Understanding Chemotherapy for Head and Neck Cancer: A Patient's Journey
Chemotherapy for head and neck cancer Hello Dr. Chen, my sister was diagnosed with stage II squamous cell carcinoma of the left buccal mucosa two years ago without lymphatic metastasis. The doctor at that time performed a tumor resection without lymphadenectomy and did not recomm...
Dr. Chen Yunfang Reply:
Hello: 1. I cannot answer this question; you would need to ask her attending physician for that information. 2. I also cannot answer this question because I do not have specific information about the medication name and dosage, and I am unaware of the patient's physical cond...[Read More] Understanding Chemotherapy for Head and Neck Cancer: A Patient's Journey
Understanding HPV Persistence and Cancer Risks After Treatment
The recurrence rate of HPV (Human Papillomavirus)? Hello, I am a patient with HPV type 16 throat cancer who has completed chemoradiation. My doctor has confirmed that the tumor is no longer visible. I would like to ask the following questions: 1. Will the HPV in my body still be...
Dr. Hu Ziren Reply:
1. P16 is just one type of protein expression associated with HPV infection, and its significance in head and neck cancer is that patients who are P16 positive tend to have a better prognosis (for example, they respond better to chemoradiation compared to other causes such as smo...[Read More] Understanding HPV Persistence and Cancer Risks After Treatment
Understanding Appendiceal Cancer: Causes, Genetics, and Research Gaps
Appendiceal cancer issues? There is very little information about appendiceal cancer online. I still don't understand why my mother passed away from stage IV appendiceal cancer. Her colonoscopy results were normal, and she didn't even have any polyps. Could it be becaus...
Dr. Chen Yunfang Reply:
Hello: Regarding the question of who gets cancer and why, it is currently believed to be caused by multiple factors. The relationships and the weight of their influence are still unclear, so I cannot provide you with a definitive answer. Thank you.[Read More] Understanding Appendiceal Cancer: Causes, Genetics, and Research Gaps
Understanding Groin Lumps: Causes and When to Seek Medical Advice
Inguinal mass Three weeks ago, I discovered a hard lump about 1 centimeter in diameter on the left side of my groin where it connects to the thigh. The shape feels round or oval, and it is not painful when pressed. It does not move much, and it is difficult to feel unless I press...
Dr. Hu Ziren Reply:
It may just be lymph nodes or other benign tissues (such as lipomas), and observation is sufficient.[Read More] Understanding Groin Lumps: Causes and When to Seek Medical Advice
Elevated AFP Levels with Normal Ultrasound: What Could It Mean?
Elevated AFP levels persist, and abdominal ultrasound shows no abnormalities? On May 25, I underwent a comprehensive health check-up. On June 21, I received the report indicating that my Alpha-Fetoprotein (AFP) level, which is a marker for liver cancer, was elevated at 19.3. On J...
Dr. Chen Sirong Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician/nutritionist. Faye / 30 years old / Female Hello. I apologize for the delayed response as I was abroad. 1. I would like to ask if there are any other benign conditio...[Read More] Elevated AFP Levels with Normal Ultrasound: What Could It Mean?
Understanding Elevated AFP Levels: Potential Causes and Next Steps
Abnormal elevation of AFP levels? Hello, I underwent a physical examination on May 25th, where it was found that my alpha-fetoprotein (AFP) level was elevated at 19.3. Other liver function tests, including GOT, GPT, alkaline phosphatase, bilirubin, and albumin, were all normal. A...
Dr. Chen Sirong Reply:
Faye / 30 years old / Female Hello, 1. Please refer to the first response. 2. If the CT scan still shows no abnormalities, what additional tests (which can be self-paid) are recommended to identify the cause? A: A whole-body positron emission tomography (PET) scan can be cons...[Read More] Understanding Elevated AFP Levels: Potential Causes and Next Steps
Understanding Pituitary Tumors: MRI Findings and Chemotherapy Options
Brain tumor issues? Examination Name: MRI Imaging of the Pituitary Gland: The MRI scan of the pituitary gland shows: enlargement of the sella turcica, downward displacement of the sella floor, and an irregular nodular lesion with slightly shorter T2 signal within the sella, with ...
Dr. Chen Sirong Reply:
Tina / 46 years old / Female, can chemotherapy eliminate the tumor? A: 1. The physician needs to determine the type of cells in order to select the appropriate chemotherapy agents. 2. The location of your tumor may not be suitable for biopsy. 3. Please discuss with your physician...[Read More] Understanding Pituitary Tumors: MRI Findings and Chemotherapy Options
Understanding the Progression of Lung Cancer Tumor Spread: Key Insights
How does the progression of lung cancer tumor metastasis occur? Hello Doctor, I would like to ask about the progression of lung cancer tumors. Do they typically spread first through the lymphatic system in the lungs and then progress to the trachea, major blood vessels, heart, br...
