Understanding CT Findings: Could It Indicate Cancer Metastasis?
The CT report shows three enhancing nodules in S4b, with the largest measuring up to 21mm, suspicious for metastasis? Hello Dr. Chen, my wife was diagnosed with breast cancer and completed chemotherapy over a year ago. Recently, during a follow-up, the doctor recommended a CT sca...
Dr. Chen Yunfang Reply:
I'm sorry, but I cannot answer this question on behalf of the original treating physician.[Read More] Understanding CT Findings: Could It Indicate Cancer Metastasis?
Jaw Tumor, Salivary Gland Tumor, or Lymph Node Enlargement?
Mandibular tumor? Salivary gland tumor? Lymphadenopathy? Hello Doctor, I would like to ask you about a lump that has developed near my right jaw and salivary gland, measuring approximately 1-2 centimeters. It has been present for about 1-2 years. The lump is movable, painless, ...
Dr. Hu Ziren Reply:
If there are no changes within 1 to 2 years and no discomfort, it is recommended to simply monitor the situation. It could potentially be a sebaceous cyst, lipoma, or lymphadenopathy, among others.[Read More] Jaw Tumor, Salivary Gland Tumor, or Lymph Node Enlargement?
Understanding Blood Test Anomalies and Groin Lump Concerns
Blood test issues and groin mass? Hello doctor, last month I was diagnosed with endometriosis, and to assess for anemia, I underwent a blood test. The report showed two abnormalities: neutrophils at 76.9% and lymphocytes at 16.7%, while other white blood cells and red blood cells...
Dr. Hu Ziren Reply:
The normal range for white blood cells (WBC) is 4,000 to 12,000 cells per microliter. White blood cells can be further classified into neutrophils, lymphocytes, monocytes, and others. Therefore, a neutrophil percentage of 76.9% and a lymphocyte percentage of 16.7% represent a rat...[Read More] Understanding Blood Test Anomalies and Groin Lump Concerns
Understanding Targeted Therapy for Stage 3B Lung Squamous Cell Carcinoma
The treatment options for stage IIIB squamous cell lung carcinoma typically include a combination of therapies. These may involve: 1. **Chemotherapy**: Often used as a primary treatment to shrink tumors and control symptoms. 2. **Radiation Therapy**: Can Hello Dr. Chen, my mothe...
Dr. Chen Sirong Reply:
Paul / 38 years old / Male 1. It is advisable to consult his attending physician first in order to provide answers based on his condition and physical status. 2. For stage IIIb, the treatment is as follows: chemotherapy combined with radiation therapy, followed by targeted th...[Read More] Understanding Targeted Therapy for Stage 3B Lung Squamous Cell Carcinoma
Understanding Neck Lymph Node Issues After Cyst Drainage
Cervical lymphatic issues? Hello, doctor. Initially, I had a 6 cm inflamed sebaceous cyst on the left side of my jaw. On December 2nd (Monday), I had it drained, which improved the inflammation. However, last Wednesday, when the cyst became severely inflamed and swollen, I notice...
Dr. Hu Ziren Reply:
That's right. If the sebaceous cyst has not resolved after 1 to 2 months following treatment, it is recommended to see an otolaryngologist.[Read More] Understanding Neck Lymph Node Issues After Cyst Drainage
Understanding Lymph Nodes: When to Seek Further Medical Evaluation
Cervical lymph nodes Hello doctor, about three months ago, I noticed a movable hard lump in my groin (less than 1 cm). I visited a nearby clinic, and they suggested monitoring it. About a month ago, I felt 3 to 4 lymph nodes of varying sizes (0.5-1.5 cm) in my neck, which made me...
Dr. Chen Sirong Reply:
Jason / 14 years old / Male 1. Should I get further examinations, or is it enough to just observe? A: Observation is sufficient. If there is an increase in size, number, or change in color, you should see a doctor again. 2. Will constantly touching it prevent it from going aw...[Read More] Understanding Lymph Nodes: When to Seek Further Medical Evaluation
Understanding Persistent Fever and Breathing Issues in Brain Cancer Patients
Breast cancer metastasis to the brain, with persistent fever and shortness of breath? I'm sorry to hear about your family's situation. Here are the translated questions: Q1: The doctor said the wheezing is due to pneumonia, but why does it continue to worsen even after...
