Understanding Lumps Under the Armpit: Causes and Concerns
There is a hard lump in the armpit? Hello Doctor, I have a lump under my left nipple that varies in size; sometimes it is larger and sometimes smaller. It only causes mild pain when touched, so I haven't paid much attention to it, and I'm not sure how long it has been t...
Dr. Chen Sirong Reply:
Xiang / 19 years old / Male Hello, 1. I am unsure if the lump in my left chest is related? A: It is likely not related; the chances of them being two independent events are greater. 2. Could it be something serious? I hope the doctor can clarify. A: Certainly: The lymphaden...[Read More] Understanding Lumps Under the Armpit: Causes and Concerns
Understanding a Painful Lump in the Groin: When to See an Oncologist
Hard lump in the left thigh root? Hello Doctor, last night I suddenly noticed a small hard lump near the groin area at the base of my left thigh. It is not visible externally, but it is painful when pressed, and it feels about the size of a knuckle (approximately 2 centimeters). ...
Dr. Chen Sirong Reply:
Chiu / 30 years old / Male Hello, 1. Should I observe this? A: Check it every three days and avoid touching it frequently. If you experience redness, swelling, heat, pain, or any signs of inflammation, you should see a doctor immediately and take antibiotics. Otherwise, obser...[Read More] Understanding a Painful Lump in the Groin: When to See an Oncologist
Understanding Post-Chemotherapy Symptoms in Lung Cancer Patients
Post-chemotherapy for lung cancer I would like to ask, after my father underwent chemotherapy for lung cancer, he experienced dizziness and then fell, with his eyes open and his body having slight convulsions. Despite my attempts to wake him, he remained unconscious. What could b...
Dr. Chen Sirong Reply:
Ms. Yeh / 24 years old / Female Hello. 1. What is the cause of the illness? 1.A Did she suddenly have a stroke? 1.B Is it lung cancer that has metastasized to the brain? 2. Is the physical weakness due to chemotherapy, and did she sustain a head injury after falling?...[Read More] Understanding Post-Chemotherapy Symptoms in Lung Cancer Patients
Exploring Advanced Treatment Options for Stage IV Colon Cancer Pain Management
Cancer treatment Hello Doctor: Last year, my mother was diagnosed with stage IV colorectal cancer. The doctor prescribed chemotherapy and targeted therapy, and for a while, her condition was well-controlled; she could eat, sleep, and move around like a normal person. However, I f...
Dr. Chen Yunfang Reply:
Hello: After reading the description, your mother was already diagnosed at stage IV, which is terminal, meaning it has essentially metastasized. All treatments for stage IV are merely to delay the inevitable; a cure is not possible. 1. Can monoclonal antibodies or bisphosphonate ...[Read More] Exploring Advanced Treatment Options for Stage IV Colon Cancer Pain Management
Seeking Chemotherapy Port Removal Services Near My Home
Chemotherapy port removal Hello, doctor. I live in the Qingpu area of Zhongli. I have been diagnosed with colon cancer with metastasis to the liver and lungs, and I am currently receiving outpatient chemotherapy at Taipei Medical University Hospital. I need to carry a portable in...
Dr. Chen Sirong Reply:
MK / 56 years old / Female, please schedule an appointment for Wednesday with Dr. Kao Chung-Shu at the Radiation Oncology Department. Wishing you peace at Taoyuan Hospital. Chen Sih-Rong.[Read More] Seeking Chemotherapy Port Removal Services Near My Home
Understanding Leukemia Symptoms and Blood Test Results: What You Need to Know
Symptoms and Tests for Leukemia Hello Doctor, I apologize for the interruption. For the past 10 days, I have been experiencing a low-grade fever accompanied by severe, nearly all-day dizziness, extreme fatigue, and night sweats. I have also started to notice unexplained small bru...
Dr. Chen Yunfang Reply:
Hello: 1. Both the first and second test results are normal. 2. White blood cell counts fluctuate; each time you draw blood, the results can vary. The normal range is 4,000 to 9,000, but even if the count is slightly outside this range, it does not necessarily indicate disease. 3...[Read More] Understanding Leukemia Symptoms and Blood Test Results: What You Need to Know
Navigating Uncertainty: Seeking Answers for Throat Pain and Tumor Concerns
Positron Emission Tomography (PET) Report Issue 3 Hello Dr. Chen, I apologize for bothering you again, but I would appreciate your advice and assistance. Previously, I mentioned that I have been experiencing a persistent foreign body sensation and pain in my throat, extending fro...
Dr. Chen Sirong Reply:
Ms. Lin / 45 years old / Female Greetings! 1. Given my current situation, are there any other options available? Should I seek evaluation at another hospital? Can you recommend any doctors in Taipei? A: I believe that a surgery covered by the National Health Insurance is a...[Read More] Navigating Uncertainty: Seeking Answers for Throat Pain and Tumor Concerns
Understanding the Differences in MPN Classification: Taiwan vs. Global Perspectives
What are the differences in MPN (Myeloproliferative Neoplasms) between Taiwan and other countries? Hello, Doctor. Thank you for your response yesterday, but it did not address my concerns. I have reviewed many original literature and studies from various countries, such as the UK...
Dr. Chen Yunfang Reply:
Hello: I am a specialist in hematology, and I do not agree that myeloproliferative neoplasms (MPNs) are classified as cancer. I am not sure why other countries do this, and I do not wish to explain their actions. In any case, Taiwan is the only country with a national health insu...[Read More] Understanding the Differences in MPN Classification: Taiwan vs. Global Perspectives
Understanding a Hard Lump in the Left Groin: Should You Worry?
