Other, Oncology FAQ - Page 8

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Understanding a Hard Lump in the Armpit: Tumor, Folliculitis, or Lymphadenopathy?

There is a hard lump in the armpit? Hello doctor, I have had swelling in both armpits for several months. Recently, the swelling on the right side has decreased, but today while showering, I felt a small hard lump (about one centimeter) in my left armpit. It is not very noticeabl...


Dr. Chen Sirong Reply:
Seal / 19 years old / Female 1. Which is more likely: a tumor, folliculitis, or lymphadenopathy? A: Accessory breast tissue and the other three conditions you mentioned are all possibilities. 2. Can it be left untreated? A: 2.1 Based on what you described, the likelihood of ...

[Read More] Understanding a Hard Lump in the Armpit: Tumor, Folliculitis, or Lymphadenopathy?


Understanding Normal Pancreatic Index in Stage 3 Pancreatic Cancer

Normal pancreatic index? My mother initially thought she had stomach discomfort, but after undergoing an MRI in the hepatobiliary and gastroenterology department, the report indicated a 90% likelihood of stage 3 pancreatic cancer. After being evaluated by an oncologist, there wer...


Dr. Hu Ziren Reply:
Currently, the method for biopsy in pancreatic cancer is endoscopic ultrasound-guided fine needle aspiration, which has an extremely low risk of cancer cell dissemination due to the tumor biopsy. For stage III pancreatic cancer, preoperative treatment may involve either chemother...

[Read More] Understanding Normal Pancreatic Index in Stage 3 Pancreatic Cancer


Radiation Therapy Options for Advanced Head and Neck Tumors

Radiation Therapy for Head and Neck Tumors Hello Dr. Chen: My father is a terminal cancer patient (unable to eat, can only take small amounts of liquid, primarily receiving intravenous nutrition while hospitalized). Due to recurrent bacterial infections, chemotherapy has been pau...


Dr. Chen Sirong Reply:
Tinglee / 37 years old / Female 1. In an online consultation without seeing the patient, I cannot claim that my recommendations are better than those of the original attending physician. 2. Generally, I respect the original attending physician. 3. A patient may not necessarily p...

[Read More] Radiation Therapy Options for Advanced Head and Neck Tumors


Post-Chemotherapy Management for Breast Cancer Patients: Key Considerations

Post-Chemotherapy Management The patient has right breast cancer and has undergone a total mastectomy and axillary lymph node dissection. The pathology report indicates the following: Stage: IIB, Tumor size: 2.4 cm, Lymph nodes: positive for metastasis (2, 11), Distant metastasis...


Dr. Chen Sirong Reply:
Patient: 46 years old, male 1. I would like to ask, what are the key reasons for the consultation with the radiologist to assess whether additional radiation therapy and oral chemotherapy are necessary? A: If the lymph nodes have not metastasized, and the tumor is less than 4 c...

[Read More] Post-Chemotherapy Management for Breast Cancer Patients: Key Considerations


Understanding Lymphadenopathy and Sjögren's Syndrome: Symptoms and Concerns

Unilateral lymphadenopathy, Sjögren's syndrome? I apologize for the inconvenience, but I would like to ask the doctor about some symptoms I experienced as a child. I discovered a lump under my right armpit and underwent a breast ultrasound, where the doctor diagnosed it as a...


Dr. Chen Sirong Reply:
Doudou / 32 years old / Female 1. I apologize! I am an oncology specialist. Based on your condition, after evaluation by the physician, there is a suspicion of Sjögren's syndrome, which is an autoimmune disease that commonly occurs in individuals aged 40 to 60, predominantl...

[Read More] Understanding Lymphadenopathy and Sjögren's Syndrome: Symptoms and Concerns


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

Inguinal mass Hello Doctor, I noticed pain and slight swelling in my left groin area at the end of May. I consulted a general surgeon, and the doctor performed an ultrasound, which showed two lymph nodes that appeared to be benign: one about 1 cm in the groin area and another sma...


Dr. Chen Sirong Reply:
Miss Liao / 46 years old / Female Hello, 1. Could these pains be caused by smaller lymph nodes? A1.1 The human body has two types of pain localization: 1.1.1 Visceral pain is usually difficult to localize accurately. 1.1.2 Pain in the muscles and bones of the limbs can b...

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


Abnormal White Blood Cell Distribution: Should You Seek Further Testing?

Is further examination needed for abnormal white blood cell distribution ratios? Hello, doctor. Since around the 20th of last month, I have been experiencing itching on my eyelids and palms, as well as mild urticaria or rashes on my face, behind my ears, and on my feet, which fee...


