Understanding Lymph Node Swelling: Causes and When to Worry
Lymphadenopathy Hello Doctor, previously I had swelling in the lymph nodes on the right side of my neck, with about three nodes approximately 1 cm in size, soft in texture and movable. After a physical examination, the doctor said not to worry, indicating that there are many reas...
Dr. Hu Ziren Reply:
It is recommended to simply observe.[Read More] Understanding Lymph Node Swelling: Causes and When to Worry
Understanding Lymph Node Swelling: When to Seek Medical Advice
Suspected cervical lymphatic issues? Hello, doctor. Around April of this year, I felt a swelling sensation on the left side of my Adam's apple, so I went to the ENT department at a nearby hospital. I was diagnosed with lymphadenopathy and was prescribed a five-day course of ...
Dr. Hu Ziren Reply:
1. If you only feel lumps on both sides of the Adam's apple, it is usually a benign condition (such as upper respiratory infections or inflammation); however, if you can feel lumps above both clavicles, the issue could be more serious (some may be benign diseases of the uppe...[Read More] Understanding Lymph Node Swelling: When to Seek Medical Advice
Can Frequent Vomiting Lead to Esophageal Cancer? Understanding Risks and Prevention
Is it possible to develop esophageal cancer from frequent vomiting or self-induced vomiting? Hello Doctor, my family has a history of cancer genes. Due to my own obesity and external stress, I sometimes engage in binge eating followed by purging. Additionally, because of work-rel...
Dr. Chen Yunfang Reply:
Hello: I apologize for the late response. In short: Yes, repeated vomiting can lead to gastroesophageal reflux, which indeed increases the risk of esophageal cancer. This is true. You can eat until you are full, but avoid inducing vomiting or continuous vomiting. The esophagus, w...[Read More] Can Frequent Vomiting Lead to Esophageal Cancer? Understanding Risks and Prevention
Understanding Cartilage Proliferation: Concerns and Management
Cartilage hyperplasia issues? I have a question regarding a cartilage protrusion. I have a lump about 0.5 cm located under my left clavicle that moves with the nearby bone movements. I have been observing it for over a month, and there has been no significant change in size. I co...
Dr. Hu Ziren Reply:
It is advisable to consult an orthopedic physician for a more appropriate assessment![Read More] Understanding Cartilage Proliferation: Concerns and Management
Understanding Hard Lumps on Inner Thigh: When to Seek Medical Attention
Hard lump on the inner thigh? Hello Doctor, In March of this year, I discovered a lump about 1 cm in size located 2 cm below the groin area on the inner side of my left thigh, next to the femoral artery. I have noticed it for 3 months, but the exact duration is unclear. The lum...
Dr. Chen Sirong Reply:
Doctor Little Boy / 18 years old / Male Hello: 1. What could this be, doctor? A: It may not be possible to diagnose online. 2. Does it appear to be malignant or benign? A: 2.1 It is immovable. 2.2 It is hard. These two points still suggest a possibility of malignancy. 3...[Read More] Understanding Hard Lumps on Inner Thigh: When to Seek Medical Attention
Understanding 3DMRA Sonography: Insights on Small Intestine Concerns
3D MRA sonar detection issues? I have been experiencing long-term abdominal discomfort, so I visited a traditional Chinese medicine practitioner who suggested a type of examination that is more advanced than a 3DRA sonar detector. I made an appointment and underwent the test, but...
Dr. Hu Ziren Reply:
It is advisable to consult with the physician performing the examination or a radiologist for more appropriate guidance![Read More] Understanding 3DMRA Sonography: Insights on Small Intestine Concerns
Impact of Radiation Therapy on GORE-TEX in Nasal Reconstruction
The effect of radiation therapy on GORE-TEX materials? Hello doctor, I previously underwent rhinoplasty using GORE-TEX material due to a car accident. I have recently been diagnosed with nasopharyngeal cancer and need to undergo radiation therapy. I would like to know if radiatio...