A hard lump was found on the left side of the groin? A hard lump was found on the left side of the groin, approximately the size of a third of a finger joint. It causes slight pain when pressed firmly, is immobile, and no other lumps have been detected elsewhere. Recently, I have...
Dr. Chen Sirong Reply:
Didi / 20 years old / Male 1. Tumor, of course it's a tumor, but it could be benign or malignant. 2. I should personally examine you and conduct a thorough assessment before answering your question. 3. If it has been present for more than 3-6 months and has not grown, ...[Read More] Understanding a Hard Lump in the Left Groin: Should You Worry?
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
Understanding Duodenal Ampulla Cancer: Insights from Treatment Reports
Duodenal ampullary cancer Hello, In May of this year, my mother was diagnosed with stage IV duodenal ampullary cancer and is not a candidate for surgery. After six cycles of chemotherapy, the tumor did not shrink, and she underwent three additional cycles. She just completed he...
Dr. Chen Sirong Reply:
Buee / 42 years old / Male 1. How is the progression of the disease? A: The assessment of the condition is best left to his attending physician. 2. Attached are the CEA and CA19-9 data, which seem to have suddenly surged twice recently. Does this indicate that the chemotherapy...[Read More] Understanding Duodenal Ampulla Cancer: Insights from Treatment Reports
Understanding PET Scan Results and Cancer Risks: Key Questions Answered
Positron Emission Tomography (PET) Report Issue 2 Dr. Chen, thank you for your response. Although I am still unsure about how to decide, I appreciate your analytical suggestions. I have a few questions that I would like to clarify: 1. The PET scan report indicates a suspected le...
Dr. Chen Sirong Reply:
Ms. Lin / 45 years old / Female 1. The doctor mentioned that the biopsy only examines the brightest areas and not the entire specimen. Does this approach help in identifying the overall nature of the epiglottis? A: The biopsy does not involve the complete excision of the speci...[Read More] Understanding PET Scan Results and Cancer Risks: Key Questions Answered
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 Duodenal Ampulla Cancer: Treatment Options and Prognosis
Duodenal ampullary cancer My mother was diagnosed with duodenal ampulla cancer and just completed her ninth round of chemotherapy yesterday. During this time, she has also been taking traditional Chinese medicine for conditioning. Her weight has dropped to 42 kg since the start o...
Dr. Hu Ziren Reply:
The tumor has not decreased in size but has also not increased (indicating that the tumor is in a stable control state). Additionally, the patient's overall condition has improved, and there has been weight gain, which suggests that the current treatment is still effective. ...[Read More] Understanding Duodenal Ampulla Cancer: Treatment Options and Prognosis
Should I Remove My Enlarged Lymph Node or Continue Monitoring?
Lymphadenopathy Hello, doctor. In 2019, an ultrasound revealed an enlarged axillary lymph node measuring approximately 3.6 cm, located deep within. A core needle biopsy performed by a breast surgeon indicated benign results, and hematological tests were normal. However, anti-Tg a...
Dr. Chen Sirong Reply:
Xia Shi / 45 years old / Female Hello, I have been undergoing ultrasound follow-ups every six months, and the lymph nodes have not decreased in size. 1. Should I consider surgery to remove them? A: Yes, that is an option. The benefits include being able to definitively determ...[Read More] Should I Remove My Enlarged Lymph Node or Continue Monitoring?
Understanding Red Spots on Skin: When to See a Specialist
Blood test I have small, dense red dots on the inner side of my lower leg that are not painful or itchy. After researching online, they resemble petechiae (similar to the images in this link: https://www.dcard.tw/f/girl/p/235207040). This is the only area affected, and it measure...
Dr. Hu Ziren Reply:
1. Laboratory reports from the past three months are more valuable for reference. 2. It is advisable to first consult a dermatologist to rule out localized dermatitis. If there are no abnormalities and the red spots expand or are accompanied by bleeding in other areas (such as pe...[Read More] Understanding Red Spots on Skin: When to See a Specialist
Understanding Blood Clotting Issues: When to Consult a Specialist
Coagulation function test six months ago? Hello doctor, I have a cluster of small red dots on the inner side just below my calf. They are not painful or itchy. After researching online, they resemble petechiae (similar to the image of this person: https://www.dcard.tw/f/girl/p/23...
Dr. Chen Yunfang Reply:
Hello: 1. The current situation has no value; that was six months ago. 2. You should see a dermatologist; any physician will issue a blood test order, and if they can't interpret it, they will refer you to a hematologist. Thank you.[Read More] Understanding Blood Clotting Issues: When to Consult a Specialist
Understanding Groin Lumps: Causes and When to Seek Medical Help
Hard lump connecting the inner thigh under the groin? Hello doctor, over the past 2 to 3 days, I have noticed swelling in the area where my thigh connects to my groin, about 2 centimeters in size. I'm not sure if it's a hard lump. The day before, I squeezed out some pus...
Dr. Hu Ziren Reply:
It may just be an abscess or other folliculitis; it will either drain on its own once it matures or be absorbed by the body.[Read More] Understanding Groin Lumps: Causes and When to Seek Medical Help
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 Groin Masses: Causes, Symptoms, and When to Seek Help
Inguinal mass About three months ago, I discovered a lump in my groin area that is dark in color, approximately one centimeter in size. It is somewhat painful when pressed. The doctor suggested it might be folliculitis and prescribed a topical medication, which helped reduce the ...
Dr. Hu Ziren Reply:
It may just be an abscess or inflammation of other subcutaneous tissues. It is recommended to see a dermatologist.[Read More] Understanding Groin Masses: Causes, Symptoms, and When to Seek Help