Other, Oncology FAQ - Page 7

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Understanding Painful Bumps Near the Groin: When to Seek Medical Help

A lump has developed in the vulvar area, near the junction with the thigh? Hello, doctor. Referring to the VIO areas commonly discussed in hair removal, I have a small lump on the upper right side of my triangle, close to the right thigh crease (but not directly at the crease). I...


Dr. Hu Ziren Reply:
It may just be a localized inflammation (such as folliculitis); it is recommended to see a gynecologist.

[Read More] Understanding Painful Bumps Near the Groin: When to Seek Medical Help


Understanding Persistent Eosinophilia: Causes and Health Risks

Eosinophilia Hello Doctor, I would like to ask if having an eosinophil count consistently between 800 and 1000 is indicative of any diseases or potential risks. For the past ten years, my count has always been in this range and never within the normal values. All other white bloo...


Dr. Hu Ziren Reply:
Elevated eosinophil counts can have many causes, such as allergies, medications, autoimmune diseases, or parasitic infections. However, since the duration has exceeded several years and is accompanied by abdominal pain and skin allergy symptoms, it is recommended to consult with ...

[Read More] Understanding Persistent Eosinophilia: Causes and Health Risks


Navigating Drug Resistance in Post-Surgery Colorectal Cancer Treatment

Colorectal cancer resistance to treatment After my family member's surgery for colorectal cancer, they had a KRAS mutation and underwent all lines of chemotherapy. The first-line treatment was the most effective, but the tumor only shrank initially and then showed no further...


Dr. Chen Yunfang Reply:
Hello: 1. I am not your attending physician and cannot provide answers to your questions. 2. What is often not mentioned in online advertisements and promotional content is that it requires a significant amount of money, and it is completely outside of the National Health Insu...

[Read More] Navigating Drug Resistance in Post-Surgery Colorectal Cancer Treatment


Understanding Swollen and Painful Lymph Nodes: When to Seek Medical Attention

Axillary lymphadenopathy with pain and bleeding? Hello, Doctor: This week, I have been experiencing unexplained swelling and pain in my left armpit. Initially, there was no discoloration, but it was painful to the touch and felt soft. The pain has affected my sleep, as I wake up ...


Dr. Chen Sirong Reply:
Wenwen / 21 years old / Male 1. This is my first time experiencing a large, red, swollen, and painful area. Should I see a doctor? A: 1.1 Redness, swelling, heat, and pain are symptoms of inflammation. A physician can evaluate your condition and determine whether antibiotics, p...

[Read More] Understanding Swollen and Painful Lymph Nodes: When to Seek Medical Attention


Managing Edema and Pain in Advanced Pancreatic Cancer Patients

Pancreatic cancer metastasized to the liver, with bilateral lower extremity edema up to the knees? Last November, a family member (female) was diagnosed with stage II pancreatic cancer and underwent a Whipple resection. Post-surgery, she did not receive adjuvant chemotherapy. Fou...


Dr. Chen Sirong Reply:
Yuyu / 28 years old / Female 1. What does the doctor think should be done in this situation? A: 1.1 The cancer itself may cause cachexia, leading to poor nutrient absorption, resulting in a severe weight loss down to 33 kg. Even with supplementation, it may not be sufficient. T...

[Read More] Managing Edema and Pain in Advanced Pancreatic Cancer Patients


Understanding Pancreatic Cysts and Liver Hemangiomas: What You Need to Know

Pancreatic pseudocyst. Hepatic hemangioma? I recently had an abdominal ultrasound, and the doctor mentioned that I have a small cyst on my pancreas and a hemangioma on my liver. They didn't specify the size or location, only stating that they are benign but recommended follo...


Dr. Hu Ziren Reply:
The small cysts in the pancreas and the hemangioma in the liver are both benign tumors. It is recommended to follow up every 3 to 6 months.

[Read More] Understanding Pancreatic Cysts and Liver Hemangiomas: What You Need to Know


Understanding Elevated CEA Levels: Impact of Rheumatoid Arthritis

CEA value Hello, my mother went to a nephrologist due to back pain, and an ultrasound revealed a shadow on her liver. Blood tests were arranged, and her CEA level was found to be 1119, which is extremely high. However, she does not have any other discomforting symptoms. My mother...


Dr. Hu Ziren Reply:
Psoriatic arthritis does not affect CEA levels; note: a CEA level of 1119 is significantly elevated, typically indicating that "potential" cancer is at an advanced stage or has metastasized to multiple sites. It is recommended to promptly consult an oncologist for furth...