Dr. Lai Yicheng Reply:
Hello Ms. Samy, the area of your nose is not within the radiation zone for nasopharyngeal carcinoma, so it should not affect the use of GORE-TEX material for the procedure. Changhua Hospital, Department of Radiation Oncology, Dr. Lai Yi-Cheng, May 21, 2018.[Read More] Impact of Radiation Therapy on GORE-TEX in Nasal Reconstruction
Understanding Synovial Sarcoma: A Rare and Challenging Tumor
Synovial sarcoma Hello, doctor. My brother was diagnosed with a malignant tumor in his kidney two months ago, measuring 5.4 x 4 cm. It was suspected to be renal cell carcinoma (RCC), but after surgery, the pathology results indicated it was Ewing sarcoma. A comprehensive examinat...
Dr. Lai Yicheng Reply:
Your brother has been diagnosed with synovial sarcoma, which is a rare type of cancer. Currently, I do not have experience in treating this disease. The primary treatment for this condition is surgery. If the tumor is not completely resected or if the cells are of high-grade mali...[Read More] Understanding Synovial Sarcoma: A Rare and Challenging Tumor
Understanding Groin Lumps: What You Need to Know About Your Symptoms
Inguinal mass Hello doctor, two weeks ago I felt a lump in my groin. It wasn't painful, but it wasn't as hard as a stone. At that time, I could feel it on the skin, approximately 1 cm in size. A week later, it seemed to have gradually disappeared. Now, after two weeks, ...
Dr. Hu Ziren Reply:
It is likely just a lymph node or another benign subcutaneous mass, and since it has decreased in size rather than increased, it is advised not to keep pressing on it. Observation is sufficient.[Read More] Understanding Groin Lumps: What You Need to Know About Your Symptoms
Understanding Groin Lumps: Potential Causes and Concerns
There is a lump in the groin? Hello doctor, two weeks ago I noticed a hard lump near my groin area in the pubic hair region. At that time, it was not painful when pressed. It wasn't very hard, somewhat soft but slightly firm, measuring about 1 cm to 0.8 cm. I could feel a sl...
Dr. Hu Ziren Reply:
It should just be a lymph node or another benign subcutaneous mass, and since it has decreased in size rather than increased, it is advised not to keep pressing on it; observation is sufficient.[Read More] Understanding Groin Lumps: Potential Causes and Concerns
Understanding High Platelet Counts: When to Seek Further Medical Evaluation
Thrombocytosis On March 18, I had a pre-pregnancy check-up in the obstetrics and gynecology department, and my platelet count was reported at 755 (I reviewed the report on April 17). During a company health examination on March 31, the value was 1008. Following Dr. Chen's ad...
Dr. Chen Yunfang Reply:
Hello: Please visit the hematology outpatient clinic and bring your reports. Waiting for a month is a bit long; you can come back in two weeks to have your blood drawn again. Thank you![Read More] Understanding High Platelet Counts: When to Seek Further Medical Evaluation
Can Radiation and Chemotherapy Be Combined for Cancer Treatment?
Can radiation therapy and chemotherapy be done together? Hello, Director Lai. I have a matter I am unsure about. My wife was diagnosed with stage 3 breast cancer, which recurred three years later and metastasized to the lymph nodes on the other side. After two years of chemothera...
Dr. Lai Yicheng Reply:
Dear Mr. Lee, Regarding your question, radiation therapy and chemotherapy can be administered simultaneously. It is important to take advantage of the optimal treatment window and not delay therapy any further. If you experience any side effects during the treatment process, pl...[Read More] Can Radiation and Chemotherapy Be Combined for Cancer Treatment?
Differences Between Erbitux and Vectibix in Stage IV Colorectal Cancer Treatment
The differences between Erbitux (cetuximab) and Vectibix (panitumumab) lie primarily in their molecular structure, indications, and specific mechanisms of action. Erbitux is a chimeric monoclonal antibody that targets the epidermal growth factor receptor (EGFR) and is primarily...
Dr. Hu Ziren Reply:
1. It is usually necessary to check for BRAF mutations. 2. Both options have similar efficacy, so there is no particular preference for one over the other; it is recommended to discuss any further questions in detail with your treating physician.[Read More] Differences Between Erbitux and Vectibix in Stage IV Colorectal Cancer Treatment
Choosing Between Erbitux and Vectibix for Stage IV Colon Cancer
Targeted therapy options for stage IV colorectal cancer? In the case of stage IV colorectal cancer, both Erbitux (cetuximab) and Vectibix (panitumumab) require RAS gene testing to ensure there are no mutations before they can be used. What are the differences between the two? How...