Dr. Chen Sirong Reply:
Hua Hua / 66 years old / Female Hello, 1. Can you explain how lung cancer tumors spread? Do they typically start by spreading to the lymph nodes in the lungs and then progress to the trachea, major blood vessels, heart, brain, and bones? A: 1.1 This question is somewhat like fo...[Read More] Understanding the Progression of Lung Cancer Tumor Spread: Key Insights
Understanding Lumps in the Armpit: When to Seek Medical Advice
There is a hard lump in the armpit? Hello, doctor. I apologize for bothering you, but I would like to ask you some questions. I originally had a hard lump in my right armpit for about two to three months. After a while, I got busy and thought it was just a normal occurrence relat...
Dr. Chen Yunfang Reply:
Hello: If you are concerned, you should schedule an appointment with a surgical specialist in breast surgery. If the lump you mentioned is a lymph node, a biopsy will likely be arranged during the outpatient visit. Thank you.[Read More] Understanding Lumps in the Armpit: When to Seek Medical Advice
Understanding Elevated AFP Levels: Potential Causes and Next Steps
Abnormal elevation of AFP (Alpha-fetoprotein) levels? Hello, I underwent a health check on May 25th, where it was found that my alpha-fetoprotein (AFP) level was elevated at 19.3. All related liver function tests, including GOT, GPT, alkaline phosphatase, bilirubin, and albumin, ...
Dr. Chen Yunfang Reply:
Hello: If a CT scan does not reveal any abnormalities in the liver, an MRI scan is usually arranged for further evaluation. We will wait for the results of the examination. If any abnormalities are found, it will be up to the physician to determine the next steps. I cannot answer...[Read More] Understanding Elevated AFP Levels: Potential Causes and Next Steps
Can Surgery for Meniscus Tear Spread Cancer Cells in Lymphoma Patients?
Will cancer cells spread during general surgery for conditions other than cancer? Hello Doctor, my mother was recently diagnosed with a meniscus tear in her knee, and now she walks slowly, which affects her daily life. She needs surgery to walk, but at the same time, she has also...
Dr. Chen Sirong Reply:
Ms. Sun / 29 years old / Female Hello, 1. May I ask if these two surgeries can be performed simultaneously? A: Orthopedic surgery is an operation, while lymphoma is treated with chemotherapy, which does not require surgery. 2. Is it possible to manage both treatment regimens ...[Read More] Can Surgery for Meniscus Tear Spread Cancer Cells in Lymphoma Patients?
Can Nasopharyngeal Cancer Recur? Understanding Risks and Diagnosis
Is it possible for nasopharyngeal carcinoma to recur? Hello Doctor, I would like to ask about my family member. Two and a half years ago, they were diagnosed with nasopharyngeal carcinoma T1N1 and underwent 33 sessions of proton therapy and 5 cycles of chemotherapy. Subsequent ex...
Dr. Chen Sirong Reply:
Ms. Li / 40 years old / Female Hello~~ 1. I would like to ask the doctor~~ Is the diagnosis primarily based on the biopsy report? A: Yes, the diagnosis is primarily based on the biopsy report. However, if there are suspicions and the biopsy is inconclusive, we may repeat the...[Read More] Can Nasopharyngeal Cancer Recur? Understanding Risks and Diagnosis
Should HER2-Positive Breast Cancer Patients Continue Treatment After One Year?
For HER2-positive breast cancer, after one year of treatment with trastuzumab (Herceptin), it is important to evaluate the patient's individual situation, including the response to treatment and any potential side effects. Continuing treatment may be recommended based on the...
Dr. Hu Ziren Reply:
It is recommended to consider the following options: 1. The PET scan shows a very faint residual lesion in the left chest wall; should consideration be given to resecting the residual lesion to enhance treatment efficacy? 2. Continue maintenance therapy with anti-cancer treatment...[Read More] Should HER2-Positive Breast Cancer Patients Continue Treatment After One Year?
Understanding Recurrent Lumps Under the Right Armpit: Causes and Solutions
Three lumps in the right armpit? Hello Doctor, starting around November of last year, I noticed 2 to 3 lumps under my right armpit. They are painful when pressed and have been gradually increasing in size. At that time, I visited a breast surgery clinic, and the doctor suspected ...
