Other, Oncology FAQ - Page 24

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Understanding Persistent Lymph Nodes: When to Seek Medical Attention

Lymph node issues? Hello Doctor: I have a question. Last year, I had a neck issue and consulted an ENT specialist who said it was lymph nodes. I took antibiotics, but after six months, they have not decreased in size; there are about 1.5 cm lymph nodes on both sides. Recently, I ...


Dr. Chen Sirong Reply:
Hello, I'm 24 years old female. 1. Can you please explain why the lymph nodes haven't decreased in size and have instead increased in other areas? A: 1.1 Benign lymph nodes can enlarge due to repeated infections and irritation. Many people experience this phenomenon,...

[Read More] Understanding Persistent Lymph Nodes: When to Seek Medical Attention


Understanding Lymph Node Swelling: When to Seek Further Evaluation

Lymphadenopathy Hello, doctor. Last week, I felt a lymph node about 2 cm in size at the intersection of my neck and left shoulder. It is movable and not painful. The next day, I went to see an ENT specialist and had blood tests done. The doctor reviewed the results and said that ...


Dr. Hu Ziren Reply:
Hello, netizen: If you have noticed lymph nodes that have been palpable for a short period, it is advisable to monitor them for a few months. If they continue to enlarge or if more nodes appear, further evaluation is recommended.

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


Understanding the Connection Between Elevated White Blood Cells and Weight Gain

White blood cell and weight issues? Hello, I had a health check-up at the hospital on May 13th. The report indicated that my white blood cell count is 13,000, which is slightly elevated. My high-density lipoprotein (HDL) cholesterol is >= 45. I did not have a cold or take any ...


Dr. Hu Ziren Reply:
Hello, netizen: If we exclude other acute and potential infectious causes, it is possible that the increase in white blood cell count is related to a significant weight gain.

[Read More] Understanding the Connection Between Elevated White Blood Cells and Weight Gain


Understanding Lumps Under the Armpit: When to Seek Medical Advice

There is a hard lump in the armpit? Hello, Doctor. Recently, I noticed a small lump in my armpit, about 0.5 centimeters in size. It is not very prominent and cannot be seen in the mirror; I can only feel it by touch. It has a soft texture, is immovable, and feels similar to a mos...


Dr. Chen Yunfang Reply:
Hello: The axilla is still considered an extension of breast tissue, and any related lumps should be evaluated by a breast surgeon. It is advisable to have the surgeon who diagnosed your mother with breast cancer take a look. Thank you!

[Read More] Understanding Lumps Under the Armpit: When to Seek Medical Advice


Understanding Painful Lumps in the Right Neck: When to Seek Help

Right cervical lymphadenopathy? Last week, I developed two lumps on the right side of my neck that are painful, sore, and numb to the touch. I visited an otolaryngologist, who prescribed anti-inflammatory medication. At that time, I also had a cold and cough, so the doctor mentio...


Dr. Chen Sirong Reply:
An / 24 years old / Male 1. If I go to a large hospital for an appointment, which department should I register for an examination? A: Otolaryngology (ENT) 2. I am a delivery driver, I chew betel nut and smoke. Is this lump caused by unhealthy lifestyle habits? A: Chewing ...

[Read More] Understanding Painful Lumps in the Right Neck: When to Seek Help


Navigating Breast Cancer Treatment Options for a 90-Year-Old Grandmother

My grandmother, who is over 90 years old, has been diagnosed with stage II breast cancer. What are the concerns regarding her subsequent treatment? Recently, it was discovered that my 90-year-old grandmother has stage II breast cancer, PR+ER+Her2+(currently undergoing FISH testin...


Dr. Chen Sirong Reply:
Meg, 30 years old, female. 1. After examination, there is no metastasis, but due to age and the inherent risks of surgery, she chooses to forgo surgical intervention. Can she opt for direct hormonal therapy and targeted therapy with government insurance coverage for trastuzumab...

[Read More] Navigating Breast Cancer Treatment Options for a 90-Year-Old Grandmother


Assessing End-Stage Multiple Myeloma: Symptoms and Treatment Options

End-stage assessment of multiple myeloma? Dear Doctor, My father was diagnosed with stage II multiple myeloma six years ago at the age of 65. He did not undergo a stem cell transplant but chose treatment with CyBorD (cyclophosphamide, bortezomib, and dexamethasone). For the firs...


Dr. Chen Yunfang Reply:
Hello: 1. The original physician from Hospital L has returned, and the physician from Hospital Z has asked you to go back to the original hospital for treatment, so it’s quite clear where to go. 2. The symptoms of multiple myeloma are primarily related to the bone marrow. As the ...