[Read More] Understanding Elevated CEA Levels: Impact of Rheumatoid Arthritis


Early Signs of Pancreatic Cancer: Blood Sugar and Weight Loss

Signs of Pancreatic Cancer Doctor, I would like to ask if elevated blood sugar levels or weight loss are common issues before a diagnosis of pancreatic cancer, or if these symptoms typically appear only in the later stages. Thank you.


Dr. Chen Sirong Reply:
Xiao Wei / 30 years old / Male 1. I would like to ask if elevated blood sugar levels or weight loss are common issues before a diagnosis of pancreatic cancer. A: Not necessarily. Some individuals may be asymptomatic and discover the diagnosis during routine check-ups, while oth...

[Read More] Early Signs of Pancreatic Cancer: Blood Sugar and Weight Loss


Understanding Lymph Node Issues: Key Questions and Insights

Lymphatic issues Hello Doctor, I would like to inquire about lymphatic issues: 1. Self-reported: 1. On May 25, 2022, I discovered a movable, non-painful, neither soft nor hard mass on the right side of my neck. 2. On May 25, 2022, I found a movable, non-painful, neither so...


Dr. Chen Sirong Reply:
Chris / 37 years old / Male 1. Is the size of the lymph nodes observed through ultrasound within the normal range? Can the measurements vary between different physicians? A: Generally, lymph nodes larger than 1 cm require further evaluation or biopsy, while those under 1 cm ca...

[Read More] Understanding Lymph Node Issues: Key Questions and Insights


Post-Surgery Weakness in Cholangiocarcinoma: Is Immediate Chemotherapy Advisable?

After surgery for bile duct cancer, if the patient is experiencing weakness, should adjuvant chemotherapy be initiated immediately? Hello, doctor. My mother was diagnosed with cholangiocarcinoma a month ago after being admitted to the emergency department for abdominal pain. She ...


Dr. Chen Sirong Reply:
Rita, 47 years old, female 1. Visiting medical centers such as Shin Kong Hospital, National Taiwan University Hospital, Linkou Chang Gung Memorial Hospital, Shuang Ho Hospital, Tri-Service General Hospital, and Mackay Memorial Hospital. 2. Hematology-Oncology department speciali...

[Read More] Post-Surgery Weakness in Cholangiocarcinoma: Is Immediate Chemotherapy Advisable?


Understanding Lymph Node Issues After COVID-19: Key Concerns and Insights

Lymph node-related issues? Hello Dr. Chen, I have the following questions I would like to consult with you. Since I was diagnosed with COVID-19 at the end of April, I have frequently noticed swollen lymph nodes in the neck area, which has made me worried about potential underlyi...


Dr. Chen Sirong Reply:
Hui / 31 years old / Female 1. The doctor mentioned that there is a lymph node approximately 2.3 cm in size under my left armpit that needs to be monitored. Since I have not received any vaccinations, the doctor suggested monitoring it for six months. Should I consider getting i...

[Read More] Understanding Lymph Node Issues After COVID-19: Key Concerns and Insights


Understanding Ground-Glass Nodules: Follow-Up Recommendations and Concerns

Questions about lung CT? This year's health check-up revealed a low-dose lung CT report indicating ground-glass nodules: "Subpleural nodular ground-glass opacities with two solid small nodules located in the right upper lobe (N1: 3.4mm; N2: 2.5mm)." How often shoul...


Dr. Chen Sirong Reply:
Wang / 39 years old / Male. How often should follow-up appointments be scheduled? 1.1. If a comprehensive interpretation by a physician is not arranged during the health check-up, you can schedule an appointment with a pulmonologist at your hospital to review the imaging. If yo...

[Read More] Understanding Ground-Glass Nodules: Follow-Up Recommendations and Concerns


Understanding Lymph Node Swelling: Causes Beyond Lymphoma

A cluster of lymph nodes? On May 13, I received my third dose of the Moderna vaccine. On the morning of July 14, I suddenly experienced pain in my left arm, which by the evening had extended to my left chest near the armpit. Upon palpation, the lymph nodes in the armpit were swol...


Dr. Chen Sirong Reply:
Patient: Xiao Liu / 40 years old / Male Question: Aside from ruling out lymphoma, what other organs could have cancer cell metastasis? Answer: Lymphadenopathy may be caused by: 1. Cancer 2. Changes due to immune response from vaccination. 1. It should be noted that almost all...

