Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates
Stage II oral cancer Hello Doctor, my sister was diagnosed with stage II left oral mucosal cancer in September last year. Bone scans and neck CT scans showed no metastasis. After the primary physician surgically removed the tumor and sutured with artificial skin (without performi...
Dr. Chen Sirong Reply:
Anonymous / 46 years old / Female Hello, I have been diagnosed with stage II oral cancer, and after the tumor was removed, it has been less than a year, and now it has metastasized to the lymph nodes. Is this possible? A: Yes, it can occur. If metastasis happens, how is the ca...[Read More] Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates
Understanding Anal Issues: What Teens Should Know About Symptoms
Anal issues Hello doctor, I am 15 years old and have not had any sexual relations, but recently I noticed an unusual growth around my anal area. At first, it was small and I didn't pay much attention, but it has gradually increased in size and number, with some merging toget...
Dr. Hu Ziren Reply:
It may just be eczema or other skin rashes around the anal area caused by dirty underwear or bed linens. It is recommended to see a general surgeon or an infectious disease specialist. Additionally, it is important to frequently change underwear and wash bed linens.[Read More] Understanding Anal Issues: What Teens Should Know About Symptoms
Understanding Endometrial Cancer: Key Questions and Insights
Questions about endometrial cancer? Hello, Doctor. I recently sought medical attention due to abnormal bleeding, and after examination, the diagnosis report is as follows: Endometrial Cancer Grade 2/3. The blood test results are: CA-125: 14, CEA: 1, β-hCG: 11. I would like to ask...
Dr. Chen Sirong Reply:
Q: Hello, Qingwen, 60 years old, female. I would like to ask about the significance of three blood test indicators and results, and why there can be a situation where tumor markers are normal but a biopsy shows cancer? A: These blood test indicators are not specific to endometr...[Read More] Understanding Endometrial Cancer: Key Questions and Insights
Understanding Hard Lumps on the Arm: Potential Tumor Concerns
There is a small hard lump on the right arm? Hello: My mother is 47 years old and has a purple lump on her right arm that feels hard. This lump has been present for 3 to 4 years; it started off small and was not given much attention, but it has gradually increased in size. There ...
Dr. Hu Ziren Reply:
If the tumor has increased in size in a short period, it is recommended to consult a plastic surgeon or a general surgeon for evaluation.[Read More] Understanding Hard Lumps on the Arm: Potential Tumor Concerns
Understanding Groin Lumps: When to Seek Medical Advice
Inguinal mass A mass approximately 2 centimeters in size was found on the inner side of the left groin, above the pubic bone. It is not painful upon palpation and does not move. It appears intermittently; sometimes it can be felt, and other times it cannot. This condition was als...
Dr. Chen Yunfang Reply:
Hello: I'm not sure what it is without an examination, so I recommend seeing a gynecologist first. Thank you![Read More] Understanding Groin Lumps: When to Seek Medical Advice
Managing Malignant Pleural Effusion When Drainage is Not Possible
Malignant pleural effusion cannot be drained? Hello, doctor. I apologize for bothering you, but I would like to ask about my mother, who has been diagnosed with breast cancer for over ten years. In recent years, the cancer has metastasized to various areas, and she has also devel...
Dr. Chen Sirong Reply:
Sunny / 28 years old / Male Hello, you are already in stage IV. Although you have been undergoing treatment, ultimately, there may come a point where 1. there are no treatment options available, or 2. you may lack the physical strength to continue treatment. As for whether ther...[Read More] Managing Malignant Pleural Effusion When Drainage is Not Possible
Understanding Papillary Thyroid Carcinoma and Lymph Node Metastasis in Seniors
Papillary Thyroid Carcinoma Hello! My mother is 71 years old. Earlier this year, a cytological examination revealed a malignant tumor (a papillary carcinoma) in the isthmus of her thyroid, while both lobes of the thyroid were unaffected. After consulting with the doctor, she unde...
Dr. Chen Sirong Reply:
Patient: 44 years old, female Hello! 1. The postoperative report indicates that there is one metastatic lymph node among six surrounding the thyroid (the doctor mentioned it is stage I). Is this considered distant metastasis? The doctor stated that this situation is relatively...[Read More] Understanding Papillary Thyroid Carcinoma and Lymph Node Metastasis in Seniors
Understanding Oral Pathology Reports: Key Insights on Squamous Hyperplasia and Tumor Concerns
Consultation for Oral Pathology Report Interpretation In April of this year, an unknown growth was discovered in the upper jaw, which was asymptomatic. After a hospital examination, it was surgically removed, and the pathology report indicated inflammatory cell fibrosis. Less tha...
