Prostate cancer, Oncology FAQ

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Does Blood Transfusion Cause PSA Levels to Rise in Prostate Cancer?

The issue of elevated PSA levels after blood transfusion? Hello, due to abnormal hematopoietic function caused by stage IV prostate cancer, the patient has been experiencing anemia and received blood transfusions for three consecutive days. After three days, a blood test revealed...


Dr. Chen Sirong Reply:
Huang, 70 years old, male. 1. Will this condition continue indefinitely? A: The likelihood of this condition worsening is higher, as the PSA has nearly doubled. The reason is that the long-term hormone therapy has just become ineffective; it is less likely to be caused by a bl...

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Understanding Prostate Cancer Treatment Options for Elderly Patients

Prostate cancer Hello Dr. Chen, my father is 81 years old and had a PSA level of 14.9, which led to a prostate biopsy that confirmed the presence of cancer cells. The doctor then arranged for a CT scan of the pelvic area, a chest X-ray, and a nuclear medicine scan of the entire s...


Dr. Chen Sirong Reply:
J / 52 years old / Male Hello! 1. The doctor recommended laser treatment to remove the prostate. A: This procedure is likely not aimed at prostate cancer but rather at benign prostatic hyperplasia (BPH). What I mean is: for BPH, laser treatment is applicable; for prostate canc...

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Is a CEA Level of 10,000 Possible? Understanding Cancer Marker Limits

Is it really possible for the CEA level to reach 10,000? Hello Director Lai, I discovered a CEA level of 1085 during my health check in August this year, and subsequently, the clinic tested it again with a value of 1500. Later, after transferring to another hospital, the results ...


Dr. Lai Yicheng Reply:
Hello, Miss La Bao: Question 1. Is there a limit to the CEA index? Carcinoembryonic antigen (CEA) is the most commonly used tumor marker for colorectal cancer. However, CEA is not exclusive to colorectal cancer; it can also be elevated in breast cancer, gastric cancer, pancre...

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Understanding PSA Fluctuations After Prostate Cancer Surgery: What to Expect

Prostate cancer has undergone radical surgery? Hello Doctor, my father is 74 years old today and has a history of diabetes. He was diagnosed with stage III prostate cancer four months ago, with cancer cells invading the seminal vesicles but no lymphatic or bone metastasis. One mo...


Dr. Chen Yunfang Reply:
Hello: The normal PSA level for individuals is generally below 4. If it exceeds 4, it usually raises concerns. If the level falls between 4 and 20, it may indicate cancer or other conditions such as benign prostatic hyperplasia or prostatitis. However, if the level is above 20, c...

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Can Breast Cancer Metastasize to the Liver After Lung Spread?

Breast cancer metastasis to the lungs? Is it possible for breast cancer that has metastasized to the lungs to also metastasize to the liver?


Dr. Lai Yicheng Reply:
Hello, sir: The most common sites of cancer metastasis are the lungs, bones, and liver. The primary metastatic sites for different types of cancer are as follows: - Breast cancer: lungs, liver, bones. - Colorectal cancer: liver, peritoneum, lungs. - Kidney cancer: lungs, liver,...

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Exploring Torisel Coverage for Metastatic Kidney Cancer Treatment Options

Hello, doctor. Regarding the application for reimbursement of Torisel for metastatic renal cell carcinoma? Hello, doctor. My mother was diagnosed with kidney cancer, which has already metastasized to the lungs, bones, adrenal glands, neck, and multiple lymph nodes. The biopsy fro...


Dr. Lai Yicheng Reply:
Dear Pharmacist, Thank you for your letter. Here is my response: 1. Regarding the diagnosis - The biopsy was taken from the L3 vertebra and the adrenal metastasis. The pathology report shows positive results for AMACR and PAX8. Both of these immunohistochemical tests are non-sp...

[Read More] Exploring Torisel Coverage for Metastatic Kidney Cancer Treatment Options


Understanding Advanced Prostate Cancer Treatment Options for Seniors

Prostate cancer Hello Dr. Lai: Recently, a family member (approximately 80 years old, with a pacemaker, unable to undergo MRI) was diagnosed with advanced prostate cancer that has metastasized to the bones. The outpatient physician recommended surgical resection (which could exte...


