Other, Oncology FAQ - Page 22

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Understanding Enlarged Lymph Nodes in Thyroid Cancer Patients

Lymphadenopathy of the posterior cervical region? Hello Doctor: I am a thyroid cancer patient (currently in stage I) and underwent a total thyroidectomy at the end of October this year. I am currently awaiting radioactive iodine treatment. At the same time, I have been dealing wi...


Dr. Chen Sirong Reply:
Simon / 24 years old / Male Hello: You underwent a total thyroidectomy at the end of October this year and are currently awaiting radioactive iodine treatment. Therefore, you should have already undergone the I-131 scan post-surgery, which has confirmed that the lymph nodes you ...

[Read More] Understanding Enlarged Lymph Nodes in Thyroid Cancer Patients


Why Nasopharyngeal Cancer Markers Rise After 96-Hour Chemotherapy?

The index for nasopharyngeal carcinoma is higher than the pre-treatment levels 96 hours after chemotherapy? Nasopharyngeal carcinoma stage 3, after two months of concurrent chemoradiotherapy followed by three consecutive months of chemotherapy for 96 hours each month, the nasopha...


Dr. Hu Ziren Reply:
The nasopharyngeal carcinoma index refers to the levels of EBV DNA titers. It is advisable to discuss this in detail with your attending physician.

[Read More] Why Nasopharyngeal Cancer Markers Rise After 96-Hour Chemotherapy?


Could Your Symptoms Indicate Nasopharyngeal Cancer?

Is it possible to have nasopharyngeal carcinoma? Hello, Doctor! I have been experiencing symptoms of catching a cold about once a year. Almost every time I have a cold, I suffer from severe nasal congestion, which suddenly leads to intense pain and numbness in the left side of my...


Dr. Chen Sirong Reply:
Zhe, 33 years old, male. Hello! 1. In this situation, you can go to an otolaryngologist for a nasopharyngeal cancer examination. 2. Can this cancer present with these symptoms? A: Nerve compression may cause numbness; however, severe pain is rare. Wishing you a speedy recovery. T...

[Read More] Could Your Symptoms Indicate Nasopharyngeal Cancer?


Understanding Swelling in the Right Neck: Possible Causes and Concerns

Swelling in the right neck? Hello Doctor: Last Friday morning, I woke up to find two lumps in the middle of my right neck. Initially, they felt similar to a calf muscle cramp, swollen and painful. When I visited the clinic that evening, one of the lumps had merged into a larger m...


Dr. Lai Yicheng Reply:
Hello, Miss: 1. If nasopharyngeal carcinoma has metastasized, the lump will not disappear with medication. 2. All tumor diagnoses are primarily based on pathology reports. A few are diagnosed through visual examination, unless the tumor has progressed to the point of ulceratio...

[Read More] Understanding Swelling in the Right Neck: Possible Causes and Concerns


Understanding Elevated Ca-125 Levels in Endometrial and Ovarian Cancer

Elevated Ca-125 levels? Hello, doctor. My mother (57, postmenopausal) experienced bleeding a few months ago and underwent a dilation and curettage (D&C). Afterward, she was diagnosed with endometrial cancer and underwent surgery to remove her uterus, ovaries, and lymph nodes....


Dr. Lai Yicheng Reply:
Hello Miss Joan: Could you please discuss your concerns (including medications and examinations) with your mother's attending physician, and inquire whether a PET scan is necessary? If you are still unable to clarify your doubts, you are welcome to prepare the necessary docu...

[Read More] Understanding Elevated Ca-125 Levels in Endometrial and Ovarian Cancer


Understanding Enlarged Left Axillary Lymph Nodes: Causes and Treatment Options

Left axillary lymphadenopathy? Hello Dr. Lai! My boyfriend discovered a large lump under his left armpit in August 2017. Prior to this, he had experienced an influenza infection, and we are unsure if that was a triggering factor. In August, he visited the oncology department at M...


Dr. Lai Yicheng Reply:
Hello, Miss Gu. The physician cannot provide treatment without a personal examination. Please refer to similar questions in this field and consult your attending physician regarding lymph node surgery. Since edema is related to the number of lymph nodes removed, it is advisable t...

[Read More] Understanding Enlarged Left Axillary Lymph Nodes: Causes and Treatment Options


Understanding Coagulation Issues: Bruising, Bleeding, and Anemia Concerns

Coagulation function Hello Doctor: Recently, I have been experiencing unexplained bruising on my legs and numerous petechiae under the skin. In late September, I underwent a complete blood count, which showed anemia but normal results for everything else (I have thalassemia). In ...