Dr. Chen Sirong Reply:
A / 39 years old / Female 1. Is squamous hyperplasia a bad thing? Will the pathology report show any bad cells? A: It is benign, so it cannot be classified as bad cells. 2. Why did it grow back in less than a month? Is it because it is something bad? Is it therefore impossi...[Read More] Understanding Oral Pathology Reports: Key Insights on Squamous Hyperplasia and Tumor Concerns
Understanding Stage IV Nasopharyngeal Cancer and Its Treatment Options
Stage IV nasopharyngeal carcinoma with distant metastasis? My boyfriend is from mainland China and has recently been diagnosed with nasopharyngeal carcinoma at a hospital there. The cancer has metastasized to the bilateral cervical lymph nodes, supraclavicular lymph nodes, multip...
Dr. Hu Ziren Reply:
Yes, stage IV cancer is considered incurable. The treatment goals are primarily to control the disease and extend the patient's average survival time. It is recommended to follow the physician's advice and subsequent treatment plans.[Read More] Understanding Stage IV Nasopharyngeal Cancer and Its Treatment Options
Understanding Myelocytes in Blood Smears: Should You Be Concerned?
A myelocyte was observed in the blood smear? I am a student in the medical technology program. Last month, while observing my own blood smear in a hematology lab, I found a myelocyte. I went to the hospital for a blood test, and the results showed that everything was within norma...
Dr. Hu Ziren Reply:
Sometimes, when the body is in an inflammatory or acute infection stage (such as a viral infection), a small number of immature cells may be found in the peripheral blood. If the white blood cell count (WBC), hemoglobin (HB), platelet count (PLT), and other classifications are no...[Read More] Understanding Myelocytes in Blood Smears: Should You Be Concerned?
Understanding CA19-9 Levels: What Rising Numbers Mean for Your Health
CA19-9 Issues Hello, doctor. Two to three years ago, my CA 19-9 level was less than 10. This year, from February to May, the levels increased from 15 to 17, then 18, and finally 23. All other markers are normal. Does this increase indicate inflammation in the body? Should I under...
Dr. Chen Sirong Reply:
Mr. Wen / 38 years old. CA 19-9 is a tumor marker, and elevated levels can be associated with pancreatic cancer, colorectal cancer, biliary tract cancer, and gastric cancer. Occasionally, conditions like cholecystitis and acute pancreatitis can also result in increased levels. So...[Read More] Understanding CA19-9 Levels: What Rising Numbers Mean for Your Health
Understanding Tumor Diagnosis Challenges: A Case Study on Bone and Lung Issues
Positron Emission Tomography (PET) Report Hello Doctor, my father started experiencing severe coughing after the Lunar New Year this year. He has visited many hospitals, and by mid-March, he was admitted to the emergency department due to persistent fever and chills every night. ...
Dr. Chen Sirong Reply:
Vanessa / 30 years old / Female Hello, 1. The content does not include a PET report; the final section contains a pathology report. 2. Tuberculosis and cancer can sometimes be difficult to differentiate, and even our attending physicians have encountered similar situations. Ini...[Read More] Understanding Tumor Diagnosis Challenges: A Case Study on Bone and Lung Issues
Understanding a Small Neck Tumor: Is It Genetic or Viral?
Inquiry about a small tumor on the left posterior side of the neck? Hello Doctor, I have noticed a small lump about 0.7 cm in diameter on the left posterior side of my neck. It feels somewhat hard, round, and has a bit of elasticity. It does not move, and pressing it firmly does ...
Dr. Chen Sirong Reply:
Ah Hong / 23 years old / Male Hello, 1. Is it malignant? Or is it congenital? A: If it were malignant, it wouldn't have been asymptomatic for five years. As for whether it is congenital, the answer to this question depends on your perspective. Essentially, it may not hav...[Read More] Understanding a Small Neck Tumor: Is It Genetic or Viral?
Understanding Low White Blood Cell Counts After Lymphoma Chemotherapy
About six months after chemotherapy for lymphoma, the white blood cell count has not yet returned to normal levels? Hello Dr. Hu, I was diagnosed with Burkitt lymphoma last August. After undergoing four cycles of high-dose chemotherapy, it has been about four months since my last...
