Other, Oncology FAQ - Page 2

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Understanding Stage IA1 Lung Adenocarcinoma and Tumor Marker Abnormalities

Stage I lung adenocarcinoma with abnormal tumor markers? Hello Doctor, this is my mother's pathology report from that time. NOMED: 28000-B-M81403, 29000-B-M09450 DX: Lung, right middle lobe, wedge resection - Invasive acinar adenocarcinoma, moderately differentiated (G2)...


Dr. Chen Sirong Reply:
Huang, 27 years old, male, has been diagnosed with stage I lung cancer. The Cyfra 21-1 level is 4.11, which is greater than the standard of 3.3 (first test). It is advisable to conduct follow-up testing for Cyfra 21-1 earlier, which is out-of-pocket, so you can have it checked ev...

[Read More] Understanding Stage IA1 Lung Adenocarcinoma and Tumor Marker Abnormalities


Understanding Lymph Node Swelling in the Neck: Common Concerns and Questions

Questions about cervical lymph nodes? Hello Dr. Chen: When I was about 4 to 5 years old, I discovered an oval-shaped mass in the middle of my right neck that was oriented vertically. It felt soft and movable. Although the mass was not very large, it was clearly visible. My mother...


Dr. Chen Sirong Reply:
Kris / 42 years old / Male Q1. Is it possible for the lymph nodes to remain enlarged without decreasing in size or disappearing, and still be present today? A: 1.A It is uncertain whether it is a lipoma or a lymph node. 1.B It can still be present. Q2. Dr. Chen, are the lymph...

[Read More] Understanding Lymph Node Swelling in the Neck: Common Concerns and Questions


Understanding Treatment Options for Head and Neck Lymphoma: Surgery vs. Chemotherapy

Head and neck lymphatic cancer Hello Doctor: I underwent surgery for a head and neck lymphatic tumor in 2023, and the tumor was diagnosed as stage III lymphoma. Recently, I found another tumor on the left side of my clavicle. I consulted the same hospital and the doctor suggested...


Dr. Chen Sirong Reply:
Wei Cheng / 35 years old / Male 1. Most head and neck cancer cells are squamous cells and undifferentiated cells; the decision to perform surgery depends on the location. 2. Lymphoma cells are a type of lymphocyte that has transformed into cancer cells; surgery is not necessa...

[Read More] Understanding Treatment Options for Head and Neck Lymphoma: Surgery vs. Chemotherapy


Understanding the Differences Between Common Bruises and Leukemia Symptoms

About bruises? Hello, doctor. I would like to ask if there is a significant difference between a regular bruise and a bruise caused by leukemia. I just noticed a bruise about 1-2 centimeters on both my hand and foot, and there are no other bruises. I'm not sure if it's ...


Dr. Chen Yunfang Reply:
Hello: 1. The appearance of both is the same, with no differences. 2. There are no specific concerns to pay attention to; if discomfort occurs, seek medical attention. Thank you.

[Read More] Understanding the Differences Between Common Bruises and Leukemia Symptoms


Can You Get Cancer from Contact with Breast Cancer Discharge?

If the nose accidentally comes into contact with breast cancer secretions, is there a risk of infection? Hello doctor: If my nose accidentally comes into contact with the secretions (such as blood or other fluids) from a breast cancer patient (a relative), is there a risk of bein...


Dr. Hu Ziren Reply:
No, cancer is not contagious, so there is no need to panic excessively.

[Read More] Can You Get Cancer from Contact with Breast Cancer Discharge?


Understanding Elevated Platelet Count: When to Seek Medical Attention

Elevated platelet count? Hello Doctor, during my recent health check-up, I found that my platelet count was elevated at 433 x 1000/uL. The hospital's reference range for normal values is 160-370 x 1000/uL. Here are my other lab results: WBC 8.27 x 1000/uL, Hb 16.3 g/dL, MCV ...


Dr. Chen Yunfang Reply:
Hello: If the platelet count is not very high, drinking more water can help dilute the concentration. When you have the time and opportunity, you can go see a doctor for a follow-up blood test.

[Read More] Understanding Elevated Platelet Count: When to Seek Medical Attention


Should You See a Doctor for a Painful Lump in Groin Hair?

Pubic hair There is a raised bump within the hair, but it doesn't break and shows no other abnormalities. It only hurts when pressed. Should I seek medical attention?


Dr. Hu Ziren Reply:
It may just be folliculitis; observation is sufficient.

[Read More] Should You See a Doctor for a Painful Lump in Groin Hair?