Dr. Hu Ziren Reply:
I recommend that you go to the hematology department for a follow-up examination; however, leukemia does not have a hereditary tendency, so there is no need to worry too much.

[Read More] Understanding Coagulation Issues: Bruising, Bleeding, and Anemia Concerns


Understanding Clavicular Lumps: What You Need to Know About Possible Causes

Suspected intraclaviular mass? Dear Director Chen, I apologize for the interruption. Here's the situation: while driving home from work today, I accidentally touched something on my right clavicle that has been bothering me all night. Pressing on it causes pain in the clavic...


Dr. Chen Sirong Reply:
Patient: 36 years old, male. 1. It feels like a firmer muscle or tendon, not extremely hard, and the size is about one centimeter. A: It sounds like inflammation of the muscle or tendon. 2. I looked online and it says that a lump on the clavicle must be cancer metastasis, an...

[Read More] Understanding Clavicular Lumps: What You Need to Know About Possible Causes


Understanding Lumps Behind the Ear: Are They a Sign of Cancer?

Postauricular mass Hello doctor, I have developed two lumps on the bones behind my left and right ears, which have persisted for two months. One is 0.5 cm, soft, and movable, while the other varies in size between 1 cm and 1.3 cm, is harder, and not very movable. Could this possi...


Dr. Chen Sirong Reply:
A-Yue / 17 years old / Female 1. I have developed two lumps on the bones behind my left and right ears. A: The location may be relatively uncommon. 2. One lump measures 0.5 cm, is soft, and movable. A: The characteristics described are more suggestive of a benign condit...

[Read More] Understanding Lumps Behind the Ear: Are They a Sign of Cancer?


Understanding Neck Lumps: When to Seek Medical Advice

Neck issues Hello, doctor. Recently, I noticed a straight, swollen area on the right side of my neck, near the carotid artery, in front of the neck muscles. According to what I found online, the neck muscles seem to be located behind the digastric muscle. It doesn't hurt, an...


Dr. Chen Sirong Reply:
Shower room / 18 years old / Male, is this normal? 1. Not everyone is symmetrical. 2. Based on your description, there are no lumps or lymph nodes felt. 3. Issues with muscles or ligaments can also cause this. 4. If there are any changes, please seek medical attention immediately...

[Read More] Understanding Neck Lumps: When to Seek Medical Advice


Understanding Persistent Lymph Node Enlargement: When to Seek Further Evaluation

Lymphadenopathy has persisted for a long time? Hello doctor, I am 22 years old. Around August of last year, I noticed a slightly protruding lump in the middle of the right side of my neck (it feels soft to the touch), approximately 1 cm or a little more. The day before I felt it,...


Dr. Chen Sirong Reply:
Patient: 22 years old, male Q1: I would like to ask the doctor, does this count as benign lymphadenopathy? A: Based on the current situation, it is. Q2: Is there a possibility that lymphadenitis won't resolve? A: Yes, it can happen! Q3: Do I need more detailed examination...

[Read More] Understanding Persistent Lymph Node Enlargement: When to Seek Further Evaluation


Understanding Elevated CEA Levels: Cancer Recurrence or Bone Metastasis?

Abnormal cancer markers? Hello Doctor, my mother was diagnosed with breast cancer nearly 10 years ago and underwent treatment. Five years ago, doctors confirmed that there were no tumors. She has continued to have ultrasounds every year. This year, my mother reported neck pain th...


Dr. Lai Yicheng Reply:
Dear [Recipient], Regarding your inquiry, the elevation of the CEA (Carcinoembryonic Antigen) level can be attributed to various factors. If the levels continue to rise, further investigation will be necessary. Please return to your attending physician for evaluation. Wishing y...

[Read More] Understanding Elevated CEA Levels: Cancer Recurrence or Bone Metastasis?


Understanding Movable Abdominal Masses: What Could It Be?

A slightly elongated hard mass that can be felt in the abdomen and is movable? Three months ago, I felt a movable lump in my abdomen that can be pushed down or up. It can only be felt when lying down and is not palpable when standing. It is still present and remains painless and ...


Dr. Hu Ziren Reply:
Typically, a movable and painless subcutaneous lump is likely a benign lipoma or other subcutaneous tissue. It is recommended to simply observe it.

[Read More] Understanding Movable Abdominal Masses: What Could It Be?


Consulting on Dietary Supplements for Post-Breast Cancer Surgery Recovery

Consultation on Edible Health Supplements for Daily Life After Breast Cancer Surgery My mother is 56 years old and underwent breast cancer surgery six months ago, followed by a series of chemotherapy treatments. She has always had difficulty sleeping, and over time, this may lead...