Dr. Hu Ziren Reply:
It currently appears that the cause may be the antifungal tablet. If the WBC is less than 2000 and does not return to normal after 5-6 months, it may be advisable to discuss further testing with a physician.[Read More] Understanding Low White Blood Cell Counts After Lymphoma Chemotherapy
Understanding Abdominal Pain and Lumps: Possible Causes and Next Steps
Multiple areas of abdominal pain with palpable masses? Hello, doctor. For the past two weeks, I have been experiencing lower abdominal pain, which initially presented with bruising, but the bruising has subsided. Upon palpation, I can feel two lumps, each less than 1 cm in size. ...
Dr. Chen Sirong Reply:
Hello! Regarding what you mentioned: the location of the pain changes, and when pressing on the painful spots, there is a sensation of hard lumps or nodules, along with feelings of inflammation and swelling, but when there is no pain, it is difficult to feel anything. 1. If a s...[Read More] Understanding Abdominal Pain and Lumps: Possible Causes and Next Steps
Key Questions About Cancer Risks and Diagnosis in Oncology
Some questions I would like to confirm? Hello, Doctor. I have health anxiety and often think about many things. I hope you can provide clear answers to my questions: 1. How closely should I monitor my health if a relative has had cancer? My grandmother had stomach cancer; shoul...
Dr. Hu Ziren Reply:
1. Only less than 2% of stomach cancer is hereditary; however, the causes of cancer require several conditions: 1. personal factors (such as smoking and alcohol consumption), 2. environmental factors, and 3. genetic mutations. Therefore, even if there are hereditary factors, the ...[Read More] Key Questions About Cancer Risks and Diagnosis in Oncology
Recommended Supplements for HER2+ Cancer Patients Under Targeted Therapy
My mother is HER2 positive and is currently undergoing targeted therapy. What supplements can she take? Hello Doctor, I was advised by other physicians to consult a hematologist-oncologist. I would like to ask about my mother, who is 56 years old and was diagnosed with HER2-pos...
Dr. Hu Ziren Reply:
1. To reduce fatty liver, exercise and dietary control are essential; however, taking liver health supplements such as vitamin B complex or natto red yeast rice may be beneficial. 2. The use of brown rice suppressants is not recommended. 3. During targeted therapy for breast canc...[Read More] Recommended Supplements for HER2+ Cancer Patients Under Targeted Therapy
Can Chemotherapy Be Safely Administered to Patients with Hepatitis C?
Can a person with hepatitis C undergo chemotherapy? Dear Doctor, Good day to you. I would like to inquire whether it is highly inappropriate or potentially life-threatening to administer Docetaxel and Cyclophosphamide to a patient with Hepatitis C without first treating the Hepa...
Dr. Hu Ziren Reply:
Yes, but liver function should be closely monitored during the treatment period.[Read More] Can Chemotherapy Be Safely Administered to Patients with Hepatitis C?
Understanding Pancreatic Cysts: Diagnosis, Size Variations, and Treatment Options
Pancreatic cysts Hello Doctor, last July during a health check, an X-ray revealed an abnormality, so in August, I went to Hospital A for an ultrasound which found a cyst at the body and tail of the pancreas measuring approximately 1.5 cm. They advised monitoring, and in September...
Dr. Hu Ziren Reply:
1. Different imaging techniques, various operators, and different interpreting physicians may introduce some measurement discrepancies. It appears to be just a cyst; observation is recommended. 2. However, if the following conditions are present, surgical removal is advised: size...[Read More] Understanding Pancreatic Cysts: Diagnosis, Size Variations, and Treatment Options
Post-Surgery Treatment Options for Stage I Breast Cancer: Key Considerations
Post-treatment for Stage I Breast Cancer? Hello Doctor, my wife was diagnosed with breast cancer earlier this year at the age of 42. The pathology report after surgery is as follows: ER: 98+ PR: 98+ Her2: 2+ FISH: Negative Ki67: 9% Tumor size: 1.9 cm. During lymph node surgery, 4...
Dr. Hu Ziren Reply:
According to the report, the type of breast cancer is associated with a low risk of recurrence. It is recommended to follow the attending physician's advice to take Tamoxifen for 5-10 years and undergo postoperative radiotherapy, with regular follow-ups. There are no dietary...[Read More] Post-Surgery Treatment Options for Stage I Breast Cancer: Key Considerations