanding Hard Lymphadenopathy: Tumors or Other Causes?
Understanding Persistent Fever in Cancer Patients: What You Need to Know
Persistent fever Hello, my father was diagnosed with nasopharyngeal cancer last November. Since then, he has undergone radiation therapy for the head and neck, liver, and pelvic region. In May, two tumors were found in his liver, and he received 25 sessions of radiation therapy f...
Dr. Chen Junyi Reply:
An abdominal ultrasound can be performed to assess liver tumors and evaluate the condition.[Read More] Understanding Persistent Fever in Cancer Patients: What You Need to Know
Understanding Lymph Node Shrinkage and Cancer Symptoms: When to Seek Help
Regarding the duration of inflammation? When do lymph nodes typically shrink? It seems that the ones in my neck and head have reduced to about 1 to 2 centimeters and haven't changed since then. I played table tennis today and my groin area feels sore. What are the characteri...
Dr. Chen Sirong Reply:
1. Many people's situations are similar to yours; once they reach a certain level of anxiety, it may persist indefinitely. It's okay; if you grow up and feel the need, you can see a doctor then. 2. The characteristics of malignant tumors include being hard and fixed i...[Read More] Understanding Lymph Node Shrinkage and Cancer Symptoms: When to Seek Help
Understanding Sudden Swelling of Lymph Nodes: Causes and Concerns
Sudden enlargement of lymph nodes? Recently, I have noticed a long (about 5 cm) protrusion on the left side of my neck that seems to be a lymph node. It moves when pressed but is not painful. Additionally, I previously had a fever, and the lymph node on the right side of my neck ...
Dr. Fan Sheng Reply:
Please refer to the content of the last response and do not evade it any longer; face it bravely![Read More] Understanding Sudden Swelling of Lymph Nodes: Causes and Concerns
Understanding Groin Lumps: Causes and Concerns for Your Health
Several protrusions in the groin area? Recently, I have noticed some lumps on both sides of my groin, and my thighs feel sore. I'm not sure if it's because I'm too thin (over 160 cm tall and in my 40s kg range), which makes it easier to feel them. My shoulders also...
Dr. Chen Sirong Reply:
1. Lymph nodes in the groin can become enlarged due to malignant tumors or bacterial and viral infections. For example, a bacterial infection from a broken skin condition like athlete's foot can cause redness and swelling that spreads to the groin, or sexually transmitted in...[Read More] Understanding Groin Lumps: Causes and Concerns for Your Health
Understanding Lymph Node Issues: Are They a Sign of Cancer?
Lymphatic issues 1. I have a slender lymph node on the left side of my neck and under both armpits, approximately 2.5 centimeters in length. It moves when pressed and is not painful. What could this be? Is it possible that it is cancer? 2. If I have blood drawn, will it be able...
Dr. Fan Sheng Reply:
Silly old man: Is 31 considered old? As you mentioned, the biggest fears are lymphoma or HIV, so please go to the hospital for a consultation, get a blood test, and have a biopsy done.[Read More] Understanding Lymph Node Issues: Are They a Sign of Cancer?
Understanding Lymphadenopathy: What You Need to Know About Swollen Lymph Nodes
Lymphadenopathy Hello Dr. Chen, I have a small lump on each side of my neck and groin that moves when pressed. They are not painful and are about 1.5 centimeters in size. I went to the hospital for an examination, and the doctor said they are lymph nodes. After a blood test, the ...
Dr. Chen Junyi Reply:
It is recommended to consult an otolaryngologist.[Read More] Understanding Lymphadenopathy: What You Need to Know About Swollen Lymph Nodes
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 Left Abdominal Bone Pain and Associated Symptoms
Left abdominal bone pain? I have pain and swelling in the area near my neck on both sides of my shoulders, which hurts when pressed. After self-massaging, it becomes red and tender. I also have a few lumps about 1 to 2 centimeters in size near the back of my head and throat. I vi...
Dr. Chen Sirong Reply:
The name "Sky Blue" is very well chosen, and I appreciate it. Your question sounds like it could be about a benign tumor. To confirm, you should consult a surgeon. Whether treatment is necessary depends on the presence of symptoms or if there is a suspicion of malignanc...[Read More] Understanding Left Abdominal Bone Pain and Associated Symptoms
Is It a Tumor? Understanding Painful Swelling and Lumps
Is it a tumor? I have pain and swelling on both sides of my shoulders near the neck area, which hurts when pressed. After self-massaging, it becomes red and tender. I also have a few lumps about 1 to 2 centimeters in size near the back of my head and throat. I visited a doctor du...
