Understanding Eosinophil Levels and Lymph Node Concerns in Oncology
Blood and lymph node issues? Hello Doctor, I would like to ask you some questions regarding my blood. Recently, I experienced chest tightness and went to the emergency room where I had a complete blood count and white blood cell differential. I found that my eosinophil (eos) coun...
Dr. Hu Ziren Reply:
If the white blood cell count is normal but the differential shows a slight elevation, and specifically if eosinophils are elevated, there are many potential causes (such as allergies, medications, dermatitis, etc.). It is recommended to follow up in 3 to 6 months.[Read More] Understanding Eosinophil Levels and Lymph Node Concerns in Oncology
Do I Need Chemotherapy for Stage 1A Breast Cancer with Ki-67 at 30%?
In stage 1A breast cancer with a Ki-67 index of 30%, is chemotherapy necessary? Hello, Doctor! I just underwent a lumpectomy, and the postoperative pathology report indicates that the original tumor size was 1.3 cm, with ER positive, 80% PR positive, 70% HER-2 positive, and Ki-67...
Dr. Chen Sirong Reply:
Amily / 46 years old / Female Hello! 1. Does the data above indicate a low or high risk of recurrence? I calculated the IHC4 score, and the postoperative specimen is 1.89, while the core needle biopsy specimen is 1530. Both are classified as intermediate malignancy. It is reco...[Read More] Do I Need Chemotherapy for Stage 1A Breast Cancer with Ki-67 at 30%?
Understanding Lumps in the Groin: When to Seek Medical Advice
The issue of having a hard lump in the groin area? Hello, I would like to ask... About a month ago, I accidentally felt a hard lump approximately 1.5 to 2 centimeters in size in my right groin area. It is oval-shaped, but it is not painful or itchy, so I am unsure how long it has...
Dr. Chen Sirong Reply:
Ms. Wang / 38 years old / Female Hello, 1. Should I return to see a hematologist, or should I switch to another specialty? A: If there are changes, you should see a doctor again. General surgery or hematology-oncology are both appropriate options. 2. If I maintain a light diet...[Read More] Understanding Lumps in the Groin: When to Seek Medical Advice
Understanding Neck Lumps: When to Worry About Potential Tumors
Swelling in the neck? Hello, doctor. About a year ago, I discovered a lump in my neck, located near my jaw. One is round and the other is irregularly shaped. I have undergone ultrasound and CT scans at the hospital. The doctor said the round part has not increased in size during ...
Dr. Hu Ziren Reply:
Ultrasound and CT scans are unable to detect anything, which may just be benign tissue or a psychological effect. It is recommended to simply monitor the situation.[Read More] Understanding Neck Lumps: When to Worry About Potential Tumors
Understanding Neck Lumps: When to Worry About Unusual Growths
Swelling in the neck? Hello, doctor. About a year ago, I discovered a lump in my neck, located near the jawline. One is round and the other has an irregular shape. I went to the hospital for an ultrasound and a CT scan. The doctor said that the round part has not increased in siz...
Dr. Hu Ziren Reply:
Ultrasound and CT scans did not reveal any findings, which may indicate benign tissue or psychological factors. It is recommended to simply monitor the situation.[Read More] Understanding Neck Lumps: When to Worry About Unusual Growths
Understanding Elevated Mono Levels and Lymph Node Swelling: What You Need to Know
Blood tests and lymphadenopathy? Hello Doctor, a few days ago I had a blood test and found that my monocyte count is 11.4, which exceeds the normal range. I would like to know what issues I might be facing. Background: This series of blood tests was conducted because I was diag...
Dr. Hu Ziren Reply:
In a complete blood count (CBC), it is sufficient to monitor whether the WBC, HB, and PLT are within the normal range. Other white blood cell differentials may vary in elevation or decrease depending on physiological conditions. For example, monocytes may slightly increase during...[Read More] Understanding Elevated Mono Levels and Lymph Node Swelling: What You Need to Know
Seeking a Second Opinion for Thymic Cancer Treatment Options
The specialty for a second opinion on thymic cancer? I underwent a thymoma resection surgery in early January this year. Initially, it was estimated that I would not need any further radiotherapy or chemotherapy after the surgery, but the pathology report indicated metastasis. Th...