Dr. Chen Yunfang Reply:
Hello: This number is abnormal, and you need to see a hematologist for further testing and other related examinations. Thank you.

[Read More] Abnormal White Blood Cell Distribution: Should You Seek Further Testing?


Managing Side Effects of Nasopharyngeal Cancer Treatment: Key Considerations

Radiation therapy for nasopharyngeal carcinoma is reduced? My father was diagnosed with stage IV nasopharyngeal carcinoma, but there was no distant metastasis; however, there was involvement of the lymph nodes in the head and neck region and the left optic nerve. Initially, he un...


Dr. Chen Sirong Reply:
1. What are the consequences of stopping radiation therapy? A: The tumor may grow and compress the optic nerve, potentially leading to blindness in the left eye. It could invade the brain, nose, and lymph nodes in the neck, causing recurrence and growth that may lead to skin ulce...

[Read More] Managing Side Effects of Nasopharyngeal Cancer Treatment: Key Considerations


Understanding Enlarged Clavicular Lymph Nodes: Concerns and Insights

Enlargement of the supraclavicular lymph nodes? Hello, Doctor! My mother is 67 years old. She previously lived in China for an extended period while taking care of children. During that time, she received the Sinopharm vaccine on June 24 of last year. At the end of August, she no...


Dr. Chen Yunfang Reply:
Hello: 1. The cytology report indicates that the specimen is insufficient for diagnostic purposes, which means this test is not useful. 2. Lymph nodes smaller than 1 cm should be biopsied (I mean excisional biopsy, where the entire node is removed for pathological examination, no...

[Read More] Understanding Enlarged Clavicular Lymph Nodes: Concerns and Insights


Managing Swelling in Patients Undergoing Chemotherapy for Pancreatic Cancer

Lower extremity edema due to chemotherapy for pancreatic cancer? Hello Dr. Chen, my father is 71 years old and has stage 4 pancreatic cancer. He is currently undergoing chemotherapy with Gemcitabine and Abraxane, and he has completed his 13th cycle. Starting from the 13th cycle, ...


Dr. Chen Yunfang Reply:
Hello: 1. I cannot provide an answer without understanding the medical condition. 2. Eating eggs does not supplement albumin; albumin is produced by the liver and is not directly absorbed from any food. 3. Edema is a clinical manifestation that can accompany many different diseas...

[Read More] Managing Swelling in Patients Undergoing Chemotherapy for Pancreatic Cancer


Understanding Axillary Lumps: What You Need to Know About Your Health

Axillary swelling issues? Hello Dr. Chen, I discovered a protrusion in my left armpit around late April. It has a smooth surface, is elongated, approximately 4×2 cm, and feels somewhat like a muscle; it is soft to the touch and not painful. I'm not quite sure how long it has...


Dr. Chen Sirong Reply:
Sam / 37 years old / Male Hello, 1. What could this issue be and what should I pay attention to? a: I believe the first physician's response fully addressed your concerns. I do not have a better answer. 1.1 The family medicine physician indicated that there is nothing t...

[Read More] Understanding Axillary Lumps: What You Need to Know About Your Health


Understanding Kidney Tumors: When to Consider a Biopsy

Regarding renal tumors? Hello Doctor, my mother was diagnosed with hormone receptor-positive stage T1b breast cancer six months ago and has completed hormone therapy and radiation treatment. During a recent ultrasound, a hyperchoic lesion (1.46 x 1.0 cm) without acoustic shadow w...


Dr. Hu Ziren Reply:
Hamartoma, also known as angiomyolipoma, is a benign tumor. If asymptomatic (without abdominal pain, back pain, hematuria, etc.), it is recommended to simply observe. However, if subsequent follow-up shows that the size exceeds 4 cm or if complications arise (such as tumor bleedi...

[Read More] Understanding Kidney Tumors: When to Consider a Biopsy


Do I Need to See a Hematologist After Anemia Diagnosis?

Do I need to see a hematologist after receiving my blood test results? Hello Dr. Chen, I recently received my gastrointestinal blood test results. The outpatient physician informed me that I have anemia and recommended that I see a hematologist at a major hospital. However, due t...


Dr. Chen Yunfang Reply:
Hello: Based on your report, microcytic anemia is confirmed, but the cause is unknown (as other tests have not been performed). It is recommended to see a hematologist for a complete evaluation and medication. Thank you.

[Read More] Do I Need to See a Hematologist After Anemia Diagnosis?


Understanding Lung Cancer: Surgery, Recurrence, and Screening Guidelines

Lung cancer that is inoperable and the recurrence of lung cancer along with regular check-ups? 1. My mother was diagnosed with three lesions last year through LDCT. The doctor recommended a thoracoscopic resection of the largest one. Later, it was determined to be stage 0 lung ca...