Dr. Chen Sirong Reply:
If a 25-year-old woman says: 1. This is your only family member! However, the reality is that the disease has metastasized and has progressed to stage IV. If her physical condition is poor, it can be considered terminal. Generally, even after chemotherapy and radiation therapy fo...[Read More] Understanding Persistent Fever and Breathing Issues in Brain Cancer Patients
Understanding Lymph Node Biopsy Results: What You Need to Know
Inquiry about lymph node biopsy results? Hello, doctor. My grandmother (87 years old) has a swollen lymph node in the groin area (which is not painful, and there are no swollen lymph nodes in the neck or armpits). The surgeon recommended a targeted ultrasound and a lymph node bio...
Dr. Hu Ziren Reply:
It is advisable to consult your attending physician for more appropriate guidance.[Read More] Understanding Lymph Node Biopsy Results: What You Need to Know
Monitoring Lung Adenocarcinoma: Key Insights and Next Steps
Lung adenocarcinoma follow-up? Dear Dr. Chen, I am a patient with lung adenocarcinoma. On May 21 of this year, I underwent surgery to remove a malignant tumor (2.2 cm) from my right upper lobe and a nodule from the same side lower lobe. The biopsy of the right lower lobe nodule ...
Dr. Chen Yunfang Reply:
Hello: Based on the provided information, the reliability and accuracy of the three types of examinations are best with positron emission tomography (PET scan), which is the second option. Both the first option, computed tomography (CT scan), and the third option, magnetic resona...[Read More] Monitoring Lung Adenocarcinoma: Key Insights and Next Steps
Understanding Axillary Swelling: When to Seek Medical Advice
Axillary lymphadenopathy Hello doctor, I discovered that my axillary area has been swollen for three weeks. It appears quite large, with one side being bigger than the other, but both sides are swollen. I had a mammogram in September of last year, which showed no issues. Recently...
Dr. Chen Yunfang Reply:
Hello: If there is swelling in the axilla, the most appropriate action is to consult a breast surgeon and undergo a breast ultrasound examination. Since you have already seen a specialist and they informed you that everything is fine, that should be sufficient. Otherwise, you may...[Read More] Understanding Axillary Swelling: When to Seek Medical Advice
Elevated Immature White Blood Cells and Atypical Lymphocytes: What to Know
Blood test shows elevated levels of immature white blood cells and atypical lymphocytes? I previously went to the hospital due to unstable blood pressure. The doctor initially planned to check my cholesterol levels through a blood test, but instead found immature white blood cell...
Dr. Hu Ziren Reply:
If immature white blood cells contain blast cells, it may indicate a hematologic malignancy, and it is advisable to seek medical attention promptly.[Read More] Elevated Immature White Blood Cells and Atypical Lymphocytes: What to Know
Understanding the Connection Between Tumors and Body Temperature Changes
The relationship between temperature fluctuations and tumors? Hello, Doctor. Recently, I have been experiencing a sensation of warmth in my face and neck, especially around noon or in the afternoon (my lower body feels normal). However, I do not feel fatigued or have muscle soren...
Dr. Chen Sirong Reply:
Y / 23 years old / Female 1. Should I consider the possibility of having a tumor based on my situation? a: Are you really experiencing a fever? Is your body temperature elevated? Please measure your temperature accurately! 2. Which tumors can cause tumor fever? Can both ben...[Read More] Understanding the Connection Between Tumors and Body Temperature Changes
Understanding Elevated Lymphocytes: Causes and Concerns in Oncology
Elevated lymphocyte count? Hello Doctor, I would like to ask you a question... Two weeks ago, I experienced stomach discomfort, dizziness, and general weakness, so I went to the emergency room. At that time, my blood test showed mild jaundice, low potassium levels, and slightly e...
Dr. Chen Sirong Reply:
1. Can elevated lymphocyte levels lead to leukemia? A: In most cases, elevated lymphocyte counts indicate that the body is mounting a defense against pathogens such as bacteria and viruses. In leukemia, lymphocyte counts can be extremely high, often exceeding 50,000 to 100,000 ce...[Read More] Understanding Elevated Lymphocytes: Causes and Concerns in Oncology
Understanding Lymphocyte Levels: Concerns About Blood Disorders and Cancer
Blood disorders Hello, doctor... Two weeks ago, I went to the emergency room due to dizziness, general weakness, nausea, and bloating. I have a history of gastroesophageal reflux disease (GERD). They drew several vials of blood, and the results showed mild jaundice, low potassium...
