Understanding Lymph Node Masses: Benign vs. Malignant Insights
There are lymph nodes in the neck? Hello Doctor: During my health check-up, my family medicine doctor felt a lump in my neck and arranged for an ultrasound and a biopsy. The doctor who performed the ultrasound said it was a benign lymph node and canceled the biopsy. Can benign ly...
Dr. Chen Sirong Reply:
Alice / 60 years old / Female Hello: 1. Can benign lymph nodes be distinguished from malignant ones through ultrasound examination? A: If the doctor is confident enough to forgo a biopsy, it should be based on the characteristics and composition (distinguishing between fluid,...[Read More] Understanding Lymph Node Masses: Benign vs. Malignant Insights
Understanding a Small Neck Tumor: Is It Genetic or Viral?
Inquiry about a small tumor on the left posterior side of the neck? Hello Doctor, I have noticed a small lump about 0.7 cm in diameter on the left posterior side of my neck. It feels somewhat hard, round, and has a bit of elasticity. It does not move, and pressing it firmly does ...
Dr. Chen Sirong Reply:
Ah Hong / 23 years old / Male Hello, 1. Is it malignant? Or is it congenital? A: If it were malignant, it wouldn't have been asymptomatic for five years. As for whether it is congenital, the answer to this question depends on your perspective. Essentially, it may not hav...[Read More] Understanding a Small Neck Tumor: Is It Genetic or Viral?
Chronic Throat Pain and Swelling: Could It Be Cancer?
I have had a sore throat for two years after experiencing gastroesophageal reflux? I have had a sore throat for two years and difficulty swallowing. This week, my entire neck has swollen to the point where I can't feel my chin. Could this possibly be cancer?
Dr. Hu Ziren Reply:
It is recommended to first see a gastroenterologist for an upper gastrointestinal endoscopy to check for any issues.[Read More] Chronic Throat Pain and Swelling: Could It Be Cancer?
Understanding Neck Lumps: When to Worry About Potential Tumors
Swelling in the neck? Hello, doctor. About a year ago, I discovered a lump in my neck, located near my jaw. One is round and the other is irregularly shaped. I have undergone ultrasound and CT scans at the hospital. The doctor said the round part has not increased in size during ...
Dr. Hu Ziren Reply:
Ultrasound and CT scans are unable to detect anything, which may just be benign tissue or a psychological effect. It is recommended to simply monitor the situation.[Read More] Understanding Neck Lumps: When to Worry About Potential Tumors
Understanding Neck Lumps: When to Worry About Unusual Growths
Swelling in the neck? Hello, doctor. About a year ago, I discovered a lump in my neck, located near the jawline. One is round and the other has an irregular shape. I went to the hospital for an ultrasound and a CT scan. The doctor said that the round part has not increased in siz...
Dr. Hu Ziren Reply:
Ultrasound and CT scans did not reveal any findings, which may indicate benign tissue or psychological factors. It is recommended to simply monitor the situation.[Read More] Understanding Neck Lumps: When to Worry About Unusual Growths
Should I Worry About a Neck Lump? Understanding Potential Risks and Next Steps
A lump has appeared in the neck since October of last year? About last October, I discovered a lump in the groove between my ear and jaw. It is now shaped like a flat oval, approximately the size of a one-dollar coin in diameter and about the width of my index fingernail to the f...
Dr. Hu Ziren Reply:
It may just be some benign lymph nodes (or nodules, lipomas) that are hardened or calcified. Observation is recommended. If there is subsequent enlargement or an increase in number, then a consultation with a hematologist-oncologist may be warranted.[Read More] Should I Worry About a Neck Lump? Understanding Potential Risks and Next Steps
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
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 Neck Masses: Possible Causes and Concerns
Neck mass Two months ago, I discovered a neck lump on the right side of my thyroid cartilage that is hard and painless. I can also feel a similar lump on the left side in a symmetrical location, but the protrusion on the right side is much more pronounced and immovable. I consult...
Dr. Chen Yunfang Reply:
Hello: This question cannot be answered online; please visit an ENT (Ear, Nose, and Throat) clinic in person. Thank you.[Read More] Understanding Neck Masses: Possible Causes and Concerns
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 Oral Cancer: Risks, Recurrence, and Survival Rates
Oral cancer issues? Hello Doctor, my sister has had a mucosal tear in her left cheek since the beginning of this year that hasn't healed. By July, it formed a protruding hard lump that continued to grow towards her lip. In August, she visited an oral surgeon for a biopsy, wh...
Dr. Chen Sirong Reply:
Anonymous / 45 years old / Female 1. Will there be a recurrence after the doctor performs surgery? A: Yes, there is a possibility of recurrence. The likelihood of recurrence is related to whether the surgeon was able to achieve clear margins and the safety distance. If the exci...[Read More] Understanding Oral Cancer: Risks, Recurrence, and Survival Rates
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 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 After COVID-19: Key Concerns and Insights
Lymph node-related issues? Hello Dr. Chen, I have the following questions I would like to consult with you. Since I was diagnosed with COVID-19 at the end of April, I have frequently noticed swollen lymph nodes in the neck area, which has made me worried about potential underlyi...
Dr. Chen Sirong Reply:
Hui / 31 years old / Female 1. The doctor mentioned that there is a lymph node approximately 2.3 cm in size under my left armpit that needs to be monitored. Since I have not received any vaccinations, the doctor suggested monitoring it for six months. Should I consider getting i...[Read More] Understanding Lymph Node Issues After COVID-19: Key Concerns and Insights
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 Lumps in the Armpit: What You Need to Know
Axillary lump Hello, doctor. I am 25 years old and discovered a lymph node in my neck when I was 16-17 years old. I also had one in my groin at that time. A biopsy of the neck lymph node showed normal results. These lymph nodes have not changed for nearly 10 years. However, in th...
Dr. Hu Ziren Reply:
The lymph nodes in the neck have undergone fine-needle aspiration and ultrasound imaging, which did not reveal any abnormalities. Additionally, since they are very small (less than 1 cm), the likelihood of cancer is extremely low. It is recommended to simply monitor the situation...[Read More] Understanding Lumps in the Armpit: What You Need to Know
Radiation Therapy Options for Advanced Head and Neck Tumors
Radiation Therapy for Head and Neck Tumors Hello Dr. Chen: My father is a terminal cancer patient (unable to eat, can only take small amounts of liquid, primarily receiving intravenous nutrition while hospitalized). Due to recurrent bacterial infections, chemotherapy has been pau...
Dr. Chen Sirong Reply:
Tinglee / 37 years old / Female 1. In an online consultation without seeing the patient, I cannot claim that my recommendations are better than those of the original attending physician. 2. Generally, I respect the original attending physician. 3. A patient may not necessarily p...[Read More] Radiation Therapy Options for Advanced Head and Neck Tumors