Other, Oncology FAQ - Page 9

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Persistent Mouth Sores: Could They Be Linked to Lymphoma?

The mouth ulcer has been persisting for quite a while without healing? Hello doctor, last week I went to the hospital for an examination and found a small lump under my skin, measuring about 0.5 to 1.5 centimeters. It doesn't hurt and doesn't move. I consulted another p...


Dr. Chen Yunfang Reply:
Hello: I looked at the photos, and it doesn't appear to be cancer. Please eat more fruits and vegetables, and wait a bit longer. Additionally, if you have habits such as smoking, drinking alcohol, or chewing betel nut, please quit. If there is no improvement in 2-3 weeks, pl...

[Read More] Persistent Mouth Sores: Could They Be Linked to Lymphoma?


Understanding Post-Chemotherapy Radiation Therapy for Triple-Negative Breast Cancer

Breast cancer treated with neoadjuvant chemotherapy followed by lumpectomy, currently undergoing radiation therapy (inquiry made on April 14, follow-up on previous case)? Hello, (Old Case) A family member has a "triple-negative" left breast cancer measuring over 4 cm, a...


Dr. Chen Sirong Reply:
Ms. Chu / 52 years old / Female {New Inquiry} Initially, family members underwent "ultrasound, mammography (standing compression of the breast), and biopsy." After a week, they consulted the doctor, who said, "The lymph nodes are not infected." Whether the lym...

[Read More] Understanding Post-Chemotherapy Radiation Therapy for Triple-Negative Breast Cancer


Understanding Radiation Therapy After Chemotherapy for Triple-Negative Breast Cancer

In cases of breast cancer where chemotherapy is administered first followed by a lumpectomy, radiation therapy is typically recommended afterward. This approach is often referred to as neoadjuvant chemotherapy, which aims to shrink the tumor before surgical intervention. After th...


Dr. Chen Sirong Reply:
Ms. Zhu / 52 years old / Female 1. Does the family member only need radiation therapy for the left breast? Is it the entire left breast or just the area where the tumor was previously located? A: The radiation field for the breast includes the area below the collarbone, above ...

[Read More] Understanding Radiation Therapy After Chemotherapy for Triple-Negative Breast Cancer


Understanding Immunotherapy for Stage III Oral Cancer After Chemotherapy

More than a week after chemotherapy. New tumor, receiving immunotherapy injections? Stage III oral cancer (surgery completed, chemotherapy and radiation therapy finished) has shown a recurrence of cancer cells over a week after the end of chemotherapy. The PET scan results indica...


Dr. Hu Ziren Reply:
A short-term recurrence indicates that the cancer itself has a strong resistance to treatment, and therefore, the subsequent treatment outcomes are expected to be poorer. The response rate to immunotherapy is approximately 15-20%, with a slower response that requires 3-4 months t...

[Read More] Understanding Immunotherapy for Stage III Oral Cancer After Chemotherapy


Understanding a Hard Lump Under the Rib: Possible Causes and Concerns

Unilateral rib mass? Hello Doctor, I recently noticed a hard lump under the left side of my rib cage. It becomes noticeable and palpable when I take a deep breath or touch it, but in its normal state, it is not visible. The area around it sometimes feels a bit uncomfortable. The ...


Dr. Hu Ziren Reply:
It is recommended to consult an orthopedic specialist or a general surgeon for an examination; if no other obvious abnormalities are found, observation is advised.

[Read More] Understanding a Hard Lump Under the Rib: Possible Causes and Concerns


Understanding Chemotherapy Side Effects: Persistent Cough After Breast Cancer Treatment

Questions about the side effects of chemotherapy for breast cancer? My mother is 50 years old and last year, after suffering from a persistent cough, a lump was discovered in her chest. Upon consulting a doctor, she was diagnosed with stage II HER2-positive breast cancer. She has...


Dr. Chen Yunfang Reply:
Hello: Paclitaxel does not cause coughing as a side effect; at least, I have not experienced it in the 10 years I have used it. Therefore, I am not sure about the condition and cannot determine what is causing the cough. You should discuss this with your primary treating physicia...

[Read More] Understanding Chemotherapy Side Effects: Persistent Cough After Breast Cancer Treatment


Understanding Cancer Recurrence: Insights After Chemotherapy and Radiation

Two weeks after chemotherapy, cancer cells were found again? Oral cancer was diagnosed on December 7, 2021. Surgery was performed on the left mandible, and from January 1, 2022, I began chemotherapy and radiation therapy. By February 25, I completed a total of 7 chemotherapy sess...