Understanding Myelo 0.5 in CML Patients: What You Need to Know

Blood test results show myelo 0.5? Hello Doctor, ^_^ I am a CML patient who has been undergoing treatment for two years. My current PCR value is -3.8. In my latest blood test report, my WBC is 7.2, but I noticed for the first time that there is a myelo value of 0.5. Could you ple...


Dr. Hu Ziren Reply:
WBC is normal and PCR is -3.8, indicating that the disease is currently maintaining a "Major Molecular Response" (MMR), meaning there is no relapse. It is recommended to continue the current treatment and regular monitoring.

[Read More] Understanding Myelo 0.5 in CML Patients: What You Need to Know


Understanding Chemotherapy Effectiveness for Advanced Cholangiocarcinoma

Hello Dr. Hu: Issues related to bile duct cancer? Hello Dr. Hu: The elder has been diagnosed with cholangiocarcinoma, which has metastasized to the thoracic vertebrae, liver, and duodenum. The thoracic vertebrae have been partially resected, but there is almost no sensation in th...


Dr. Hu Ziren Reply:
Each patient's response to chemotherapy varies, but if the patient is newly diagnosed with adequate physical condition and normal cardiopulmonary and renal function, chemotherapy (or possibly adding self-funded immunotherapy) can be considered. Approximately 20-30% of patien...

[Read More] Understanding Chemotherapy Effectiveness for Advanced Cholangiocarcinoma


Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights

Six months after treatment for tongue cancer, there has been recent swelling and pain in the cervical lymph nodes? A 65-year-old male, who underwent treatment for stage 0 tongue cancer six months ago, has recently experienced pain and swelling in the lymph nodes in the neck. A CT...


Dr. Yan Jingheng Reply:
Hello, 1. Pain relief medications can have different effects on individuals, but acetaminophen is generally considered the mildest pain reliever. 2. For tongue cancer surgery, if it was detected at a very early stage, monitoring after surgery may suffice. However, if the lymph no...

[Read More] Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights


Addressing Concerns in Multiple Myeloma Treatment: A Patient's Journey

Questions Regarding Treatment of Multiple Myeloma Hello Dr. Hu, My mother is 67 years old and has been diagnosed with multiple myeloma through spinal cord testing, with a high IgD level (6000-7000). Other body metrics are mostly normal, with the only notable abnormality being a...


Dr. Hu Ziren Reply:
If it is caused by Sider, typically after 1-2 months of adapting to the medication treatment, symptoms will gradually improve. If it does not affect daily life, it is recommended to simply monitor the situation.

[Read More] Addressing Concerns in Multiple Myeloma Treatment: A Patient's Journey


Understanding Groin Masses and Their Impact on Nerve Health

Inguinal mass affecting nerves? Hello: Recently, I discovered a small, slightly raised area in the left groin that feels like it's beneath the skin (not visible on the surface). I feel that this area may be affecting the nerves in my left leg, as I occasionally experience a ...


Dr. Hu Ziren Reply:
It may be caused by sciatic nerve compression; it is recommended to see a neurosurgeon.

[Read More] Understanding Groin Masses and Their Impact on Nerve Health


How Long Should You Wait for Sentinel Lymph Node Biopsy Results?

Do we have to wait a month to know the sentinel lymph node biopsy report? Hello doctor, my mother's mammogram report from the health center showed abnormalities, and she was advised to go to a major hospital for further examination. At the major hospital, the ultrasound did ...


Dr. Chen Sirong Reply:
Ms. Lin / 39 years old / Female 1. During this week's follow-up, I asked the doctor to print the pathology report. A: Do you understand the report: benign? malignant? 2. I read online that the report takes 4 to 7 business days, but some say it can be determined in 30 minut...

[Read More] How Long Should You Wait for Sentinel Lymph Node Biopsy Results?


Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis

Lymphadenopathy Hello Doctor: Around October, I experienced sharp pain in my jaw and throat. Upon pressing, I discovered a hard swollen lymph node near my salivary glands, approximately 2 cm in size. In November, I was very worried and went to see an ENT specialist and an endocri...


Dr. Chen Sirong Reply:
Hello [email protected]: 1. Is it possible that my colorectal carcinoma in situ has metastasized to the cervical lymph nodes? A: "In situ" means that it is localized and does not metastasize. 2. If the ultrasound shows no issues, do I need to go to an ENT spec...

