Other, Oncology FAQ - Page 27

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Is Radiation Therapy Necessary After Chemotherapy for Stage II Triple-Negative Breast Cancer?

In stage II triple-negative breast cancer, the necessity of radiation therapy after chemotherapy followed by surgery depends on several factors, including the size of the tumor, lymph node involvement, and the margins of the surgical resection. Radiation therapy is often recommen...


Dr. Chen Yunfang Reply:
Hello: You underwent chemotherapy before surgery, right? It is remarkable that no cancer cells were found in the pathology report, as the probability of this happening is usually only 30%. You are quite fortunate, as patients with such results tend to live long and well. Regardin...

[Read More] Is Radiation Therapy Necessary After Chemotherapy for Stage II Triple-Negative Breast Cancer?


Addressing Lung Metastasis in Colorectal Cancer: Treatment Options and Concerns

The issue of colorectal cancer metastasizing to the lungs? Dear Doctor, I would like to ask a few questions. My father was diagnosed with colon cancer 4-5 years ago, which was staged from 1 to 2. He underwent surgery for tumor resection and received approximately 8 months of che...


Dr. Chen Sirong Reply:
Hello Doctor, Borgy / 39 years old / Female 1. Could you please change the medication? 2. If your esteemed father is physically able, there are injectable options available, as well as targeted therapies that can be used in conjunction with chemotherapy. Thank you for your cor...

[Read More] Addressing Lung Metastasis in Colorectal Cancer: Treatment Options and Concerns


Understanding Radiation and Chemotherapy for Stage II B Endometrial Cancer

Radiation Therapy and Chemotherapy for Cancer Hello, my mother has been diagnosed with stage II B endometrial adenocarcinoma and will undergo radiation therapy. The side effects of radiation therapy seem quite significant. With the current linear accelerator technology, will ther...


Dr. Lai Yicheng Reply:
1. Regarding radiation therapy: The uterus and bladder are adjacent organs, so part of the bladder may fall within the radiation field, which can lead to difficulties in urination during treatment. These symptoms are temporary and reversible, and will gradually improve after trea...

[Read More] Understanding Radiation and Chemotherapy for Stage II B Endometrial Cancer


Managing Side Effects of Cancer Medications: A Patient's Dilemma

Medication consultation The patient has been taking hormonal therapy for nearly a year but can no longer tolerate the side effects, including joint pain, which is making it difficult to get out of bed. They feel as though they are on the verge of a stroke and have no energy, so t...


Dr. Lai Yicheng Reply:
According to your letter, the use of Femara has resulted in joint pain, with a reported incidence of approximately 1-10% in the literature. You are ER+3 and PR+3, indicating that hormonal therapy is highly effective for you. Therefore, I recommend discussing with your attending p...

[Read More] Managing Side Effects of Cancer Medications: A Patient's Dilemma


Understanding Lymphadenopathy: When to Seek Further Medical Advice

Lymphadenopathy Hello, doctor! I have a small lump on my neck. I visited a large hospital in June, and the doctor said it was a lymph node, which might disappear on its own in a few months or half a year. After that, I had a few colds, and other lymph nodes appeared on my neck, b...


Dr. Chen Yunfang Reply:
Hello: Generally speaking, it is indeed common to occasionally see swollen lymph nodes in the neck during a cold, and most of them will resolve as the illness improves. A small number may have one or two lymph nodes that do not completely disappear, but they are usually not very ...

[Read More] Understanding Lymphadenopathy: When to Seek Further Medical Advice


Understanding Your Lymph Node Pathology Report: Key Insights and Next Steps

Pathology Report Hello Doctor, I recently had a lymph node removed, and the pathology report is as follows: Received in formalin consists of a piece of lymph node, measuring 1.4 x 0.6 x 0.3 cm. It is tan and elastic firm. The entire specimen is embedded in one block. Micro: The s...


Dr. Chen Yunfang Reply:
Hello: According to this pathology report, the lymph node that was removed is not malignant. However, since it is located in the groin area, further monitoring is recommended. To be specific, this report can only confirm that this particular lymph node is not problematic; it cann...

[Read More] Understanding Your Lymph Node Pathology Report: Key Insights and Next Steps


Can Lung Cancer Patients Have Blood in Sputum Without Coughing?

Lung cancer without cough or hemoptysis? Hello, doctor. Is it possible for a lung cancer patient to not exhibit coughing symptoms but only present with hemoptysis? Thank you.


Dr. Chen Sirong Reply:
Mr. Li / 22 years old / Male Hello, is it possible for a lung cancer patient to not exhibit coughing symptoms but only present with hemoptysis? A: Yes, it is possible. Some individuals may have many symptoms, while others may have very few symptoms. Thank you for your inquiry...