Dr. Hu Ziren Reply:
If it is only a local metastasis, radiation therapy may be sufficient; however, if there is distant or multi-organ metastasis, chemotherapy is required. It is advisable to consult an oncologist for a second opinion.[Read More] Seeking a Second Opinion for Thymic Cancer Treatment Options
Understanding Lumps in the Armpit: Causes and Concerns
There is a hard lump in the armpit? Hello doctor, I discovered a painless lump in my right armpit seven months ago. After undergoing a breast ultrasound, the doctor said that no lumps were detected on either side and that it was just breast tissue. However, I was still concerned ...
Dr. Chen Sirong Reply:
J / 26 years old / Female 1. Breast cancer is rare at 26 years old. 2. Regular breast examinations should be conducted once a year. 3. If a new lump is discovered, consult a physician again for confirmation. 4. If the physician says there is nothing to worry about, self-m...[Read More] Understanding Lumps in the Armpit: Causes and Concerns
Understanding Elevated CEA Levels: What You Need to Know
Carcinoembryonic antigen (CEA) levels are elevated above the standard value? Hello, Doctor! I am 32 years old and recently received my company health check results, which show that my CEA levels have been above 5 for three consecutive years; the recent results are 5.2, 5.7, and 7...
Dr. Chen Yunfang Reply:
Hello: The textbook states that blood tumor markers should not be used as a tool for cancer screening because they are not accurate. Many patients who are in the terminal stages of cancer can have normal CEA levels. Therefore, a slightly elevated CEA does not indicate anything si...[Read More] Understanding Elevated CEA Levels: What You Need to Know
Understanding Lumps in the Armpit: Causes and When to Worry
There is a hard lump in the armpit? Hello, doctor. Seven months ago, I discovered a painless lump in my right armpit. Later, I had a breast ultrasound, and the doctor said that no lumps were found on either side, attributing it to breast tissue. However, I was still concerned and...
Dr. Chen Sirong Reply:
J / 26 years old / Female. Could this be cancer? I'm very worried. A: 1. Considering your age, breast cancer is quite rare at 26 years old. 2. In terms of size, lymph nodes larger than 1 cm have a higher likelihood of being cancerous. 3. Regarding the primary site, axillar...[Read More] Understanding Lumps in the Armpit: Causes and When to Worry
Understanding the Health Challenges of a 90-Year-Old Cancer Patient
Grandma is 90 years old and was diagnosed with stomach cancer four and a half years ago? About two weeks ago (the last weekend before the Lunar New Year), my grandmother caught a cold around the New Year, which led to throat inflammation and swelling, making it difficult for her ...
Dr. Hu Ziren Reply:
If there is a suspicion of heart problems, one can consult a cardiologist; if there is a suspicion that organ function decline (such as swallowing or coughing up phlegm) is caused by aging (dementia), one can see a neurologist.[Read More] Understanding the Health Challenges of a 90-Year-Old Cancer Patient
Understanding Tongue Base Cancer: Symptoms and Treatment Insights
Cancer Issues: Base of Tongue Cancer My father has been battling cancer for nearly three months. During the initial phase of chemotherapy, his condition was stable, and he was able to manage daily activities independently. However, on January 25th, the day after completing radiat...
Dr. Hu Ziren Reply:
During cancer treatment, if acute changes occur, it may be due to acute complications caused by the treatment (such as infections, dehydration, or hypercalcemia, etc.). It is recommended to promptly take the patient to the emergency department for further management.[Read More] Understanding Tongue Base Cancer: Symptoms and Treatment Insights
Understanding Hard Lumps in Armpit Lymph Nodes: Is It Cancer?
There is a hard lump in the axillary lymph nodes? I discovered a hard lump in my axillary lymph nodes about six months ago, accompanied by pain. I went to the hospital, and an ultrasound showed two tumors, each approximately two centimeters in size, with one showing signs of infl...
Dr. Chen Sirong Reply:
S/37 years old/female 1. This blood test cannot determine if it is malignant. 2. Generally speaking, malignant tumors tend to grow continuously. Given your situation, from August until now, which is approximately six months, if it has remained stable, the likelihood of malign...[Read More] Understanding Hard Lumps in Armpit Lymph Nodes: Is It Cancer?
Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Inguinal lymphadenopathy Hello Doctor, I noticed that the lymph nodes in both sides of my groin have swollen since early January. There are many nodes on both sides, mostly under 1 cm to about 2 cm in size, with some being elongated and others round (the round ones are smaller). ...