[Read More] Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis


Understanding Low White Blood Cell Count and Abnormalities in Cancer Care

Low white blood cell count with abnormal differentiation? I am concerned about not wanting to frequently visit the hospital and occupy medical resources, but I also worry that if there is a real issue, it may delay treatment. Therefore, I would like to ask Dr. Chen whether my sit...


Dr. Chen Yunfang Reply:
Hello: 1. The white blood cell count is unremarkable. You can decide whether to seek medical attention; if so, you should consult a hematologist. 2. Similarly, if you choose to seek medical attention, you can also see a hematologist. 3. These abnormalities do not have any particu...

[Read More] Understanding Low White Blood Cell Count and Abnormalities in Cancer Care


Is Chemotherapy Suitable for My 82-Year-Old Grandmother with Stage 4 Pancreatic Cancer?

Is chemotherapy suitable for a patient with stage IV pancreatic cancer who has insufficient physical strength? My grandmother is 82 years old, lives a regular life, and has no bad habits. She has stage IV pancreatic cancer that has spread to the peritoneum and intestines (diffuse...


Dr. Hu Ziren Reply:
In cases of advanced age and poor nutritional status, where the patient is unable to undergo oral chemotherapy, it is recommended to consider palliative care and symptom management. If palliative care and symptom management are initiated, subsequent evaluations will depend on the...

[Read More] Is Chemotherapy Suitable for My 82-Year-Old Grandmother with Stage 4 Pancreatic Cancer?


Understanding Your Blood Test Results: Insights for Tumor Patients

Blood test report Hello Dr. Chen, Recheck results: RBC: 5.26, HB: 12.1, HCT: 40.3, RDW: 20.7, MCV: 76.6, MCH: 25.5, MCHC: 31.5, MPV: 7.3, Fe: 48, UIBC: 392, Monocytes: 12.8. The physician at the Chinese medicine clinic stated that there is no anemia, but the report shows seve...


Dr. Chen Yunfang Reply:
Hello: I agree! You do not have anemia! Anemia is determined solely by the hemoglobin (Hb) level, and yours is 12.1, which is normal. The other abnormal values are not helpful in diagnosing your condition! They are unrelated to your dizziness and hair loss. You should consult ano...

[Read More] Understanding Your Blood Test Results: Insights for Tumor Patients


Improving Mouth Opening After Stage III Oral Cancer Treatment: Tips and Techniques

Stage III Oral Cancer Hello: In July of this year, I underwent a stage III oral cancer surgery that involved the removal of oral tissue and neck lymph nodes. I completed 33 sessions of radiation therapy and 8 sessions of chemotherapy by the end of September. Currently, I am in re...


Dr. Chen Sirong Reply:
Mr. Wu / 35 years old / Male. I don't know what your doctor has taught you, but one suggestion is to stack tongue depressors to a thickness of 1.5 cm and then add another piece (to hold in your mouth). This means to practice more. Of course, it doesn't mean you should b...

[Read More] Improving Mouth Opening After Stage III Oral Cancer Treatment: Tips and Techniques


Understanding Low WBC Count: Implications and Concerns in Oncology

Low white blood cell count (WBC)? Hello, doctor. Last week, I had a complete blood count at the clinic. My WBC (white blood cell count) was only 2900, hemoglobin was 11.5, hematocrit was 33.2, platelet count was 179, and red blood cell count was 3.67. About two weeks ago, I exper...


Dr. Hu Ziren Reply:
1. Two blood tests showed white blood cell counts below 4,000. It is advised to wait until gastrointestinal discomfort resolves and then have another blood test in three months to monitor the levels. If the count remains below 4,000, a consultation with a hematologist or a rheuma...

[Read More] Understanding Low WBC Count: Implications and Concerns in Oncology


High Immunoglobulin Levels: Potential Indicators of Blood Disorders

Elevated immunoglobulin levels? The health check results show elevated immunoglobulin levels, with total protein at 6.8 g/dL, albumin at 4.6 g/dL, and globulin at 2.2 g/dL (highlighted in red). A subsequent blood test revealed IgG at 968 mg/dL, IgA at 206 mg/dL, and IgM at 261 mg...


Dr. Chen Yunfang Reply:
Hello: Free kappa 11.83, Free lambda 1.54, Kappa/lambda ratio 7.68. Only this ratio is abnormal; the standard K/L ratio is 1/1. All other values you provided are normal (however, we cannot draw conclusions as the lab report you provided is incomplete). I cannot give recommendatio...

[Read More] High Immunoglobulin Levels: Potential Indicators of Blood Disorders


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