Ensuring Safety at Home: Managing Cancer Medications with Dementia Care
The oral medication for cancer is safe? Hello, doctor! Our elder at home is suspected to have dementia. He has been receiving medical treatment and medication for dementia, but the effects are minimal. He forgets to wash his hands after taking his chemotherapy medication and ofte...
Dr. Lai Yicheng Reply:
Hello, Ms. Sandwich Cookie. Regarding the safety of oral medications for cancer treatment, it is advisable to consult your hospital's pharmacist for a more secure recommendation. Thank you for reaching out. Best regards, Dr. Lai Yi-Cheng, Department of Radiation Oncology, Ch...[Read More] Ensuring Safety at Home: Managing Cancer Medications with Dementia Care
Assessing Lumps: Should I Return to Taiwan for Medical Evaluation?
Body mass. Case: 126359 Follow-up? Hello Doctor, I reached out to you two weeks ago. I still haven't been able to make an appointment abroad, so I'm asking you again to assess whether I need to return to Taiwan for medical treatment immediately. Currently, my condition ...
Dr. Chen Sirong Reply:
Steven Chiu / 25 years old / Male Hello: Typically, cancer tends to grow slowly and only shrinks if steroids are used, so the likelihood of this being good news is probably greater than 95%. However, doctors online cannot provide a definitive answer without a personal examinatio...[Read More] Assessing Lumps: Should I Return to Taiwan for Medical Evaluation?
Caring for Grandma with Multiple Myeloma: Dietary and Lifestyle Tips
Grandma has multiple myeloma? Recently, my grandmother was diagnosed with multiple myeloma, and it is now affecting her kidney function. What dietary and daily living recommendations do you have? My grandmother is in her 70s, and what kind of treatment options are typically consi...
Dr. Hu Ziren Reply:
Hello, if your grandmother's mobility is still relatively normal, it is recommended that she can undergo pharmacological treatment. In terms of diet, be cautious to avoid foods high in potassium and phosphorus, as well as medications that can harm the kidneys (such as certai...[Read More] Caring for Grandma with Multiple Myeloma: Dietary and Lifestyle Tips
Understanding Complications After Autologous Stem Cell Transplant for Multiple Myeloma
Multiple Myeloma 1: Hello Doctor, my family member is a 50-year-old male who was diagnosed with multiple myeloma last year. He completed an autologous stem cell transplant this Lunar New Year. Last month, during a follow-up visit, his blood test showed a hemoglobin level of 100 a...
Dr. Hu Ziren Reply:
You may try oral corticosteroids; if there is no improvement or if the condition worsens after 10 to 14 days, a referral to a dermatologist for a skin biopsy may be recommended.[Read More] Understanding Complications After Autologous Stem Cell Transplant for Multiple Myeloma
Understanding Lymph Node Swelling: When to Seek Further Medical Advice
Lymphadenopathy Hello Doctor, since October of last year, I have had inflammation from acne that caused swelling of the lymph nodes on the left side of my neck. Initially, the swelling was painful and accompanied by fever, but after taking antibiotics, it has not subsided and has...
Dr. Hu Ziren Reply:
You can schedule an appointment with a general surgeon for evaluation.[Read More] Understanding Lymph Node Swelling: When to Seek Further Medical Advice
Understanding Skin Lumps: Tumor or Just a Skin Issue?
There is a hard lump under the skin? Hello doctor, I have a palpable lump in the area of my buttocks. The skin does not show any abnormal color, and the lump does not move when I pinch it. It has been there for about eight years. Since it hasn't been painful or increased in ...
Dr. Hu Ziren Reply:
It should just be a lipoma or another benign tumor.[Read More] Understanding Skin Lumps: Tumor or Just a Skin Issue?
Managing Stage IV Esophageal Cancer with Metastasis: Key Considerations
Stage IV esophageal cancer with metastasis to other sites? Hello, Doctor! At the beginning of July, my father (56 years old) suddenly experienced weakness in his left leg. After examination at the hospital, it was found that there were 3-4 tumors of varying sizes in his brain. Fu...