[Read More] Assessing End-Stage Multiple Myeloma: Symptoms and Treatment Options


Understanding Lymph Node Issues in Lymphoma: Key Questions Answered

Lymph Node Issues - Follow-up Questions Thank you for your previous response, Doctor. I have a question to ask. You mentioned that removing a lymph node can only confirm whether that specific node is problematic. However, another doctor told me that lymphoma is systemic, so it do...


Dr. Chen Yunfang Reply:
Hello: 1. "Seeing is believing" is 100% certain, while "based on experience" is not necessarily so. 2. The same issue is a matter of probability; the best diagnostic method would be to excise all lymph nodes throughout the body, regardless of size, and send...

[Read More] Understanding Lymph Node Issues in Lymphoma: Key Questions Answered


Understanding Early Signs of Breast Cancer: What You Need to Know

Early signs of breast cancer? Hello :) 1. The data indicates that in the early stages, there are usually no symptoms or pain, but small hard lumps may be present that do not move and are not painful. (Does breast development affect the number of lumps?) If there are only small ...


Dr. Hu Ziren Reply:
Unless there is a personal history of cancer or a family history of breast cancer, it is not recommended to undergo breast cancer screening too early.

[Read More] Understanding Early Signs of Breast Cancer: What You Need to Know


Understanding Unidentified Bumps on the Shin: What You Need to Know

Unknown object I would like to ask: I can feel two protrusions above my calf bone, one is smaller and the other is larger. I can feel them when I press on them, but they are not painful. They appear slightly raised on the outside, but not very noticeable. Should I be concerned ab...


Dr. Hu Ziren Reply:
Netizen: Since I didn't see it, I don't know if you're referring to something subcutaneous? If so, it should just be some subcutaneous lipomas or other benign tumors; I recommend just monitoring it.

[Read More] Understanding Unidentified Bumps on the Shin: What You Need to Know


Understanding Lymph Node Issues: When to See a Specialist

Lymph node issues? Hello Doctor, I had a biopsy of the groin lymph nodes last October, which turned out to be benign. In February, I had a PET scan for a chest nodule, and there were no significant issues. However, recently I have been feeling more and more lymph nodes, so I went...


Dr. Chen Yunfang Reply:
Hello: First of all, the excision of subcutaneous lymph nodes is a procedure that any general surgeon can perform; you can choose anyone. Those who claim to have special expertise are simply indicating that they are particularly specialized in this area. Lymph node excision is so...

[Read More] Understanding Lymph Node Issues: When to See a Specialist


Why Doctors Advise Against Lymph Node Removal: Understanding Risks and Concerns

Why do doctors generally not recommend surgery? Is it because there may be potential complications? Hello Doctor, in early December 2016, I felt pain inside my right lower jaw. I thought about massaging it and found a lymph node. After taking medication at a nearby ENT clinic, it...


Dr. Chen Yunfang Reply:
Hello: Since you have seen so many specialists, it's best to follow their advice and just observe. Clinically, lymph nodes that are recognized to have malignant changes typically have a diameter greater than 1 cm, and most cancers are around 2-3 cm in size. So, is your lymph...

[Read More] Why Doctors Advise Against Lymph Node Removal: Understanding Risks and Concerns


Managing Lateral Lymph Node Metastasis in Papillary Thyroid Cancer: Surgery or I-131?

For lateral lymph node metastasis of papillary thyroid carcinoma, is surgery recommended or is iodine-131 treatment preferred? 1. What is the ideal level of thyroglobulin (TG)? 2. Given the bilateral lateral neck lymph node metastasis, should surgery be performed or should anothe...


Dr. Chen Sirong Reply:
Marian / 21 years old / Male Q1: What is the ideal TG value? A: For patients on thyroid hormone replacement, a TG < 1 indicates successful treatment, while a TG > 5 raises suspicion for recurrence. For those not on thyroid hormone replacement, a TG < 5 indicates succe...

[Read More] Managing Lateral Lymph Node Metastasis in Papillary Thyroid Cancer: Surgery or I-131?


Understanding Adjuvant Therapy Options for Colorectal Cancer Patients

Adjuvant medication Hello, Dr. Lai! I recently underwent a colonoscopy, and it was found that there are two flat polyps extending horizontally at the cecum: one measuring approximately 1.5 cm x 0.7 cm and the other in a V-shape measuring about 2 cm x 0.5 cm. Visually, they are di...