Dr. Chen Yunfang Reply:
Hello: A higher proportion of lymphocytes does not necessarily indicate blood cancer; there are many possible reasons for this in diagnosis. It is recommended that you consult a hematologist for interpretation of the report. Thank you![Read More] Understanding Lymphocyte Levels: Concerns About Blood Disorders and Cancer
Understanding Stage III Melanoma: Risks of Skipping Chemotherapy
Diagnosed with stage III melanoma? Hello, my mother is 58 years old and was diagnosed with stage III melanoma six months ago. It originated from a black mole on the sole of her foot and has metastasized to the lymph nodes in the popliteal fossa. The doctor mentioned that the exci...
Dr. Chen Sirong Reply:
Hello, melanoma has lymph node metastasis. It is recommended to perform a PET scan (covered by health insurance) to determine if there is distant metastasis for staging purposes, which will help decide on subsequent treatment (pathologically confirmed as stage III, there is actua...[Read More] Understanding Stage III Melanoma: Risks of Skipping Chemotherapy
Understanding Recurring Skin Redness and Swelling: Possible Causes and Concerns
Skin redness and swelling? Hello doctor, I would like to ask you about my condition. My skin suddenly becomes red, swollen, and painful to the touch, but after about a week, the pain subsides and the redness and swelling gradually disappear on their own. This has happened multipl...
Dr. Chen Sirong Reply:
Hello: Please consult a dermatologist or an infectious disease specialist, as it may be an allergy or a localized inflammatory infection. Wishing you peace and health. Sincerely, Dr. Kao Chung-Shu, Attending Physician, Department of Radiation Oncology, Taoyuan General Hospital, M...[Read More] Understanding Recurring Skin Redness and Swelling: Possible Causes and Concerns
Understanding Fentanyl Patch: Risks of Anxiety and Addiction
Fentanyl transdermal patch Hello Doctor, I would like to ask you a question. I have been using a fentanyl transdermal patch, 50 mcg, continuously for the past six months. However, in the last two months, I have frequently experienced restlessness and an inability to sit still. Ca...
Dr. Chen Sirong Reply:
Anna / 23 years old / Female 1. Restlessness and inability to sit still: a: I am unsure what condition you have. For example, is it a specific type of cancer? What stage is it? Are you taking any other medications that could be causing these physical and psychological reactions?...[Read More] Understanding Fentanyl Patch: Risks of Anxiety and Addiction
Managing Advanced Oral Cancer: Concerns About Treatment and Progression
Terminal stage of oral cancer? Recently, my father was diagnosed with terminal oral cancer, with cancer cells located in the left gum and eroding into the left mandible. Surgery is scheduled for the 15th, but prior to that, the doctor has not prescribed any medication for him asi...
Dr. Chen Sirong Reply:
Ah, 19 years old, female. 1. The surgery date is already scheduled for the 15th. a: That's great! It's coming up quickly. 2. The doctor has not prescribed any medication for my father. Shouldn't we be concerned about the cancer cells spreading to other area...[Read More] Managing Advanced Oral Cancer: Concerns About Treatment and Progression
Understanding a Hard Lump in the Upper Inner Right Chest: Fat or Something More?
Hard mass in the upper inner right chest? I have a hard lump on the upper inner side of my right breast, measuring 170 cm and weighing 76 kg. It looks normal, but it hurts only when pressed lightly. I visited a family medicine clinic for an examination, and the doctor said it was...
Dr. Chen Sirong Reply:
A 17-year-old male with a specialization in radiation therapy for malignant tumors, please forward your questions to a general surgeon. Thank you.[Read More] Understanding a Hard Lump in the Upper Inner Right Chest: Fat or Something More?
Understanding Lung Adenocarcinoma Treatment Options and Chemotherapy Drugs
I would like to inquire about the treatment medications for lung adenocarcinoma? Hello, doctor. My mother was recently diagnosed with lung adenocarcinoma, and I would like to know which chemotherapy drugs are covered under the national health insurance or other medications availa...
Dr. Hu Ziren Reply:
1. Please first confirm whether your mother has lung adenocarcinoma or small cell lung cancer. 2. Currently, the treatment options for lung adenocarcinoma are quite diverse and may vary based on specific genetic mutations (for example, if there is an EGFR mutation, oral medicati...[Read More] Understanding Lung Adenocarcinoma Treatment Options and Chemotherapy Drugs