[Read More] Understanding Lymph Node Swelling: Causes Beyond Lymphoma


Alternative Treatments for Stage IV Anal Cancer: Options Beyond Surgery and Chemotherapy

Treatment for anal cancer? Hello Dr. Chen, my older sister is 64 years old and has been diagnosed with stage IV anal cancer for a year. The tumor was initially 10 cm in size, reduced to 5 cm after radiation therapy, but has gradually grown back to 10 cm. The surgeon believes that...


Dr. Chen Yunfang Reply:
Hello: There is no textbook standard answer for the treatment of recurrent anal cancer, as the results are not convincing. Patients still need to seek medical advice from a physician for recommendations. I don't have much to suggest here online. Thank you.

[Read More] Alternative Treatments for Stage IV Anal Cancer: Options Beyond Surgery and Chemotherapy


Understanding Growths Between the Anus and Vagina: When to Seek Help

There is a hard lump in the groin area? There is a hard bump between the anus and the vaginal opening that has grown from a small size to larger over the past two years. It often causes friction and pain when wearing pants, which is quite bothersome. Which specialty should I cons...


Dr. Chen Sirong Reply:
Postpartum care / 52 years old / Female. It is recommended to first consult an obstetrician for a safe and joyful recovery. Dr. Chen Si-Rong.

[Read More] Understanding Growths Between the Anus and Vagina: When to Seek Help


Understanding Advanced Colon Cancer Treatment Options and Challenges

Colorectal cancer treatment As a child seeking advice for my father: My father, in his seventies, was diagnosed with colon cancer that had metastasized to the liver at the time of discovery. After surgically removing the tumor at the junction of the colon and rectum, he began che...


Dr. Chen Yunfang Reply:
Hello: Some questions are not ones that I, as a general physician, can or should answer; you need to ask your father's primary physician. Therefore, I will only address some research-related inquiries: 2. All Ras gene mutations indicate that targeted therapies for a specific...

[Read More] Understanding Advanced Colon Cancer Treatment Options and Challenges


Understanding Low Hemoglobin and High Platelet Counts in Oncology Patients

Low hemoglobin and elevated platelet count? Hello, doctor. For the past two years, I have frequently experienced dizziness, chest tightness, intermittent headaches, and often feel as if there is an earthquake. Last year, my blood test showed a hemoglobin level of 7 mg/dl, which l...


Dr. Chen Yunfang Reply:
Hello: Please bring your blood test report directly to register for the hematology outpatient clinic. If you have already been treated at the hematology outpatient clinic, you can address your concerns directly with the physician. Thank you.

[Read More] Understanding Low Hemoglobin and High Platelet Counts in Oncology Patients


Understanding a Painful Red Lump Under the Left Armpit: Symptoms and Concerns

There is a red, swollen lump under the left armpit? Hello doctor, I have a red swollen lump in my left armpit that is about 1-1.5 cm in size. I actually had it for a while, but it was smaller and I didn't pay much attention to it. However, in the last three days, it has star...


Dr. Hu Ziren Reply:
It seems to be subcutaneous folliculitis or another type of subcutaneous inflammation. It is recommended to see a general surgeon or an infectious disease specialist.

[Read More] Understanding a Painful Red Lump Under the Left Armpit: Symptoms and Concerns


Understanding Lumps in the Armpit: What You Need to Know

Axillary lump Hello, doctor. I am 25 years old and discovered a lymph node in my neck when I was 16-17 years old. I also had one in my groin at that time. A biopsy of the neck lymph node showed normal results. These lymph nodes have not changed for nearly 10 years. However, in th...


Dr. Hu Ziren Reply:
The lymph nodes in the neck have undergone fine-needle aspiration and ultrasound imaging, which did not reveal any abnormalities. Additionally, since they are very small (less than 1 cm), the likelihood of cancer is extremely low. It is recommended to simply monitor the situation...

[Read More] Understanding Lumps in the Armpit: What You Need to Know


Managing Esophageal Stricture and Motility Issues After Cancer Treatment

Esophageal sclerosis and impaired peristalsis? Hello Dr. Chen: My father is 72 years old and was diagnosed with stage III esophageal cancer two years ago. He underwent stereotactic body radiation therapy, chemotherapy, and has not had surgery. Currently, both CT scans and PET sca...


Dr. Chen Sirong Reply:
Tina / 42 years old / Female 1. Besides medications that aid peristalsis and the esophageal stent (which the physician does not recommend for your father), are there any other suggested treatment options? A: 1.1 It is uncertain whether esophageal balloon dilation would be benef...

[Read More] Managing Esophageal Stricture and Motility Issues After Cancer Treatment


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