Dr. Chen Junyi Reply:
Please visit an otolaryngologist.[Read More] Is It a Tumor? Understanding Painful Swelling and Lumps
Understanding Hard Lumps Near Tonsils: When to Seek Medical Advice
Tonsillar mass I recently found two small round hard lumps near my lower jaw close to the tonsils. They are painful to touch, but I don't feel anything when eating or swallowing. I'm worried it might be a tumor. Which department should I see? Would a general ENT (Ear, N...
Dr. Fan Sheng Reply:
The tonsils are located in the throat, and the hard lump you felt is likely in the upper neck area. You should promptly see an otolaryngologist. I apologize for the delayed response as the system did not notify me in real-time.[Read More] Understanding Hard Lumps Near Tonsils: When to Seek Medical Advice
Managing Stage IV Hypopharyngeal Cancer: Addressing Suspected Lung Metastasis
For a patient with stage IVa hypopharyngeal cancer undergoing concurrent chemoradiotherapy (CCRT) who has developed suspicious pulmonary nodules on a CT scan, the next steps in management should include: 1. **Further Imaging**: Consider additional imaging studies, such as a PET ...
Dr. Chen Junyi Reply:
Generally, a workup for the lungs is still performed, and targeted therapy can address lung issues, but ongoing monitoring is still necessary.[Read More] Managing Stage IV Hypopharyngeal Cancer: Addressing Suspected Lung Metastasis
Understanding Neck and Knee Lumps: When to Seek Medical Attention
There is a lump in the neck and popliteal region? A few months ago, I noticed a lump on my neck. I went to see a doctor, but they said it was nothing to worry about, so I didn't pay much attention to it. Recently, I found another lump in the area of my axilla that is about a...
Dr. Fan Sheng Reply:
DEAR PIX: It could be a benign lymphadenitis, which wouldn't be a concern. However, it might also be malignant lymphoma, which would be serious. Please consult with a doctor at a major hospital's hematology-oncology department to discuss whether a biopsy is necessary. W...[Read More] Understanding Neck and Knee Lumps: When to Seek Medical Attention
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
Evaluating the Risks and Treatment Options for Thyroid Tumors in Older Patients
Benign thyroid tumor 1. The patient is a 65-year-old female with a benign thyroid tumor on the left side, approximately 0.7 cm in size as per positron emission tomography (PET) imaging. What is the likelihood of it becoming malignant given the metastasis to the junction of the ri...
Dr. Chen Sirong Reply:
1. There is a small chance that it could become malignant, but most thyroid cancers can be detected and treated early, with a treatment success rate of over 90%. Therefore, I suggest there is no need to worry. 2. I recommend monitoring the situation for now. If it grows larger,...[Read More] Evaluating the Risks and Treatment Options for Thyroid Tumors in Older Patients
Understanding Neck Lumps: When to Worry About Cancer Risks
Neck mass Hello Doctor: I just felt a small hard lump on the left side of my neck, around the area of the Adam's apple. It hurts when I press on it, and I think it feels like bone. Coincidentally, I visited an ENT today for a sore throat due to a cold, and the doctor perform...
Dr. Chen Junyi Reply:
You can observe patiently for 1-2 weeks, and if there is no improvement, promptly consult an oncologist.[Read More] Understanding Neck Lumps: When to Worry About Cancer Risks
Navigating Stage 3 Lung Cancer Treatment: Key Questions and Concerns
Issues regarding treatment for stage 3 lung cancer...! A decision on whether to proceed with targeted therapy needs to be made in the next two days? The father is 60 years old and has been experiencing swelling in the jaw and neck (so severe that the neck is almost not visible) a...
Dr. Chen Junyi Reply:
In theory, treatment should proceed only after obtaining a definitive pathological report. However, due to the more tolerable side effects of targeted therapy, the attending physician may decide to initiate treatment in critical situations.[Read More] Navigating Stage 3 Lung Cancer Treatment: Key Questions and Concerns
Should CLL Patients Worry About New Neck Lumps During Treatment?
excuse me? In patients with chronic lymphocytic leukemia (CLL), the appearance of new lymph node-like masses in the neck during treatment may be a cause for concern. It is important to evaluate these findings, as they could indicate disease progression or complications. It is rec...
Dr. Fan Sheng Reply:
LKK: In patients with chronic lymphocytic leukemia (CLL), if new lymph nodes develop during chemotherapy, it indicates that the current treatment is limited in effectiveness. However, if hemoglobin and platelet counts remain stable, it would be expected that some lymph nodes are ...[Read More] Should CLL Patients Worry About New Neck Lumps During Treatment?