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 have noticed that sometime...
Dr. Chen Sirong Reply:
Kiki, 30 years old, female, has already seen a doctor once. The initial assessment indicates that it is not cancer. If there are no changes, she can return for a follow-up in three months. If there is any increase in size, hardness, or color change, she should see a doctor immedi...[Read More] Understanding Submandibular Lymph Nodes: Concerns and Insights
Understanding Groin Lumps: When to Seek Medical Attention
Inguinal small mass? Hello, Doctor. Current situation: Yesterday while showering, I suddenly discovered an unknown hard lump on the inner side of my right thigh, close to the underwear area. It appears dark, is not painful, measures about 0.5 cm, and feels firm and immovable, as ...
Dr. Chen Sirong Reply:
Ms. Chen / 30 years old / Female 1. There is a suspected eczema in the nearby area, which is neither painful nor itchy and has not spread. It has been present for 6 months, and the dermatologist is uncertain about the diagnosis, temporarily identifying it as eczema. Treatment wi...[Read More] Understanding Groin Lumps: When to Seek Medical Attention
Understanding Lymph Nodes: When to Seek Further Evaluation
Cervical lymph nodes Hello Doctor: About five or six years ago, I developed a movable, oval-shaped mass approximately 1.5 cm in length in the area where my right lower jaw connects to my neck. It has a rubber-like texture, and pressing on it causes discomfort. At that time, I had...
Dr. Chen Sirong Reply:
C / 24 years old / Female Hello: 1. Do I need to go to a major hospital's ENT department to request an ultrasound or fine needle aspiration? Due to the pandemic, it's a bit difficult right now. A: Currently, it is not necessary. 2. Can lymph node fibrosis reach such a l...[Read More] Understanding Lymph Nodes: When to Seek Further Evaluation
Understanding Malignant Salivary Gland Tumors: Radiation Therapy Necessity and Risks
Malignant tumors of the salivary glands? Doctor, I would like to ask a question. My family member recently underwent surgery to remove a salivary gland tumor, which was later found to have malignant components. The doctor mentioned that they will need to undergo six weeks of radi...
Dr. Chen Sirong Reply:
Hello! 1. Is radiation therapy absolutely necessary? A: Yes, it is necessary because when performing surgery, a safe margin must be maintained. The parotid gland is small, and if the tumor is too large, it may affect the appearance. Therefore, it can be predicted that the safe ma...[Read More] Understanding Malignant Salivary Gland Tumors: Radiation Therapy Necessity and Risks
Understanding Lymphadenopathy in Thyroid Cancer Patients: Risks and Treatment Options
Lymphadenopathy Last November, I was diagnosed with stage 2 thyroid cancer (2.5 cm) and underwent a total lobectomy. However, I discovered a round mass in the upper left neck that is not painful and feels immobile. I have no other discomfort in my body. In mid-November, I also re...
Dr. Hu Ziren Reply:
If there is a metastasis to the lymph nodes, it is recommended to first perform a lymphadenectomy, and then consider treatment with iodine-131 or radiation therapy. As for other concerns (such as bleeding risks, surgical risks, etc.), it is advisable to discuss them with the prim...[Read More] Understanding Lymphadenopathy in Thyroid Cancer Patients: Risks and Treatment Options
Which Specialist Should I See for a Neck Tumor and Numbness?
Which specialty should I see? You should see a neurologist.
Dr. Hu Ziren Reply:
You can see general surgery, plastic surgery, or neurosurgery.[Read More] Which Specialist Should I See for a Neck Tumor and Numbness?
Understanding a Hard Lump Above the Chin: Possible Causes and Concerns
There is a hard lump above the lower lip and below the chin? Hello Dr. Chen: I have noticed a lump in the area just below my lower lip and above my chin, which is visible from the front. It is neither hard nor soft, and it is slightly painful when pressed. The size is approximate...
Dr. Chen Yunfang Reply:
Hello: This cannot be overlooked, and it is important to address this issue. Please consult a dermatologist. Thank you.[Read More] Understanding a Hard Lump Above the Chin: Possible Causes and Concerns
Consultation on Lymph Node Concerns: Understanding Blood Test Results
I would like to consult about lymph node issues? Hello Doctor, I previously underwent a health check-up at the hospital. My red blood cell count was 5.02 (reference range 4.20-6.20 x 10^6/uL), white blood cell count was 5.67 (reference range 4.00-11.00 x 10^3/uL), lymphocyte perc...
