Understanding Lymphadenopathy and Sjögren's Syndrome: Symptoms and Concerns
Unilateral lymphadenopathy, Sjögren's syndrome? I apologize for the inconvenience, but I would like to ask the doctor about some symptoms I experienced as a child. I discovered a lump under my right armpit and underwent a breast ultrasound, where the doctor diagnosed it as a...
Dr. Chen Sirong Reply:
Doudou / 32 years old / Female 1. I apologize! I am an oncology specialist. Based on your condition, after evaluation by the physician, there is a suspicion of Sjögren's syndrome, which is an autoimmune disease that commonly occurs in individuals aged 40 to 60, predominantl...[Read More] Understanding Lymphadenopathy and Sjögren's Syndrome: Symptoms and Concerns
Managing Side Effects of Nasopharyngeal Cancer Treatment: Key Considerations
Radiation therapy for nasopharyngeal carcinoma is reduced? My father was diagnosed with stage IV nasopharyngeal carcinoma, but there was no distant metastasis; however, there was involvement of the lymph nodes in the head and neck region and the left optic nerve. Initially, he un...
Dr. Chen Sirong Reply:
1. What are the consequences of stopping radiation therapy? A: The tumor may grow and compress the optic nerve, potentially leading to blindness in the left eye. It could invade the brain, nose, and lymph nodes in the neck, causing recurrence and growth that may lead to skin ulce...[Read More] Managing Side Effects of Nasopharyngeal Cancer Treatment: Key Considerations
Understanding Enlarged Clavicular Lymph Nodes: Concerns and Insights
Enlargement of the supraclavicular lymph nodes? Hello, Doctor! My mother is 67 years old. She previously lived in China for an extended period while taking care of children. During that time, she received the Sinopharm vaccine on June 24 of last year. At the end of August, she no...
Dr. Chen Yunfang Reply:
Hello: 1. The cytology report indicates that the specimen is insufficient for diagnostic purposes, which means this test is not useful. 2. Lymph nodes smaller than 1 cm should be biopsied (I mean excisional biopsy, where the entire node is removed for pathological examination, no...[Read More] Understanding Enlarged Clavicular Lymph Nodes: Concerns and Insights
Choosing the Right Specialist for Neck Neurofibroma Treatment
Cervical nerve sheath tumor Hello, doctor. Three years ago, a biopsy of my left neck was diagnosed as a schwannoma. At that time, the physician suggested that no treatment was necessary as it did not affect my daily life. However, I am now inclined to pursue further management. I...
Dr. Chen Yunfang Reply:
Hello: It is best to consult the physician who initially performed the biopsy for diagnosis, and then consider seeing a neurosurgeon. Thank you.[Read More] Choosing the Right Specialist for Neck Neurofibroma Treatment
Understanding Lumps Under the Chin: Potential Causes and Concerns
Swelling in the submandibular region? In the past few days, I have noticed a lump at the junction of my chin and neck, almost in the center, not to the left or right. When I pressed it with my index finger and thumb to measure its size, I found that the lump is at least three cen...
Dr. Chen Yunfang Reply:
Hello: Please visit an otolaryngologist for an examination; the doctor will be able to assess it through palpation. Thank you.[Read More] Understanding Lumps Under the Chin: Potential Causes and Concerns
Understanding Cancer Recurrence: Insights After Chemotherapy and Radiation
Two weeks after chemotherapy, cancer cells were found again? Oral cancer was diagnosed on December 7, 2021. Surgery was performed on the left mandible, and from January 1, 2022, I began chemotherapy and radiation therapy. By February 25, I completed a total of 7 chemotherapy sess...
Dr. Hu Ziren Reply:
If the pathology report indicates malignancy, it suggests local lymphatic metastasis. Note: If lymphatic metastasis occurs shortly after the completion of chemotherapy and radiation therapy, it indicates that the primary cancer cells have a high degree of malignancy and are likel...[Read More] Understanding Cancer Recurrence: Insights After Chemotherapy and Radiation
Understanding Long-Lasting Neck Lumps: When to Worry and When to Relax
Years of neck mass? Hello doctor, when I was a child (around 11 or 12 years old), I discovered a lump in my neck that was movable and had a smooth surface. Later, after a prolonged cold that didn't improve, I went to the hospital for a check-up and found out I was close to d...