[Read More] Can Lung Cancer Patients Have Blood in Sputum Without Coughing?


Understanding Post-Treatment MRI Results for Nasopharyngeal Cancer

Two months after treatment for nasopharyngeal carcinoma, the MRI still shows bright spots? I am a stage II nasopharyngeal carcinoma patient with bilateral cervical lymphadenopathy. I completed 33 sessions of radiation therapy and 6 cycles of chemotherapy at National Taiwan Univer...


Dr. Chen Sirong Reply:
Mr. Li / 41 years old / Male Hello, 1. Is this normal? (Is it because the MRI was done too soon after treatment (2 months), causing the radiation effects to not completely eliminate the tumor?) A: The timing seems reasonable. You can confirm this through one of the following tw...

[Read More] Understanding Post-Treatment MRI Results for Nasopharyngeal Cancer


Understanding FDG-PET/CT Results and Elevated Lymphocytes After Chemotherapy

Questions regarding the FDG-PET/CT report and the issue of elevated lymphocyte levels after chemotherapy? Hello Doctor: Since I could not get answers from my treating physician, I kindly ask for your insights. 1. FINDINGS: Mild FDG hypermetabolism in the left chest wall (SUV: 2...


Dr. Lai Yicheng Reply:
1. The left chest wall shows an SUV of 2.5/2.4, which is associated with postoperative tissue response on the same side as the breast cancer. The right hilum shows an SUV of 2.5/3.2, which is due to reactive lymphadenopathy. 2. The levels of white blood cells, red blood cells, he...

[Read More] Understanding FDG-PET/CT Results and Elevated Lymphocytes After Chemotherapy


Understanding Lymphadenopathy: Abnormal Blood Test Results Explained

Lymphadenopathy Hello Doctor, I have a problem with enlarged lymph nodes that won't go away, so the hematologist drew my blood and found two abnormal values: platelet distribution width at 9.0 fL (reference range 10.0-16.0) and eosinophils at 8.2% (reference range 0.0-7.0). ...


Dr. Chen Yunfang Reply:
Hello: The values from the instruments in each hospital can indeed vary, so please trust this fact. Since the testing instruments purchased cannot be standardized across Taiwan, a test result that shows abnormal levels at one facility may appear normal at another. It is essential...

[Read More] Understanding Lymphadenopathy: Abnormal Blood Test Results Explained


Could My Symptoms Indicate Nasopharyngeal Cancer?

I would like to ask if I have nasopharyngeal cancer? I would like to ask if I have nasopharyngeal cancer. A year or two ago, I had sinusitis, and since then, I have been experiencing persistent phlegm (which hasn’t improved) that is always clear in color. I do not have nasal cong...


Dr. Chen Yunfang Reply:
Hello: A cancer diagnosis can only be confirmed through a pathological biopsy; it cannot be determined solely based on symptoms like hemoptysis or nosebleeds. Since you have already had your lungs examined, you should consult an otolaryngologist to check for any abnormalities in ...

[Read More] Could My Symptoms Indicate Nasopharyngeal Cancer?


Understanding Lymph Node Swelling: Key Insights on Diagnosis and Treatment

Lymphadenopathy Hello, Doctor. Over the past two months, I have noticed several lymph nodes in my body, including in the head and neck, armpits, and groin. Recently, I visited a surgeon and decided to remove the lymph nodes in my groin, one on each side. The doctor chose the left...


Dr. Hu Ziren Reply:
Hello, netizen: 1. If it is indeed lymphoma, the pathological characteristics throughout the body should be consistent, so any lymph node that is biopsied should yield similar results; 2. The transverse orientation in the groin area is likely related to blood vessels or tendons/l...

[Read More] Understanding Lymph Node Swelling: Key Insights on Diagnosis and Treatment


Understanding the Necessity of Chemotherapy and Targeted Therapy for Early-Stage Breast Cancer

Breast cancer treatment Hello Doctor: I would like to ask about my sister, who has stage I breast cancer. She has already undergone a mastectomy and axillary lymph node dissection, and tests show that the cancer cells have not spread. However, there is a risk of recurrence, and t...


Dr. Lai Yicheng Reply:
Hello, Miss: Thank you for your inquiry. In response, it was mentioned that your sister is in stage I of breast cancer and has undergone a total mastectomy and axillary lymph node dissection. For a detailed assessment, we will need to review your pathology report. If necessary, p...

[Read More] Understanding the Necessity of Chemotherapy and Targeted Therapy for Early-Stage Breast Cancer


Understanding Axillary Lumps: Causes, Symptoms, and When to Seek Help

Small lump in the armpit? Recently, I experienced sudden pain in my right armpit. It hurts significantly when I touch it, raise my arm, or squeeze my armpit. Upon closer examination, I found a small swollen area. The next day, I visited a dermatologist who diagnosed it as inflamm...