Dr. Hu Ziren Reply:
If the pathology report indicates malignancy, it suggests local lymphatic metastasis. Note: If lymphatic metastasis occurs shortly after the completion of chemotherapy and radiation therapy, it indicates that the primary cancer cells have a high degree of malignancy and are likel...

[Read More] Understanding Cancer Recurrence: Insights After Chemotherapy and Radiation


Understanding NF1-PN: Management and Risks of Neurofibromatosis Tumors

NF1-PN plexiform neurofibromas Hello Dr. Hu: My son is 12 years old now. When he was 8, we discovered that he had a tumor in his abdomen and liver. Because it is a flat lesion, we have visited 7 or 8 major hospitals, but no doctor has dared to perform surgery on him. I would like...


Dr. Hu Ziren Reply:
Pediatric oncology is a specialized field of medicine that focuses on the diagnosis and treatment of cancers in children. This branch of medicine addresses various types of pediatric tumors, including leukemia, brain tumors, neuroblastoma, Wilms tumor, and retinoblastoma, among o...

[Read More] Understanding NF1-PN: Management and Risks of Neurofibromatosis Tumors


Understanding MRI Reports: Pituitary Gland Changes and Prolactin Levels

Inquiry about MRI report? I recently had elevated prolactin levels in my blood, with a value of 54.8. I later underwent a brain MRI, and the neurosurgeon stated that there were no tumors or other issues. However, I noticed a section in the report that reads: "No definite bra...


Dr. Chen Sirong Reply:
Lunlun / 22 years old / Female Hello, 1. Is this related to my prolactin levels? A: The MRI results show no significant tumors, but there is a slight protrusion that cannot be determined if it is congenital or due to hyperplasia. Since the MRI cannot make a determination, it i...

[Read More] Understanding MRI Reports: Pituitary Gland Changes and Prolactin Levels


Understanding Painful Lumps in the Armpit: When to See an Oncologist

There is a hard lump in the armpit? Hello Doctor, I have a hard lump under my left armpit that is painful when pressed. There is no redness, no pus, and no opening on the surface, and it does not hurt when not touched. I have visited two dermatologists; one suggested it might be ...


Dr. Chen Sirong Reply:
Lin, 23 years old, female, can visit the general surgery and breast surgery departments for examination. Wishing for a speedy recovery. Taoyuan Hospital, Dr. Chen Sih-Rong.

[Read More] Understanding Painful Lumps in the Armpit: When to See an Oncologist


Can Chemotherapy Be Administered with High White Blood Cell Count?

Elevated white blood cell count? The white blood cell count has risen to 19,500 with neutrophils at 86%. Is chemotherapy possible or not? There is thrombocytopenia and anemia. How can a liver abscess be diagnosed? Thank you, doctor.


Dr. Chen Yunfang Reply:
Hello: 1. I am not your chemotherapy physician, so I cannot answer this question. 2. Thrombocytopenic anemia is not related to the diagnosis of a liver abscess. Thank you.

[Read More] Can Chemotherapy Be Administered with High White Blood Cell Count?


Can My Mom Wear Graphene Clothing After Breast Cancer Surgery?

Can my mom wear graphene underwear or clothing after her breast cancer surgery, now that her stitches have just been removed? Hello Doctor, my mother has stage I breast cancer. She underwent surgery to remove the tumor and some lymph nodes. She just had her stitches removed and w...


Dr. Chen Sirong Reply:
Mr. Lai / 40 years old / Male Hello, 1. The mention of many people wearing garments containing graphene after surgery on television should not refer to post-cancer surgery. 2. Regarding clothing made with germanium or graphene, the impact on cancer should be explained by the ...

[Read More] Can My Mom Wear Graphene Clothing After Breast Cancer Surgery?


Unexplained Fever: Could It Be Related to Cancer?

Fever I would like to consult a doctor. Since the end of January, I suddenly developed a fever of 38 degrees Celsius, accompanied by chills and fatigue, but no other symptoms. After visiting a clinic and self-testing for COVID-19, I took antipyretics, which brought my temperature...


Dr. Hu Ziren Reply:
Fever of unknown origin caused by tumors is usually accompanied by systemic symptoms such as night sweats, weight loss, and loss of appetite, so observation is recommended. However, if other symptoms occur, such as easy flushing, sensitivity to heat and cold, and dry hair, a visi...

[Read More] Unexplained Fever: Could It Be Related to Cancer?


Understanding Abnormal Blood Test Results: Is It Multiple Myeloma?

Abnormal blood test results? During a routine check-up, elevated total protein (TP) and globulin (GLO) levels were found, while other blood parameters were normal. The serum total protein was 8.7 g/dL, albumin (ALB) was 4.8 g/dL, and globulin was 3.9 g/dL. (Is this significantly ...