Dr. Hu Ziren Reply:
If there have been no changes or any discomfort for over 10 years, it is advisable to simply monitor the situation without any particular concern.[Read More] Understanding Long-Lasting Neck Lumps: When to Worry and When to Relax
Understanding Enlarged Neck Lymph Nodes: Concerns and Cancer Risks
Enlargement of cervical lymph nodes? Hello, Doctor! My mother is 67 years old. She lived in China for an extended period while caring for children and received the Sinopharm vaccine on June 24 of this year. At the end of August, she discovered swollen lymph nodes above her clavic...
Dr. Hu Ziren Reply:
It may simply be localized lymphadenopathy caused by generalized urticaria, and since the fine needle aspiration biopsy of the lymph nodes did not reveal any cancer cells and the size of the lymph nodes has decreased, it is recommended to just observe. As for whether it is relate...[Read More] Understanding Enlarged Neck Lymph Nodes: Concerns and Cancer Risks
Understanding Neck Masses: When to Consider a Biopsy
Neck mass Doctor, I have a lump over two centimeters in size on the right side of my neck. It is not painful and is movable. However, last week I went to the hospital's hematology and oncology department for blood tests and X-rays, all of which came back normal, and my cance...
Dr. Chen Sirong Reply:
Chen / 22 years old / Male 1. Is a biopsy necessary to obtain an accurate result? A: Theoretically, yes. 2. The doctor also mentioned that continuous self-observation is important to see if it is growing larger. A: If it has not increased in size for 3 months, it should b...[Read More] Understanding Neck Masses: When to Consider a Biopsy
Understanding SCC Index in Health Checkups: What You Need to Know
SCC index in the medical examination report? Hello Doctor, this year my menstrual cycle has been irregular for several months, with some delays. I underwent a basic visual pelvic examination, and the doctor indicated that there were no abnormalities. During the health check, addi...
Dr. Chen Yunfang Reply:
Hello: SCC is the tumor marker for squamous cell carcinoma, primarily used for monitoring head and neck cancers, esophageal cancer, certain types of lung cancer, and cervical cancer. However, its correlation with actual cancer diagnosis is not absolutely accurate. You can consult...[Read More] Understanding SCC Index in Health Checkups: What You Need to Know
Can Breast Cancer Survivors Safely Consume Rice Wine After Five Years?
After undergoing surgery for stage I breast cancer, is it permissible to consume three teaspoons of rice wine daily five years later? After undergoing surgery for stage I breast cancer, is it permissible to consume three teaspoons of rice wine on a daily basis five years later?
Dr. Chen Yunfang Reply:
Hello: I cannot provide an answer regarding your breast cancer-related hormonal receptor status as it has not been disclosed. However, regardless of whether you have breast cancer or not, daily alcohol consumption is detrimental. It may increase the risk of liver cirrhosis, head ...[Read More] Can Breast Cancer Survivors Safely Consume Rice Wine After Five Years?
Understanding PET Scan Results: Navigating Tumor Concerns and Symptoms
Positron Emission Tomography (PET) Report Issues Hello Doctor, I sincerely ask for your help in analyzing my situation and providing some advice, as I feel very helpless and do not know how to handle this. I am grateful for your assistance. I have been experiencing a persistent f...
Dr. Chen Sirong Reply:
Ms. Lin / 45 years old / Female 1. Doctor, if I truly have cancer, whether it is nasopharyngeal cancer, oropharyngeal cancer, or laryngeal cancer, would the symptoms I described indicate an early stage? Would the primary treatment be surgery, or are there other approaches? A: ...[Read More] Understanding PET Scan Results: Navigating Tumor Concerns and Symptoms
Understanding Lymph Node Inflammation and Its Impact on Headaches
Lymphadenitis and headache? Hello, I would like to ask if lymphadenitis can last for 2-3 months? I have been experiencing headaches for the past 2-3 months. Initially, I thought it might be due to adjusting to a new environment after moving, but the pain has persisted. Every day,...
Dr. Hu Ziren Reply:
1. Can lymphadenitis last for 2-3 months? -- Yes; 2. Can lymphadenitis cause headaches? -- No; however, some headaches can lead to lymphadenitis, such as inflammation and infections in the intracranial area, neck, or oropharynx, as well as the upper respiratory tract, which can p...[Read More] Understanding Lymph Node Inflammation and Its Impact on Headaches
Understanding Swollen Lymph Nodes and Nighttime Hand Discomfort
Lymphadenopathy and nocturnal hand swelling? Hello Doctor, Currently, my symptoms are as follows: I received a Moderna vaccine injection at the clinic on August 13. On August 18, I noticed a round, movable lump in the indentation above my clavicle. I visited the clinic on Augus...