Dr. Lai Yicheng Reply:
Dear Ms. Wu, Thank you for your letter. Here are the responses to your inquiries in order: 1. Currently, nutrition is being administered primarily via a nasogastric tube. Oral intake should be avoided to prevent aspiration pneumonia due to potential esophageal obstruction from ...[Read More] Managing Stage IV Esophageal Cancer with Metastasis: Key Considerations
Understanding Lymph Node Metastasis in Breast Cancer: Treatment Options
Breast cancer metastasis to lymph nodes? Doctor, I apologize for bothering you, but I have a question. My wife has metastatic breast cancer that has spread to the lymph nodes and is resistant to treatment. Can she receive mogamulizumab? Is it effective? Thank you, doctor.
Dr. Hu Ziren Reply:
Mabthera (Rituximab) is ineffective.[Read More] Understanding Lymph Node Metastasis in Breast Cancer: Treatment Options
Understanding Gastrointestinal Stromal Tumors: Survival and Treatment Options
Gastrointestinal stromal tumors (GISTs) Hello: My mother-in-law (60 years old) underwent resection of a gastrointestinal stromal tumor (GIST) measuring over 20 centimeters two years ago. During the surgery, many small tumors were also discovered in the abdominal cavity. The docto...
Dr. Hu Ziren Reply:
1. The causes of death are similar to those of common cancers, but some may experience gastrointestinal bleeding or even rupture. 2. If there is a recurrence, surgical resection usually only serves to manage complications and tumor growth. 3. If medications can prolong the ti...[Read More] Understanding Gastrointestinal Stromal Tumors: Survival and Treatment Options
Do You Need to Check Blood Return During Chemotherapy Infusions?
Chemotherapy-induced recovery? I would like to ask, every time before administering chemotherapy drugs, the nursing staff confirms blood return. Is it necessary to check for blood return again during the infusion process?
Dr. Hu Ziren Reply:
Before administering the injection, aspirating is done to ensure that the catheter is patent; therefore, it is sufficient to confirm this before the injection. There is no need to continuously check during the injection process.[Read More] Do You Need to Check Blood Return During Chemotherapy Infusions?
Understanding Right Neck Swelling: Causes and When to Seek Help
Swelling in the right side of the neck? Hello, doctor. I would like to ask about a situation that started last week. Due to nasal congestion, I have been experiencing difficulty breathing, so I visited a clinic. The doctor mentioned that I have mild rhinitis causing my breathing ...
Dr. Chen Sirong Reply:
Mr. Bai / 40 years old / Male Hello, I would like to ask about a concern. Since last week, I have been experiencing nasal congestion, which has led to difficulty breathing. I visited a clinic, and the doctor mentioned that I have mild rhinitis causing my breathing issues and pre...[Read More] Understanding Right Neck Swelling: Causes and When to Seek Help
Persistent Lump Under My Armpit: What Could It Be?
The lump in my armpit has not gone away? Hello, I previously asked about a lump under my left armpit that hasn't gone away. Initially, I noticed a small oval-shaped area, about the size of a fingernail, which suddenly enlarged to approximately 1 cm within 1 to 2 days. At tha...
Dr. Chen Yunfang Reply:
Hello: If that's the case, please schedule an appointment with a general surgeon (preferably a breast surgeon) to have the doctor examine you and determine if a biopsy is necessary. Thank you, and please go ahead and register.[Read More] Persistent Lump Under My Armpit: What Could It Be?
Understanding Groin Lumps: When to Seek Medical Advice
Inguinal mass Hello Doctor, I have noticed a small movable lump in my left groin area. It is not painful when pressed and is relatively small (about 5-8 mm, less than 1 cm), but it feels noticeably larger than the other lymph nodes. I found some information suggesting that it mig...
Dr. Hu Ziren Reply:
5-8 mm is too small and usually has no significant meaning, so it is recommended to just observe.[Read More] Understanding Groin Lumps: When to Seek Medical Advice
Understanding Groin Lumps: When to Seek Medical Attention
Inguinal mass A few months ago, I noticed a small hard lump on the right side. It was painless, so I didn't pay much attention to it, thinking it would go away. Recently, however, I started to feel pain when my underwear rubbed against it while walking, which made me realize...