Dr. Chen Yunfang Reply:
Hello: 1. Agreed. 2. Once these tests are completed, can we not worry? This cannot address subjective feelings. 3. This is the responsibility of your attending physician, and I cannot answer on their behalf. 4. It can be considered normal, but the possibility of lymphoma cannot b...[Read More] Consultation on Lymph Node Concerns: Understanding Blood Test Results
Understanding Neck Lumps: When to See a Specialist for Concerns
I felt a lump in my neck? Hello doctor, a few days ago I felt something on the left side of my neck that is soft and movable. When I press on it, it feels a bit sore, but not too painful. I noticed it after feeling some warmth and pain in my neck while sleeping. Additionally, I s...
Dr. Hu Ziren Reply:
It may just be localized inflammation causing lymphadenopathy; observation is recommended. It also seems to be related to the menstrual cycle.[Read More] Understanding Neck Lumps: When to See a Specialist for Concerns
Understanding Nasopharyngeal Cancer Recurrence: Treatment Options Explained
Nasopharyngeal carcinoma recurrence Doctor, this is the 10th year since my nasopharyngeal carcinoma recurrence. An MRI has revealed lymph nodes behind my right ear and neck. I underwent a traditional lymphadenectomy, and the Epstein-Barr virus test came back normal. Why is it nec...
Dr. Chen Sirong Reply:
Cai Cai / 40 years old / Female The recommendation from the hospital you visited is reasonable. For neck recurrence, surgery followed by chemotherapy and radiation therapy should be considered to reduce the chances of further recurrence. Of course, choosing between the two optio...[Read More] Understanding Nasopharyngeal Cancer Recurrence: Treatment Options Explained
Understanding the Long-Term Effects of I-131 Treatment in Thyroid Cancer Patients
May I ask the doctor? Hello, Doctor. Due to PTC, I underwent a total thyroidectomy and received a 120 mCi dose of I-131. For the past two to three years, my follow-ups have included ultrasound, serum thyroglobulin, TSH, and FT4 tests. I would like to ask if radioactive iodine tre...
Dr. Chen Sirong Reply:
Anonymous / 25 years old / Female 1. I would like to ask if radioactive iodine treatment increases the future risk of infertility, pulmonary fibrosis, or leukemia? ANS: Potential side effects of radioactive iodine treatment include thyroiditis, which may occur if there is a si...[Read More] Understanding the Long-Term Effects of I-131 Treatment in Thyroid Cancer Patients
Understanding Neck Lumps: When to Seek Medical Advice
Cervical lymph nodes/tumors I have an oval-shaped lump on the left side of my neck, one above my right ear, and another near my left mandible. They are all soft, movable, and painless. They have been present for about five years and do not seem to have increased in size. I previo...
Dr. Chen Yunfang Reply:
Hello: If you are worried, please consult a physician; this written communication cannot provide a diagnosis.[Read More] Understanding Neck Lumps: When to Seek Medical Advice
Understanding Small Lymph Nodes: When to Seek Further Evaluation
Small lymph nodes Hello Doctor, I have a small lymph node about 0.5 cm in size located at the back of my neck, near the occipital area. It has been there for almost ten years. I have consulted two nearby ENT clinics, and the doctors examined it and said it was normal. Should I pa...
Dr. Chen Yunfang Reply:
Hello: Lymph nodes larger than 1 centimeter should be taken seriously and warrant further examination.[Read More] Understanding Small Lymph Nodes: When to Seek Further Evaluation
Understanding Left Lower Abdominal Masses: Possible Causes and Concerns
Hard mass in the left lower abdomen? Hello, doctor. Recently, when lying flat, I can feel 4 to 5 firm lumps arranged in a line in my lower left abdomen. They are not painful or itchy, and they are especially noticeable in the morning, feeling larger (about one to two finger joint...