Dr. Chen Yunfang Reply:
Hello: You are too worried about whether you are ill. Tests are not infallible, and abnormalities do not necessarily indicate anything significant. Based on your description and reports, I do not have any recommendations. Thank you.

[Read More] Understanding Abnormal Blood Test Results: Is It Multiple Myeloma?


Fever and Breast Cancer: Understanding Potential Connections and Concerns

Fever and issues related to breast cancer tumors? In mid-February 2020, there was a continuous fever for six days accompanied by diarrhea, and the medical evaluation did not reveal a definitive cause (influenza, COVID-19, rotavirus, and norovirus were all negative). In April 2021...


Dr. Chen Sirong Reply:
HH / 30 years old / Female Q1: Is it possible that the fever in 2020 is related to a tumor? A: It has been too long; it should be fine. Q2: Could this year's fever be related to cancer recurrence or metastasis? A: Since the fever has resolved, consider it as recovere...

[Read More] Fever and Breast Cancer: Understanding Potential Connections and Concerns


Seeking Alternatives for Chemotherapy Port Removal in Taoyuan

Chemotherapy port removal Hello Dr. Chen, I previously had an appointment with Dr. Gao on Wednesdays for needle removal. However, my chemotherapy schedule at National Taiwan University Hospital may change. Could you please let me know if there are other doctors available at Taoyu...


Dr. Chen Sirong Reply:
MK / 57 years old / Female Hello, the Radiation Oncology outpatient clinic and the Hematology Oncology outpatient clinic are both available. Wishing you peace and health. Taoyuan Hospital, Dr. Chen Sih-Rong.

[Read More] Seeking Alternatives for Chemotherapy Port Removal in Taoyuan


Understanding Post-Surgery Follow-Up for Cancer Patients: Concerns and Insights

Postoperative follow-up Hello, I have some questions regarding my experience with my elderly family member. Two years ago, they were diagnosed with stage 3B cancer and underwent surgery and chemotherapy. They have been returning for follow-up appointments every three months, and ...


Dr. Hu Ziren Reply:
What type of cancer does your elder relative have? Please note that each type of cancer has different surgical and postoperative chemotherapy follow-up protocols. Generally, follow-up includes blood tests and consultations every 2-3 months, and imaging studies (such as CT scans o...

[Read More] Understanding Post-Surgery Follow-Up for Cancer Patients: Concerns and Insights


Understanding the Uses and Risks of Celecoxib During Nasopharyngeal Radiation Therapy

Taking Xeloda during nasopharyngeal radiotherapy? Hello, Dr. Chen. A friend of mine is currently undergoing radiation therapy for nasopharyngeal carcinoma and does not have any pain symptoms. However, the doctor has prescribed Celecoxib to be taken twice daily. I would like to kn...


Dr. Chen Sirong Reply:
Ms. Wu / 38 years old / Female Hello, 1. I would like to know if this medication has any other uses besides pain relief? A: It has anti-inflammatory properties. 2. Is it harmful to take more than the recommended dose? A: The maximum daily dose is 400 mg. If each pill is 200 ...

[Read More] Understanding the Uses and Risks of Celecoxib During Nasopharyngeal Radiation Therapy


Understanding Surgical Biopsy Techniques for Breast Cancer Treatment

Surgical biopsy techniques for breast cancer? Hello Doctor, my mother had a breast ultrasound at the clinic on January 17, which showed a tumor in her right breast. The doctor performed a surgical biopsy to remove a portion of the tissue for testing, and the report indicated that...


Dr. Chen Sirong Reply:
Tin / 31 years old / Female Hello, 1. It is recommended to follow the decision made by your attending physician: A) to perform surgery to remove the tumor on February 10, and B) to proceed with chemotherapy afterward. You may not fully understand whether the physician means a ...

[Read More] Understanding Surgical Biopsy Techniques for Breast Cancer Treatment


Understanding Enlarged Neck Lymph Nodes: Concerns and Cancer Risks

Enlargement of cervical lymph nodes? Hello, Doctor! My mother is 67 years old. She lived in China for an extended period while caring for children and received the Sinopharm vaccine on June 24 of this year. At the end of August, she discovered swollen lymph nodes above her clavic...


Dr. Hu Ziren Reply:
It may simply be localized lymphadenopathy caused by generalized urticaria, and since the fine needle aspiration biopsy of the lymph nodes did not reveal any cancer cells and the size of the lymph nodes has decreased, it is recommended to just observe. As for whether it is relate...

[Read More] Understanding Enlarged Neck Lymph Nodes: Concerns and Cancer Risks


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