Dr. Lai Yicheng Reply:
Dear Ms. K.K., Thank you for your inquiry. Here are the responses: 1. All diagnoses should be based on the pathological report from laboratory tests. If it is not a malignant tumor, polypectomy may suffice. However, if it is unfortunately malignant, the pathological report from...

[Read More] Understanding Adjuvant Therapy Options for Colorectal Cancer Patients


Oral Chemotherapy for Stage II Colon Cancer: Risks and Benefits for Elderly Patients

Oral chemotherapy drugs Hello Dr. Chen, my mother is 86 years old and underwent a right hemicolectomy for a tumor at the end of March. She has now been discharged and is back home. However, the pathology report indicates that although it is stage II, the cell differentiation is p...


Dr. Chen Sirong Reply:
Mr. Zhang / 47 years old / Male Hello, 1. I would like to ask the doctor about the differences between not taking oral chemotherapy drugs and taking them for a stage II colorectal cancer postoperative patient. A: Personally, I believe that the differences in taking or not taki...

[Read More] Oral Chemotherapy for Stage II Colon Cancer: Risks and Benefits for Elderly Patients


Understanding White Blood Cell Counts After Chemotherapy for Lymphoma

White blood cells after chemotherapy I have had lymphoma (mediastinal) and completed chemotherapy a year ago. During this period, my follow-up blood tests showed a maximum white blood cell count of 4500. Is there a problem with this?


Dr. Chen Sirong Reply:
Lin Hsiao-Fen / 38 years old / Female 1. Lymphoma (mediastinum) has completed chemotherapy for one year, but during this period, the highest white blood cell count during follow-up blood tests was 4500. Is there a problem with this? A: The key point is not the highest count; ...

[Read More] Understanding White Blood Cell Counts After Chemotherapy for Lymphoma


Understanding Neurofibromas: Early Signs, Symptoms, and Development Timeline

Neurofibroma Hello, doctor. I have had café-au-lait spots since childhood, and I have always known that I would develop neurofibromas due to genetics. I would like to ask what the early signs of neurofibromas are. Do they appear suddenly, or are there some symptoms beforehand? If...


Dr. Chen Sirong Reply:
Jessica / 24 years old / Female 1. You did not explicitly state that you have a hereditary condition of neurofibromatosis in your family. 2. If there are changes in the spots, it is advisable to seek personal evaluation by a physician. 3. If you are concerned that they may ...

[Read More] Understanding Neurofibromas: Early Signs, Symptoms, and Development Timeline


Is Surgery Necessary After Radiation for Stage 3B Cervical Cancer?

Radiation Therapy Hello, the patient is a 73-year-old woman diagnosed with stage 3B cervical cancer. She has undergone 28 sessions of external beam radiation therapy and 3 sessions of chemotherapy during the radiation treatment. Due to hospital equipment limitations, she did not ...


Dr. Chen Sirong Reply:
Anonymous / 49 years old / Male Is surgery a necessary option at this stage and age if further brachytherapy is not performed, or is monitoring sufficient? A: 1. If no adjuvant brachytherapy is performed, it means that the radiation dose is insufficient, as the effective dose ...

[Read More] Is Surgery Necessary After Radiation for Stage 3B Cervical Cancer?


Understanding Breast Lumps: When to Seek Medical Advice

Breast lump Hello Doctor, I have noticed that since my university days, I could feel spindle-shaped hard lumps in both of my breasts that seemed like lymph nodes. At that time, I consulted a doctor who said there was no problem. Recently, while showering, I found that the one on ...


Dr. Hu Ziren Reply:
Hello, netizen: The incidence of male breast cancer is approximately less than 1%, so it may just be gynecomastia (relative development of breast tissue in males). Therefore, it is suggested to simply observe. :) By Dr. Hu Zi-ren

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


Understanding Elevated CEA Levels After Colon Surgery and Chemotherapy

Postoperative and chemotherapy monitoring of abnormal CEA levels? Hello Doctor, my mother underwent a colectomy last November, and her CEA level was in the 70s at that time. After the surgery, the level did not decrease. Following the initiation of chemotherapy, the CEA level con...


Dr. Chen Yunfang Reply:
Hello: The CEA (Carcinoembryonic Antigen) level is indeed a tumor marker, but it is not specific and is not limited to colorectal cancer. Elevated levels can occur in various cancers throughout the body, such as head and neck cancer, lung cancer, breast cancer, gastric cancer, pa...

[Read More] Understanding Elevated CEA Levels After Colon Surgery and Chemotherapy


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