Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Follicular lymphoma invading the bone marrow? Hello Doctor: My mother had a car accident a year ago, and during her hospitalization, it was discovered that her spleen was enlarged. A CT scan suggested lymphoma, and a biopsy confirmed follicular lymphoma. The doctor mentioned that...
Dr. Hu Ziren Reply:
1. Patients under the age of 60-65 with normal physical function are suitable candidates for bone marrow transplantation. 2. If the patient's hematopoietic cells in the bone marrow are aging and cancer cells are proliferating rapidly, the risks associated with bone marrow tr...[Read More] Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Post-Her2+ Targeted Therapy: Safe Supplements for Cancer Recovery
The HER2+ targeted therapy has been completed. I would like to ask the doctor what dietary supplements can be taken? Hello Dr. Hu, thank you for your previous assistance, which I am very grateful for. My mother has completed her targeted therapy, but she is going to undergo a hip...
Dr. Hu Ziren Reply:
Collagen, undenatured type II collagen, B vitamins, multivitamins, and selenium are all acceptable; in addition to regular monitoring, consider adjusting diet and lifestyle habits, such as reducing oil intake, increasing physical activity, and maintaining a balanced diet.[Read More] Post-Her2+ Targeted Therapy: Safe Supplements for Cancer Recovery
Understanding Neck Lumps: Could It Be Lymphoma or Something Else?
Neck mass I recently discovered a lump on the back of my left neck, which I compared online and seems to be near the occipital lymph nodes, approximately 0.5 cm in size and feels firm to the touch. It does not hurt when pressed, and it has not gone away for about two weeks. I hav...
Dr. Chen Sirong Reply:
Allenlin / 24 years old / Male 1. Could these characteristics possibly indicate lymphoma? A: It is possible. However, since both doctors who examined you said it is not, the likelihood is low. 2. Are there other diseases that could cause this phenomenon? A: Yes, unknown v...[Read More] Understanding Neck Lumps: Could It Be Lymphoma or Something Else?
Understanding Groin Lumps: Possible Causes and When to Seek Help
A hard lump developed in the groin area a few days ago? Hello doctor, three days ago I discovered a hard lump in my groin, measuring about two centimeters. The day before yesterday, it seemed to shrink a bit, and I thought it was getting better, but then it grew back the next day...
Dr. Chen Sirong Reply:
Good morning / 17 years old / Female. Hello, 1. I would like to ask the doctor if it is possible that it is a tumor. A: Broadly speaking, it resembles a benign tumor, such as a sebaceous cyst that you are aware of. In general, malignant tumors tend to be hard, do not change in si...[Read More] Understanding Groin Lumps: Possible Causes and When to Seek Help
Understanding Stable CA-199 Levels: What It Means for Your Health
Regarding the CA 19-9 levels showing no change after multiple tests? Hello Dr. Hu, I would like to ask you a question. I undergo an abdominal ultrasound every six months, and I have a routine colonoscopy and gastroscopy once a year, along with tumor marker screenings. Recently, I...
Dr. Hu Ziren Reply:
The normal range for CA 19-9 is 0-37. A value within this normal range is considered normal, so it is advised not to worry too much.[Read More] Understanding Stable CA-199 Levels: What It Means for Your Health
Switching Liver Cancer Treatment: From Lenvatinib to A+B Therapy
First-line medications for advanced liver cancer? Hello Dr. Hu, My father has been diagnosed with liver cancer that has metastasized to the bones. He has been taking Lenvatinib (Lenvima) for over two years. Recently, the National Health Insurance Administration has approved cov...
Dr. Hu Ziren Reply:
It is not possible to switch from the National Health Insurance (NHI) Reza Wa to NHI A+B according to the regulations of NHI coverage. However: 1. If Reza Wa is still effective, it is recommended to continue using it; 2. If Reza Wa is deemed ineffective, you may consider switchin...[Read More] Switching Liver Cancer Treatment: From Lenvatinib to A+B Therapy
Understanding Eosinophil Levels: Implications for CML and Lymphoma
Eosinophil percentage In recent years, blood tests have shown that the white blood cell count typically ranges from 4,500 to 7,000. The percentage of basophils is between 0.3% and 0.9% (0-1%). I would like to know if having results of 0.8% or 0.9% on several occasions is consider...