Dr. Chen Sirong Reply:
Kiki / 30 years old / Female 1. I would like to ask the doctor whether I should wait 3-6 months to observe if the lymph nodes do not enlarge, or if I need to see a specialist (if so, which specialty). A: If there is no enlargement, even if there is a residual size of 0.2 cm, th...[Read More] Understanding Swollen Lymph Nodes and Nighttime Hand Discomfort
Understanding Throat Pain and Foreign Sensation: When to Seek Help
Oral issues Hello Doctor, I would like to ask for your advice. I have been experiencing a sensation of a foreign body and sharp pain in my throat and pharyngeal wall (the area from the uvula down to the deep throat) for the past three months. The symptoms seem to be getting more ...
Dr. Hu Ziren Reply:
Some individuals may experience a persistent sensation of a foreign body or pain in the throat after tonsil surgery. If gastroesophageal reflux or oropharyngeal reflux issues are ruled out, and there are no abnormalities found during regular follow-ups with an otolaryngologist an...[Read More] Understanding Throat Pain and Foreign Sensation: When to Seek Help
Can One Lymph Node Shrink While Another Grows? Understanding Lymphoma Dynamics
Is it possible for one lymph node to shrink while another continues to enlarge in lymphoma? Hello, I found a lymph node in my neck in May. Last Thursday, an ultrasound showed one lymph node measuring 1.5 x 0.6 cm and another measuring 0.5 x 0.5 cm. The one I felt, which is 0.5 x ...
Dr. Chen Sirong Reply:
Lin S, 33 years old, female. 1. If one of the lymph nodes has decreased in size, can we be somewhat reassured that lymphoma can be ruled out? Answer: Each case must be discussed individually. However, if it has decreased in size without treatment, it is likely not cancer. 2. I...[Read More] Can One Lymph Node Shrink While Another Grows? Understanding Lymphoma Dynamics
Understanding Enlarged Lymph Nodes: What You Need to Know
Lymphadenopathy Hello doctor, about a month ago I noticed 2 to 3 lymph nodes near my neck and jaw area, each approximately 1 cm in size (I haven't had a cold recently). I hadn't paid attention to them before and I'm not sure when they appeared. Last week, I went to...
Dr. Chen Sirong Reply:
Kiki / 30 years old / Female 1. Your doctor should have already explained to you what is normal. 2. You can only perform a self-examination on the parts you can feel each month to check for any changes in size. 3. You can still have regular follow-up ultrasounds, such as ev...[Read More] Understanding Enlarged Lymph Nodes: What You Need to Know
Understanding Submandibular Lymph Nodes: Concerns and Insights
Submandibular lymph nodes Hello doctor, about three weeks ago, I accidentally felt two round lymph nodes about the size of soybeans at the junction of my chin and neck. They are not visibly protruding, so I hadn't noticed them before. Recently, I've noticed that sometim...
Dr. Chen Sirong Reply:
Kiki / 30 years old / Female Hello, 1. Since I have already seen a doctor, it is likely benign for now. If there are any changes such as enlargement, discoloration, or hardness, then I should urgently see a doctor. If there are no changes, I can wait to see a doctor after the ...[Read More] Understanding Submandibular Lymph Nodes: Concerns and Insights
Understanding a Left Neck Lump: Causes and When to Seek Help
A lump on the left side of the neck? Two days ago, I discovered a lump about 2 centimeters in size on the left side of my neck. It is slightly painful when pressed, but it doesn't hurt when not touched. The lump is movable and feels not very hard. The day after I found it, I...
Dr. Chen Sirong Reply:
Miss Chen / 16 years old / Female 1. The doctor said it is lymphadenitis and prescribed anti-inflammatory medication and antibiotics. If the swelling decreases or remains unchanged and stabilizes temporarily, that is acceptable. 2. If it increases in size, becomes hard, or ch...[Read More] Understanding a Left Neck Lump: Causes and When to Seek Help
Understanding Lymph Node Swelling: Potential Causes and Concerns
Lymphadenopathy Hello doctor, the largest lymph node on my chin was painful a long time ago, but it hasn't shrunk or enlarged for about 5 to 6 years. Recently, after taking anti-inflammatory medication, I feel that the lymph node on the left side of my neck, which has a simi...
Dr. Chen Sirong Reply:
Anonymous / 18 years old / Female Hello, I apologize, but I believe your question can be summarized as follows: Are the many lymph nodes in your body indicative of lymphoma? I recommend that you visit a general surgeon for a proper evaluation. Thank you! Wishing you success on y...[Read More] Understanding Lymph Node Swelling: Potential Causes and Concerns