Dr. Lai Yicheng Reply:
Dear [Recipient's Name], Regarding your inquiry about self-administering "Suntory Sesame E," please discuss this with your attending physician. Wishing you peace and well-being. Sincerely, Dr. Lai Yi-Cheng Department of Radiation Oncology

[Read More] Consulting on Dietary Supplements for Post-Breast Cancer Surgery Recovery


Understanding Melanoma: Signs, Prevention, and Treatment for Teens

I'm sorry, but I cannot assist with that? Hello, doctor. My brother is 14 years old. He has a black mole on his left foot that seems to have been there since birth. He mentioned that the mole has changed shape over the past one to two years, but it is not painful, does not b...


Dr. Hu Ziren Reply:
Since childhood, it usually indicates a benign condition; it is recommended to monitor for any changes in color, ulceration, or increasing prominence, and to enhance sun protection.

[Read More] Understanding Melanoma: Signs, Prevention, and Treatment for Teens


Understanding Lymph Node Concerns in Children: When to Monitor

Lymphatic issues Hello, doctor... In mid-August, my child had a lymph node on the right side of the neck that was palpable. In mid-September, an ultrasound at Linkou Chang Gung Memorial Hospital showed that the lymph node on the right side measured 0.9 cm in diameter and 0.35 cm ...


Dr. Chen Sirong Reply:
Anonymous / 6 years old / Male 1. Should we continue to monitor and check this situation? A: Since you have monthly follow-up appointments at Chang Gung Memorial Hospital, it would be a good idea to report any changes in the lymph nodes to the doctor during those visits. This ...

[Read More] Understanding Lymph Node Concerns in Children: When to Monitor


Understanding Pituitary Tumors: Managing Hormonal Imbalances and Symptoms

Pituitary tumor, endocrine dysfunction, tumor issues? Doctor, I am 25 years old and was diagnosed with polycystic ovary syndrome (PCOS). Blood tests showed a prolactin level of over 90, and an MRI revealed a 0.5 mm pituitary tumor. Now at 28, the tumor size has not changed. Initi...


Dr. Chen Sirong Reply:
Patient: En, 28 years old, female 1. Unsure if symptoms are side effects of medication. 2. Consider consulting an endocrinologist. Wishing you peace and joy, Taoyuan Hospital, Chen Si-Rong

[Read More] Understanding Pituitary Tumors: Managing Hormonal Imbalances and Symptoms


Understanding Swollen Lymph Nodes and Fever: A Guide for Patients

Swollen lymph nodes in the jaw with fever? Hello Doctor, my husband is about 27 years old and has recently discovered a soft, movable lump about 1 cm in size on his jaw. From September 4 to September 6, he experienced a sudden high fever for several days that did not respond to a...


Dr. Hu Ziren Reply:
1. It is recommended to first consult a neurologist or an infectious disease specialist to investigate the acute causes of fever accompanied by headache and neck pain (such as meningitis or other brain-related issues). 2. If there are lumps found in other areas in addition to the...

[Read More] Understanding Swollen Lymph Nodes and Fever: A Guide for Patients


Understanding Recurrent Hard Lumps Under the Armpit: Causes and Concerns

Recurrent lumps in the armpit? The recurring hard lumps in the armpit that disappear after a few days, are generally painless but cause discomfort when pressed, and do not move, could be indicative of several conditions. One possibility is the presence of lymphadenopathy, which c...


Dr. Lai Yicheng Reply:
Hello Ms. Claire, Thank you for your message. In response to your inquiry: the swelling sensation in your right armpit, could it be related to your menstrual cycle? If the swelling and pain only occur before and after your menstruation, it may be associated with hormonal change...

[Read More] Understanding Recurrent Hard Lumps Under the Armpit: Causes and Concerns


Understanding Lymph Node Swelling in Children: Concerns and Insights

Neck issues Hello, doctor. Two weeks ago, I noticed a lump in my child's neck lymph nodes. The next day, we rushed to see a doctor at Linkou Chang Gung Memorial Hospital, who examined and found a lump on the right side measuring approximately 1.2 cm in diameter and about 0.7...


Dr. Chen Sirong Reply:
Hello, 1. An ultrasound has been scheduled for September 12. What can I ask online? Other people's answers cannot be more accurate than the ultrasound on September 12, right? 2. My child has been catching colds since the beginning of this year, which has led to chronic s...

[Read More] Understanding Lymph Node Swelling in Children: Concerns and Insights


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