Dr. Hu Ziren Reply:
It may just be folliculitis or eczema. It is recommended to see a dermatologist or a plastic surgeon. Please note: this issue is outside my area of expertise![Read More] Understanding Recurrent Lumps Under the Right Armpit: Causes and Solutions
Post-Treatment Concerns for HPV-Related Tongue Cancer
Post-treatment issues of HPV-related tongue cancer? Hello, Doctor. I would like to ask a few questions: 1. After undergoing chemoradiation for stage 1 HPV-related tongue cancer, it has been 7 months and my sense of taste has not returned. What should I do? The limited mouth ope...
Dr. Chen Sirong Reply:
Lily / 70 years old / Female 1. After 7 months of chemoradiation for stage 1 HPV-related tongue cancer, my sense of taste has not returned. What should I do? The limited mouth opening may be due to fibrosis; how can I rehabilitate it? A: To stimulate your sense of taste, try e...[Read More] Post-Treatment Concerns for HPV-Related Tongue Cancer
Understanding CBC Results and Anemia Concerns in Cancer Patients
Please ask your questions regarding CBC blood test data? Hello, Doctor! I have had a unique constitution since childhood, unable to consume supplements, which usually leads to random growths. I have a surgical history of six procedures: 1. Facial lipoma 2. Adenotonsillar hypertro...
Dr. Hu Ziren Reply:
From the initial examination values, it indeed appears to be iron deficiency anemia; however, if there are concerns, it is advisable to consult a hematologist or a specialist in immunology and rheumatology. PS: 1. Does short sleep duration and staying up late affect CBC results...[Read More] Understanding CBC Results and Anemia Concerns in Cancer Patients
Is a High EBNA IgG Level Dangerous and Equivalent to EBV DNA?
Are the EBNA IgG levels and EBV DNA levels the same thing? I had a blood test at National Taiwan University for EBNA IgG, and my result is 134.07, which is positive. Is this significantly above the standard? Is it very dangerous? Is this the same as the EBV DNA value you mentione...
Dr. Chen Yunfang Reply:
Hello: 1. Yes, it is positive, significantly higher than the standard range of 9-11. The value alone cannot determine the presence of cancer; the pathology report is the basis for a definitive diagnosis. 2. IgG is not DNA; I personally do not test for IgG. I only test for DNA, bu...[Read More] Is a High EBNA IgG Level Dangerous and Equivalent to EBV DNA?
Understanding Suspected Mediterranean Anemia: Symptoms and Diagnosis
Suspected Mediterranean anemia (Thalassemia) Hello Doctor: Since I was young, my father has mentioned that he was told by a physician that he might have Mediterranean anemia. My blood reports have consistently shown abnormal results. During high school, if I just woke up, I would...
Dr. Chen Yunfang Reply:
Hello: 1. Mediterranean anemia can only be diagnosed through hemoglobin electrophoresis (covered by health insurance) or genetic testing (out-of-pocket). The hemoglobin level, regardless of its value, cannot confirm the diagnosis; it can only raise suspicion. 2. The HBA2 level ca...[Read More] Understanding Suspected Mediterranean Anemia: Symptoms and Diagnosis
Understanding the Impact of High Vitamin B12 on Dizziness and Headaches
Occasional dizziness and headaches; elevated vitamin B12 levels? Hello, my recent blood test results are as follows: Complete Blood Count I (eight items) RBC 4.64, Complete Blood Count I (eight items) PLATELET 496, Complete Blood Count I (eight items) MPV 8.9, Complete Blood Coun...
Dr. Hu Ziren Reply:
1. If platelet count is elevated (>400K), it is recommended to follow up in 3-6 months. If it remains elevated (>400K), it is advisable to consult a hematologist. 2. Elevated vitamin B12 levels do not cause headaches or dizziness. 3. If kidney function is impaired (elevat...[Read More] Understanding the Impact of High Vitamin B12 on Dizziness and Headaches
Understanding Your Low-Dose CT Report: Key Findings Explained
Low-Dose Computed Tomography Report Hello, three years ago I had a check-up that was normal. This time I paid out of pocket for another examination and just received the report. It indicates that there is a 3.5 mm ground-glass opacity (GGO) close to the right minor fissure that n...
Dr. Chen Sirong Reply:
Hope / 39 years old / Female 1. I would like to ask what this means. A: 1.1 A 3.3 mm nodule in the breast cannot be definitively classified as normal or abnormal; it will be considered normal and will be monitored for any growth. However, there is no need to be anxious about i...[Read More] Understanding Your Low-Dose CT Report: Key Findings Explained