Dr. Hu Ziren Reply:
If the white blood cell count is normal, it is recommended to simply observe. Note: The classification of white blood cells is based on machine interpretation, and the ratios can be influenced by physiological or other factors on the day of blood draw (such as blood quality, mach...[Read More] Understanding Eosinophil Levels: Implications for CML and Lymphoma
Understanding Lumps and Swellings: What You Need to Know About Lymph Nodes
Lymphadenopathy / Lymph node enlargement Hello, doctor. I just felt three small lumps above my right clavicle; they are soft and movable, and they are located close to each other. Additionally, there is a lump at the root of my right thigh that has been there for quite a while; i...
Dr. Hu Ziren Reply:
It is likely just some subcutaneous soft tissue, lipomas, or lymph nodes; observation is recommended.[Read More] Understanding Lumps and Swellings: What You Need to Know About Lymph Nodes
Understanding Thrombocytosis: Symptoms and Implications for Health
Thrombocytosis Hello, doctor. Recently, my blood test report showed a platelet count of 51.7 *10^9/uL, while all other values were normal. Occasionally, I feel a strange sensation in my hands, as if the blood is not circulating properly. Based on this value, is it possible that I...
Dr. Hu Ziren Reply:
If the platelet count is 51.7, it is recommended to see a hematologist.[Read More] Understanding Thrombocytosis: Symptoms and Implications for Health
Understanding Low White Blood Cell Counts: Signs of Leukemia or Lymphoma?
Leukopenia Hello, doctor. In the past year, my weight has decreased from 72 kg to 66 kg. Recently, in June, I had a check-up at the clinic where my white blood cell count was 4,200, with neutrophils at 46% (highlighted in red), lymphocytes at 42.6% (highlighted in red), monocytes...
Dr. Chen Yunfang Reply:
Hello: Based on the numbers in your report, it does not appear to be leukemia or lymphoma, and the cancer diagnosis is also not accurate! Thank you.[Read More] Understanding Low White Blood Cell Counts: Signs of Leukemia or Lymphoma?
Understanding MRI Findings: Pituitary Microadenoma and Pineal Cyst Insights
Magnetic Resonance Imaging (MRI) Report Impression: 1. A 6.8mm nodule at the right pituitary gland with delayed enhancement, suspected to be a microadenoma. Clinical correlation and follow-up are recommended. 2. A 12.3x7.8mm pineal cyst is noted. For further details, please see ...
Dr. Chen Sirong Reply:
Y / 27 years old / Female 1. Doctor, does this mean I have a pineal cyst, or is observation sufficient? A: You have a pineal cyst; benign observation is sufficient. 2. Doctor, based on the current size of the pituitary gland, is surgery necessary, or can it be treated with med...[Read More] Understanding MRI Findings: Pituitary Microadenoma and Pineal Cyst Insights
High Platelet Count and Lymph Nodes: Concerns About Blood Disorders
Persistent thrombocytosis and lymphadenopathy raise concerns for hematological disorders? Since I started working and participating in company health checks, I have noticed that my platelet count has often been highlighted in red (indicating elevated levels). The health check rep...
Dr. Chen Yunfang Reply:
Hello: You only need to monitor your platelet count; the other tests are unnecessary and are a result of excessive anxiety. Clinically, they do not indicate any specific illness. There is no need to obsessively prove whether you are sick or have cancer, as it is meaningless. Than...[Read More] High Platelet Count and Lymph Nodes: Concerns About Blood Disorders
Healing Time for Oral Cancer Surgery Wounds After Chemotherapy and Radiation
How long does it take for the wound to heal after the first surgery for oral cancer treatment? Hello Doctor: My father had a mouth sore that did not heal by the end of last year. At the beginning of this year, he went to an otolaryngologist for a biopsy, which revealed stage II o...
Dr. Chen Sirong Reply:
Wu / 25 years old / Female. Doctor, after completing both radiation therapy and chemotherapy, how long is the typical recovery period for the wound? Is it normal to still experience pain at this point? A: 1. Some individuals may not experience pain after surgery and before radi...[Read More] Healing Time for Oral Cancer Surgery Wounds After Chemotherapy and Radiation
Understanding Low Hemoglobin and Cholesterol Levels in Health Reports
Anemia in Health Check Report Your health check report shows that your hemoglobin (Hb) is 11.2 g/dL, hematocrit (Ht) is 35.4%, and low-density lipoprotein (LDL) cholesterol is 62 mg/dL, all of which are below the standard values. You should pay attention to the following: 1. **A...