Dr. Lai Yicheng Reply:
Dear Miss Chia-Yu, Thank you for your inquiry. Here are my responses: 1. Regarding the swollen feeling in your armpit, please consider whether it is related to your menstrual cycle. If the swelling and pain occur before and after your period, it may be linked to hormonal change...

[Read More] Understanding Axillary Lumps: Causes, Symptoms, and When to Seek Help


Assessing Nasopharyngeal Cancer Treatment: Beyond CT, MRI, and EBV

Examination items In general, when assessing the improvement of nasopharyngeal carcinoma during radiation therapy and chemotherapy, in addition to CT and MRI scans and EBV (Epstein-Barr Virus) titers, other methods may include physical examinations, endoscopic evaluations, and PE...


Dr. Lai Yicheng Reply:
Hello, Miss Lai. 1. In assessing the improvement of nasopharyngeal carcinoma during radiation therapy and chemotherapy, in addition to CT and MRI scans, the EBV index, along with the physician's visual examination and the patient's self-reported symptoms, are also imp...

[Read More] Assessing Nasopharyngeal Cancer Treatment: Beyond CT, MRI, and EBV


Thyroid Papillary Cancer: Total vs. Partial Removal Options Explained

Total or partial thyroidectomy for papillary thyroid carcinoma? Hello, Director Lai. I am a 38-year-old female. In July of this year, a health check revealed a suspected tumor larger than 3 cm on the left side of my thyroid. I was referred to a larger hospital for blood tests and...


Dr. Lai Yicheng Reply:
Hello, Miss Niu. 1. Surgery is typically the first step in treating thyroid cancer, aiming to remove as much cancerous tissue as possible. In rare cases of localized and well-differentiated thyroid cancer, a unilateral lobectomy may be considered; however, most patients should ...

[Read More] Thyroid Papillary Cancer: Total vs. Partial Removal Options Explained


Understanding Pancreatic Cancer: Treatment Options and Dietary Adjustments

About pancreatic cancer? Hello, I am asking on behalf of my mother who is 50 years old, does not smoke or drink, and has a normal lifestyle. A month ago, she was diagnosed with pancreatic cancer that has metastasized to the ovaries and colon. Initially, she experienced abdominal ...


Dr. Lai Yicheng Reply:
According to your description, your mother has pancreatic cancer with metastasis to the ovaries and colon, classified as stage IV cancer. Currently, she is post-surgery and receiving gemcitabine chemotherapy and thrombolytic therapy. To address your questions in order: 1. Accor...

[Read More] Understanding Pancreatic Cancer: Treatment Options and Dietary Adjustments


Referral Challenges in Oncology: Navigating CT Scans and Hospital Transfers

Referral issues Recently, my mother was referred to a hospital where the doctor assessed that a CT scan was necessary. The doctor also provided a date for the examination and gave the family a form to fill out at home. If we want to switch to another hospital for treatment, do we...


Dr. Lai Yicheng Reply:
Dear Miss Hsiao-Ko: If you wish to seek treatment at another hospital, you may have the new hospital evaluate and arrange for further examinations to facilitate your treatment. Please be mindful of medical resources and avoid unnecessary repeat tests. Wishing you good health. R...

[Read More] Referral Challenges in Oncology: Navigating CT Scans and Hospital Transfers


Does Widening Your Eyes Put Pressure on Your Brain?

Does widening the eyes put pressure on the brain? Hello, doctor. I have a question that has been bothering me for a long time. I would like to ask if keeping my eyes wide open can have an impact on my brain. I personally have eyes that don't appear very expressive, so when I...


Dr. Chen Sirong Reply:
Yi / 17 years old / Male Hello! 1. Does widening your eyes have any effect on the brain? A: It’s related to your emotions; your brain has to divert attention to this action, which may create a sense of pressure for you. There is no medical evidence suggesting it is harmful. ...

[Read More] Does Widening Your Eyes Put Pressure on Your Brain?


Understanding Mild Aplastic Anemia: Insights from Bone Marrow Biopsy Results

Mild Aplastic Anemia Hello, Doctor. This is my second time seeking your advice. Last time, you recommended that my wife undergo a bone marrow aspiration and biopsy by the attending physician. The report has come back, and the attending physician diagnosed her with mild aplastic a...


Dr. Hu Ziren Reply:
Hello, everyone: 1. Aplastic anemia is a diagnosis of exclusion (meaning it is diagnosed only after ruling out other possible causes); 2. If it is mild aplastic anemia and there are no clinical symptoms, it is recommended to simply observe. Thank you!

[Read More] Understanding Mild Aplastic Anemia: Insights from Bone Marrow Biopsy Results


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