Dr. Hu Ziren Reply:
1. The surgical resection cure rate for stage 0 lung cancer is very high (indicating a very low likelihood of recurrence). 2. Cryoablation is not an immunotherapy; it is somewhat similar to electrosurgery. A thin needle is first placed at the tumor site, and then a heat source i...

[Read More] Understanding Lung Cancer: Surgery, Recurrence, and Screening Guidelines


Understanding Treatment Options for Rectal Cancer: A Patient's Guide

Treatment options for rectal cancer? Dear Dr. Chen, My wife, who is 63 years old, has been experiencing unusual frequent diarrhea. After undergoing a colonoscopy at the gastroenterology department, five polyps were discovered, one of which is particularly large, and the biopsy r...


Dr. Chen Sirong Reply:
Hello: 1. Why did it develop into a malignant tumor in just one year? Doesn't tumor formation take some time? A: It sounds like a portion of a benign polyp has transformed into a malignant one. Since you have check-ups every two years, it was detected early. Screening can...

[Read More] Understanding Treatment Options for Rectal Cancer: A Patient's Guide


Understanding Groin Lymph Nodes: When to Seek Medical Attention

Inguinal lymph nodes Hello, Doctor. I apologize for reaching out while I am currently abroad, and I plan to return to Taiwan in three months. I would like to hear your opinion on whether I should return to Taiwan for medical evaluation at this time. Since December of last year, I...


Dr. Chen Yunfang Reply:
Hello: Please arrange for a surgeon to perform a groin lymph node biopsy as soon as possible; it sounds concerning. Thank you.

[Read More] Understanding Groin Lymph Nodes: When to Seek Medical Attention


Post-Radiation Symptoms in Nasopharyngeal Cancer Patients: What to Expect

Post-nasopharyngeal radiotherapy Hello Dr. Chen, it has been 1.5 months since I completed radiation therapy for nasopharyngeal cancer. I started experiencing 24-hour pulsatile tinnitus during the mid-treatment, which continues to this day. Recently, I have also felt a slight swel...


Dr. Chen Sirong Reply:
Qing, 39 years old, female. For some individuals, the inflammatory reactions from radiation therapy may take 2-3 months to resolve. However, the radiation oncology department is only responsible for the treatment itself; side effects such as tinnitus and vision problems should be...

[Read More] Post-Radiation Symptoms in Nasopharyngeal Cancer Patients: What to Expect


Understanding High Vitamin B12 Levels and Their Link to Cancer Symptoms

Dizziness, Vitamin B12 Hello Doctor: I have been experiencing severe dizziness and lightheadedness for 24 hours continuously. I have undergone numerous tests, and the neurologist indicated that everything is normal and referred me to a psychiatrist. A psychiatrist suspected that ...


Dr. Chen Yunfang Reply:
Hello: Is there a connection between Vitamin B12 and cancer? I disagree. The symptoms you mentioned do not seem to be related to any cancer, except for neurological examinations. You might also consider visiting an "Endocrinology" clinic, as sometimes "hypothyroidi...

[Read More] Understanding High Vitamin B12 Levels and Their Link to Cancer Symptoms


Understanding Tumor Status After Cancer Treatment: What Does No Change Mean?

Tumor issues after treatment completion? My father was diagnosed with stage IV nasopharyngeal carcinoma last year, with no distant metastasis. He began radiation therapy and chemotherapy, completing all treatments in October of last year, and has been undergoing regular follow-up...


Dr. Hu Ziren Reply:
It indicates that the tumor has been cured or there is no local recurrence. However, cancer may relapse or metastasize during the follow-up period of 2 to 5 years after treatment. Therefore, it is still recommended to have regular follow-up appointments.

[Read More] Understanding Tumor Status After Cancer Treatment: What Does No Change Mean?


Understanding Groin Lymph Node Swelling: Causes and Concerns

Inguinal lymphadenopathy? Hello, Dr. Hu. About 10 days ago, I noticed a small lymph node swelling in my groin, approximately 1 to 1.5 centimeters in size. It is not painful when pressed, and when I slide my fingers over the lump with some pressure, it feels somewhat soft and elas...


Dr. Hu Ziren Reply:
It may be due to localized inflammation causing lymphadenopathy, and it could also be related to the menstrual cycle. It is advisable to monitor whether there are fluctuations in size corresponding to the menstrual cycle. Additionally, it is recommended to drink plenty of water a...

[Read More] Understanding Groin Lymph Node Swelling: Causes and Concerns


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