Dr. Chen Sirong Reply:
Anonymous / 21 years old / Male Hello, 1) I would like to ask if my lymph nodes could be swollen due to my irregular schedule and lack of exercise? A: The cause cannot be determined, and it is also uncertain whether it is malignant. 2) Should I see a doctor? Which specialty sh...[Read More] Understanding Groin Lymphadenopathy: Causes, Symptoms, and When to Seek Help
Understanding Your Wife's Early-Stage Breast Cancer Biopsy Results
Inquire about the breast cancer tumor biopsy report issues? Hello Dr. Hu, my wife recently underwent a health check at her company, and an abnormality was found in her breast. A biopsy confirmed it to be stage I breast cancer, with the tumor size estimated at about 0.7 cm based o...
Dr. Hu Ziren Reply:
A Ki-67 index of 60% indicates that the tumor proliferation rate is very high, suggesting that it could have grown from 0.7 cm last year to 0.9 cm this year. A Ki-67 level greater than 20% typically signifies poorly differentiated cancer, which is associated with a rapid doubling...[Read More] Understanding Your Wife's Early-Stage Breast Cancer Biopsy Results
Understanding High Platelets and Low Lymphocytes: What It Means for Your Health
Elevated platelet count and decreased lymphocyte count? I just received my health check report from December last year and noticed some red flags in the blood test results. I would like to consult Dr. Hu regarding the following: (1) I have had slightly elevated platelet counts ...
Dr. Hu Ziren Reply:
For the general public: When reviewing a blood report, it is sufficient to pay attention to whether the WBC, HB, and PLT values are within the normal range. Note: 1. WBC differential count (WBC DC) -- The percentages of Neutrophils (Seg), Lymphocytes, Eosinophils, and Basophils a...[Read More] Understanding High Platelets and Low Lymphocytes: What It Means for Your Health
Assessing the Malignancy Risk of a Small Groin Lump: What You Need to Know
Is there a possibility of malignancy? There is a small, painless lump about 1 cm in size on the left side of my groin, which is not visible externally and can only be felt with some pressure. When I first discovered it, it felt firm and slightly mobile, so I decided to monitor it...
Dr. Chen Sirong Reply:
Mimi / 42 years old / Female would like to ask about the appearance of a swelling that initially enlarged and then disappeared, leaving a small 1 cm lump. Is there a significant possibility of malignancy? A: 1. All previous doctors have examined it. 2. Blood tests at that time we...[Read More] Assessing the Malignancy Risk of a Small Groin Lump: What You Need to Know
Understanding a Soft Lump Above the Wrist: Possible Causes and Concerns
A raised lesion is present on the lateral side of the right wrist joint, approximately 3 centimeters above the vein? Hello Doctor, I have a concern regarding a smooth, round mass located about 3 centimeters above the wrist joint on the side of my right hand. It is approximately 1...
Dr. Hu Ziren Reply:
It may just be a lipoma or another benign nodule (such as a tendonoma). If you continue to press on it, it could lead to localized inflammation and infection. It is recommended to simply observe it.[Read More] Understanding a Soft Lump Above the Wrist: Possible Causes and Concerns
Should I Consult My Doctor Again Before Upcoming Surgery for Lymph Node?
I am scheduled for surgery next week, but the lump seems to no longer be painful? From July to November, I experienced recurrent pain in the left lymph nodes. Initially, I thought it was inflammation, but after visiting the ENT department at the hospital, a CT scan in mid-Novembe...
Dr. Chen Sirong Reply:
Du Cheng / 27 years old / Male Hello A: Whether or not to undergo surgery is your own decision. 1. The tumor is still present. 2. It is uncertain whether the tumor is malignant; there is accompanying inflammation. The inflammation has improved, so there is no pain, but whethe...[Read More] Should I Consult My Doctor Again Before Upcoming Surgery for Lymph Node?
Does Cryoablation for Musculoskeletal Tumors Qualify as Surgery?
Is the procedure of cryoablation for skeletal muscle tumors considered a surgical operation? Hello Doctor, my mother recently underwent treatment for malignant bone tumors. Our claim for surgical insurance reimbursement was denied. Does this surgery meet the definition of a surgi...
Dr. Chen Sirong Reply:
Rain, 35 years old, male. Does this surgery meet the definition of surgical procedure? A: According to Dr. Huang Cai-wang from Today's News, cryoablation using micro-needles involves inserting micro-needles filled with argon gas into tumor tissue, creating an ice ball at a t...[Read More] Does Cryoablation for Musculoskeletal Tumors Qualify as Surgery?