Dr. Lai Yicheng Reply:
Dear Mr. Chen, Regarding your inquiry, the National Health Insurance has specific reimbursement regulations: 1. Cetuximab (e.g., Erbitux): a. For the treatment of metastatic colorectal cancer: i. First-line treatment for patients with RAS wild-type metastatic colorect...[Read More] Choosing Between Erbitux and Vectibix for Stage IV Colon Cancer
Understanding Lymph Nodes: When to Worry About Swelling
Is it lymphatic? Hello, Dr. Hu. Here's the situation: About two weeks ago, I had a cold, and then I experienced swelling and pain below my jaw. The doctor said it was lymphadenitis, and after taking medication for a week, the swelling subsided. However, at that time, I notic...
Dr. Hu Ziren Reply:
It sounds like it is advisable not to constantly pinch or stimulate it; just observe it instead.[Read More] Understanding Lymph Nodes: When to Worry About Swelling
Understanding Lymph Nodes: Concerns and Questions About Swelling
Continuing from question #133267? Dr. Chen, I apologize for bothering you, but I am very worried and have been seeking your advice. To provide additional context: the suspected lymph node is located deep in the left neck, near the clavicle, and I can only feel it by raising my sh...
Dr. Chen Sirong Reply:
Dear Dr. Chen, I apologize for continuously seeking your advice due to my concerns. To provide additional context: the suspected lymph node is located deep in the left neck, near the clavicle, and I can only feel it by raising my shoulder. I would like to ask you the following...[Read More] Understanding Lymph Nodes: Concerns and Questions About Swelling
Understanding Adrenal Incidentalomas: Functionality and Follow-Up Care
Adrenal incidentaloma Dear Doctor, Last year in June and July, I consulted you regarding an adrenal gland tumor. Later, I went to the hospital and saw an endocrinologist who confirmed through a CT scan that I have a 2.56 cm tumor. The doctor arranged for blood tests and urine t...
Dr. Hu Ziren Reply:
The initial test results may be influenced by oral steroids (false positives). It is usually recommended to monitor the values regularly. If the second test results are still abnormal, further examinations will be suggested. For detailed answers, please consult your attending phy...[Read More] Understanding Adrenal Incidentalomas: Functionality and Follow-Up Care
Understanding Tongue Symptoms: Should You Worry About Oral Cancer?
I have noticed a sore or ulcer on one side of my tongue in the past couple of days, and I'm concerned whether this could be a precursor to tongue cancer? Question 1: I noticed a small indentation on one side of my tongue over the past couple of days. The wound doesn't l...
Dr. Chen Yunfang Reply:
Hello, I apologize for the late reply (I was abroad for 8 days). I have looked at the pictures you uploaded to Google Photos. This does not resemble the tongue cancer I commonly see; it appears to be just an ulcer. Please don't worry too much, and focus on eating more fruits...[Read More] Understanding Tongue Symptoms: Should You Worry About Oral Cancer?
Is Eyelid Twitching Linked to Tumors? Understanding the Connection
Is there a connection between eyelid twitching and tumors? Last February, my left eyelid started twitching. It wasn't continuous, but it happened multiple times every day, several times at once. Initially, I didn't think much of it, but soon after, I discovered that I h...
Dr. Hu Ziren Reply:
It may just be a coincidence or a psychological effect; otherwise, it could indicate an issue with the brain (such as a brain tumor, etc.).[Read More] Is Eyelid Twitching Linked to Tumors? Understanding the Connection
Understanding Swollen Lymph Nodes: Are They Always Cancerous?
Lymphadenopathy Doctor, doctor!!! I'm sorry to ask! 😭 Two weeks ago, I felt a lymph node about 0.8 mm in size in my neck. It moves around when I touch it, but it doesn't hurt. Recently, in the last two days, I suddenly felt two more lymph nodes of the same size, also 0....
Dr. Hu Ziren Reply:
It is likely just lymphadenopathy; avoid constantly irritating it, and it should resolve on its own after some time.[Read More] Understanding Swollen Lymph Nodes: Are They Always Cancerous?