Dr. Hu Ziren Reply:
If there are accompanying symptoms (such as fever, urinary tract symptoms, or pain or burning sensation during urination), it is recommended to consult a gynecologist or urologist. If there are no other symptoms, you may see an infectious disease specialist or a general surgeon.[Read More] Understanding Groin Lumps: When to Seek Medical Attention
Exploring Potential Bone Metastasis in Endometrial Cancer Patients
Suspected bone metastasis from endometrial cancer? Hello Doctor: I had surgery for endometrial cancer last May, and the pathology report indicated stage III. By February, all my treatments were completed, but my tumor markers have not decreased (still in the 70s). There are sever...
Dr. Chen Sirong Reply:
Patient: Jin Ding / 67 years old / Female Hello: 1. What other methods can be used to find the cause? A: 1A. The most proactive approach is a biopsy (the advantage is definitive confirmation). 1B. The next option is imaging diagnostics: 1.1. Out-of-pocket po...[Read More] Exploring Potential Bone Metastasis in Endometrial Cancer Patients
Understanding Adrenal Nodules: What You Need to Know
Adrenal nodule Hello, doctor. About three months ago, I visited a gastroenterologist and underwent an abdominal ultrasound. At that time, I was informed that there were cysts on my liver, a hemangioma, and polyps in my gallbladder, and I was advised to return for a follow-up in t...
Dr. Hu Ziren Reply:
Adrenal nodules are often incidentally discovered during abdominal imaging. After further evaluation with a computed tomography (CT) scan to confirm the lesion and its size, additional blood tests are needed to determine if further intervention (surgery) is necessary. Therefore, ...[Read More] Understanding Adrenal Nodules: What You Need to Know
Exploring Treatment Options for Stage III Esophageal Adenocarcinoma
Stage III esophageal adenocarcinoma? Hello Doctor, my father was diagnosed with stage III esophageal adenocarcinoma in mid-April. There is only some space left in the upper part of his stomach, and the gastric wall at the gastroesophageal junction has thickened. In early May, a c...
Dr. Lai Yicheng Reply:
Ms. Shiori: Based on the condition you described, your father will primarily continue with chemotherapy, supplemented by radiation therapy. Dr. Lai Yi-Cheng, Department of Radiation Oncology, Changhua Hospital.[Read More] Exploring Treatment Options for Stage III Esophageal Adenocarcinoma
Managing Cancer and Mental Health: Prioritizing Care for Patients
Lung cancer metastasis to the brain? Hello Doctor: My boyfriend is Malaysian, and his mother has been diagnosed with stage IV lung cancer that has metastasized to the brain. She has just completed radiation therapy for the brain. Initially, she was supposed to receive a treatment...
Dr. Hu Ziren Reply:
Hello, online user: In the case of lung cancer with brain metastasis, and recent treatments including cranial radiotherapy and systemic chemotherapy, if the patient has no history of mental illness, it is advisable to first rule out the worsening of brain metastasis or acute side...[Read More] Managing Cancer and Mental Health: Prioritizing Care for Patients
Understanding Uncertain Tumor Results: What You Need to Know
There is a lump in the middle of the bone in the front of the lower leg? Dear Doctor, my father underwent surgery on May 24 to remove a skin mass, which was sent for pathology testing. The hospital informed us that the stitches would be removed in two weeks, along with the report...
Dr. Hu Ziren Reply:
Hello, online friend: If a skin mass is excised and the pathology report indicates squamous cell carcinoma, it is often true that most cases are metastatic. Therefore, it is recommended to wait for the results of a comprehensive examination (including a CT scan) before proceeding...[Read More] Understanding Uncertain Tumor Results: What You Need to Know
Understanding Blast Cells During Chemotherapy: Implications for Treatment Efficacy
Is it possible to still detect blast cells in peripheral blood during the hospitalization period after chemotherapy? My daughter is 15 months old and has achieved remission after two rounds of induction therapy. She is currently hospitalized for her third round of chemotherapy, a...
Dr. Hu Ziren Reply:
Hello, it is advisable for you to consult a pediatric hematologist for more appropriate guidance.[Read More] Understanding Blast Cells During Chemotherapy: Implications for Treatment Efficacy