Dr. Chen Yunfang Reply:
Hello: You may not be able to notice anything. Please visit a hospital to see a hematologist and an endocrinologist, or you can also go to a family medicine physician. Thank you![Read More] Understanding Low Hemoglobin and Cholesterol Levels in Health Reports
Understanding the Link Between Gamma-Globulin Levels and Multiple Myeloma
Possible multiple myeloma? Hello, doctor. I was diagnosed with COVID-19 on June 10. After that, on June 25, I developed petechiae on my calves due to an immune response. I sought medical attention, and it was assessed as vasculitis. Blood tests and urinalysis were all normal. Aft...
Dr. Chen Yunfang Reply:
Hello: You have undergone many tests, including some uncommon ones, which were not originally conducted due to a suspicion of multiple myeloma. Therefore, it is quite strange to force a connection to that. The diagnosis of multiple myeloma can only be made through a bone marrow a...[Read More] Understanding the Link Between Gamma-Globulin Levels and Multiple Myeloma
Understanding IFE Results: Can They Rule Out Multiple Myeloma?
IFE electrophoresis analysis Hello, doctor. I am the person who inquired about multiple myeloma last time. My IFE electrophoresis results showed no monoclonal protein present. Does this mean that multiple myeloma can be ruled out? Should I be concerned about MGUS?
Dr. Hu Ziren Reply:
Yes, multiple myeloma can be ruled out, including other plasma cell proliferative disorders (MGUS, etc.); please do not ask the same question again; if there are any issues related to testing, please discuss them with the primary physician.[Read More] Understanding IFE Results: Can They Rule Out Multiple Myeloma?
Understanding Enlarged Lymph Nodes: Symptoms and Next Steps
Issues related to cervical lymph nodes and groin lymph nodes? Hello Doctor: I noticed that the lymph nodes on both sides of my groin have been enlarged for over six months. When I touch them, they feel like a whole cluster, with each node slightly enlarged. Some are oval-shaped, ...
Dr. Hu Ziren Reply:
Generalized lymphadenopathy, it is recommended to see a hematologist-oncologist.[Read More] Understanding Enlarged Lymph Nodes: Symptoms and Next Steps
Understanding Blood Test Results: Insights on Multiple Myeloma and Related Conditions
Blood test report issues? Hello, doctor. I was diagnosed with COVID-19 on June 10. After that, on June 25, I developed petechiae on my calves due to an immune response. I sought medical attention, and it was assessed as vasculitis. I underwent blood tests and urinalysis, all of w...
Dr. Hu Ziren Reply:
If the Beta-microglobulin and FLC ratio (kappa/lambda) are normal, the possibility of multiple myeloma can be ruled out. Gamma globulin refers to immunoglobulins in the serum and is likely related to elevated RF IgM and cryoglobulin IgM levels. Note: Considering the above values,...[Read More] Understanding Blood Test Results: Insights on Multiple Myeloma and Related Conditions
Understanding Persistent Pain in Lung Adenocarcinoma Treatment
Cancer treatment My mother has lung adenocarcinoma and has been on targeted therapy for two months. However, her pleuritic pain has changed from intermittent to persistent (the doctor explained that this is due to tumor pressure). I would like to ask the physician if persistent p...
Dr. Hu Ziren Reply:
The transition from intermittent pain to persistent pain may be due to tumor pressure or the ongoing progression of the disease. However, since it has only been two months since starting targeted therapy, it is recommended to wait for a 2-4 month imaging efficacy assessment (if a...[Read More] Understanding Persistent Pain in Lung Adenocarcinoma Treatment
Could My Symptoms Indicate Multiple Myeloma After COVID-19?
Multiple Myeloma Hello, doctor. Last month, after being diagnosed with COVID-19, I developed petechiae on my calves two weeks later. I went to the hospital, and the physician said it was vasculitis induced by the immune response after the infection. After taking steroids for a we...
Dr. Chen Sirong Reply:
Guang, 43 years old, male. Please forgive me, as I am not a hematology specialist. I recommend that you see a hematologist for blood tests. Wishing you good health. Taoyuan Hospital, Chen Si-Rong.[Read More] Could My Symptoms Indicate Multiple Myeloma After COVID-19?