Dr. Chen Sirong Reply:
Tang / 29 years old / Female Hello, 1. The outpatient appointment is scheduled for a CT scan in two weeks: further remote consultation is no longer meaningful. 2. Thank you, doctor, for taking the time to address my concerns and alleviate my anxiety. A: You have already rec...[Read More] Understanding Left Lower Abdominal Masses: Possible Causes and Concerns
Understanding Neck Lumps: When to Seek Medical Attention
Cervical lymphadenopathy Hello doctor, I have a lump located at the junction of my chin and neck, and the situation is as follows: 1. Duration: It has been over 1.5 years. 2. Size and texture: 1 to 1.5 cm, smooth, elastic, and movable. 3. Medical history: (1) In the past, wheneve...
Dr. Chen Sirong Reply:
Hello, because I am an oncologist, I can only answer questions related to tumors. 1. There is a lump in the middle of the junction between the chin and neck, and the situation is as follows: A: It has been over 1.5 years. The lump is smooth, elastic, and movable. It does not ap...[Read More] Understanding Neck Lumps: When to Seek Medical Attention
Understanding Soft Neck Lumps: Common Causes and Symptoms Explained
Lump in the back of the neck? Hello, doctor. I would like to ask about a lump I recently found on my sister's neck, towards the back. It feels soft to the touch and she says it doesn't hurt. She mentioned that the lump appeared a few months ago (about one to two months)...
Dr. Chen Sirong Reply:
Dear concerned sister, I would like to ask about a lump that I recently felt on my sister's neck at the back. She mentioned that it doesn't hurt and that the lump has been there for a few months. 1. What are the usual causes? A: If it feels soft, it could be a lipo...[Read More] Understanding Soft Neck Lumps: Common Causes and Symptoms Explained
Understanding Painful Lumps Behind the Ear and Shoulder: What You Need to Know
Small lump behind the ear and on the shoulder? Hello, doctor! Last Monday, I discovered a lump near my earlobe and another one near my neck on the left shoulder. Both lumps are about 1 cm in diameter (as measured by my family) and are painful when pressed. The one on my left shou...
Dr. Chen Sirong Reply:
Hello! My family says it's acne. If you don't believe it, you can only consult a general surgeon or dermatologist for an answer! I apologize for not being able to provide a remote consultation. Wishing you health and happiness. Taoyuan Hospital, Dr. Chen Sih-Jung.[Read More] Understanding Painful Lumps Behind the Ear and Shoulder: What You Need to Know
Understanding Blood Test Results: What Your Doctor Wants You to Know
For questions regarding blood test reports, please consult your doctor? Hello, Doctor. I actually visited a family medicine clinic this morning because my liver enzyme levels were around 40 and my cholesterol was just over 200, so I have been following up every three months. Howe...
Dr. Chen Yunfang Reply:
Hello: The answer is the same, but in my words: I will ask you to come back in two weeks for a follow-up blood test. That's it; the current data doesn't indicate much. Medicine is a science, and we don't speculate without evidence. We only speak based on the eviden...[Read More] Understanding Blood Test Results: What Your Doctor Wants You to Know
Understanding Nodal Marginal Zone Lymphoma: Treatment Options During Pregnancy
Lymphoma Hello Doctor: I have non-Hodgkin lymphoma, specifically nodal marginal zone lymphoma (low-grade, stage I). 1. In April, I discovered a 2 cm enlargement of the right parotid gland, with no symptoms such as fever, swelling, or itching. 2. On July 1, I underwent surgery to ...
Dr. Hu Ziren Reply:
1. The need for radiation therapy depends on the area being irradiated. If the radiation field does not include the breast or chest cavity, it is generally still possible to hold a child and breastfeed. 2. The rate of progression from low-grade lymph node marginal zone lymphoma ...[Read More] Understanding Nodal Marginal Zone Lymphoma: Treatment Options During Pregnancy
Understanding Neck Lumps: When to Seek Medical Attention
Regarding a lump on the neck? Doctor, I would like to inquire about a lump that has developed on the right side of my neck. It moves around, is painless, and is visible to the naked eye. Sometimes, there is also a lump on the right side of my neck that appears and then disappears...
Dr. Chen Sirong Reply:
Kaying Er / 28 years old / Female Greetings! 1. There is a movable lump on the right side of my neck that is not painful and is visible to the naked eye. Sometimes, there is also a lump on the right side of my neck that disappears at times. 2. I am experiencing significant he...[Read More] Understanding Neck Lumps: When to Seek Medical Attention