Dr. Lai Yicheng Reply:
Hello, 1. The letter mentions that the patient has prostate cancer with bone metastasis. According to literature, the five-year survival rate is approximately 20%, but it is essential to evaluate this alongside risk factors such as the pathological Gleason score and PSA levels ...

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Can a PSA Level of 1.13 Indicate Remaining Prostate Cancer?

Is it possible to have malignant tumors with a post-prostate cancer PSA level of 1.13? On June 29, 2015, the PSA level was 17.4. A biopsy on August 3 of the same year confirmed the presence of malignant tumors, specifically prostate cancer. On September 4, the PSA level increased...


Dr. Chen Yunfang Reply:
Hello: The prostate-specific antigen (PSA) level is used for monitoring, not for diagnosing prostate cancer. The diagnosis of prostate cancer relies on pathological biopsy; if cancer is present, it is confirmed. Unless you have undergone surgical removal, you cannot say there are...

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Post-Prostate Cancer Surgery: Understanding Blood Test Results and Hernia Impact

Prostate cancer issues Hello Doctor, I would like to inquire about post-operative issues related to prostate cancer. My father underwent surgery for stage II prostate cancer last November, and his post-operative recovery has been good. The pathology report showed no signs of meta...


Dr. Chen Junyi Reply:
Continuous monitoring of PSA.

[Read More] Post-Prostate Cancer Surgery: Understanding Blood Test Results and Hernia Impact


Choosing the Best Treatment Options for Prostate Cancer in Seniors

Regarding treatment options for prostate cancer: Regarding prostate cancer treatment options for my father, who is 70 years old with no cardiovascular disease or diabetes, he underwent a biopsy in July 2010, which resulted in T2bN0M0 and a Gleason score of 7. We hope to minimize ...


Dr. Chen Junyi Reply:
The CyberKnife may be a better option.

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Understanding Androcur: Efficacy and Long-Term Use in Prostate Cancer

Androcur medication issues? Dear Dr. Fan, I am unsure whether to direct my question to the Hematology-Oncology department or Urology. My inquiry is as follows: My uncle is a terminal prostate cancer patient with metastases to the pelvis, femur, and lymph nodes. The initial hormo...


Dr. Fan Sheng Reply:
Hello: You mentioned that your uncle is a terminal prostate cancer patient, and he should have undergone either orchiectomy or received subcutaneous injections of androgen deprivation therapy. Generally, this approach can be effective for about one and a half to two years. After ...

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Essential Cancer Screening Tests for Early Detection in Seniors

What tests are available to predict the likelihood of developing cancer? My mother is 72 years old and has been taking medication for hypertension and degenerative arthritis for a long time. I have paid out of pocket for cancer screening tests for her, including liver AFP, colon ...


Dr. Chen Sirong Reply:
Hello: 1. A small number of individuals undergo health screenings, including physical examinations and blood tests, which can lead to early cancer detection. While these screenings may not be beneficial for the majority, they can be immensely helpful for a few, depending on your ...

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Prostate Cancer Treatment: Radiation vs. Surgery - Which is Better?

Prostate cancer Hello, my father is 61 years old and was recently diagnosed with prostate cancer. The doctor recommended radiation therapy, but I have read reports suggesting that surgical treatment is preferable. Which method is better, and which has fewer side effects or compli...


Dr. Chen Sirong Reply:
Hello: 1. I personally recommend radiation therapy as it has fewer side effects; after treatment, monitoring PSA levels and taking oral hormone therapy would suffice. 2. However, surgery is definitive; the advantage is that the tumor is immediately removed, but my friend's f...

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Is Redness from Eyes to Nose a Sign of Cancer?

Is redness in the area from under the eyes to the nasal wings a sign of cancer? Is the redness from below the eyes to the wings of the nose a sign of cancer? My grandfather has prostate cancer, and the area below his eyes to the wings of his nose is red. I've heard people sa...


Dr. Yang Youhua Reply:
It should not be the case; if it were a tumor, a hard mass should be palpable. If you have concerns, you should promptly seek a professional physician for a diagnosis. It could also be an issue like sinusitis, in which case you need to see an ENT specialist for an examination.

[Read More] Is Redness from Eyes to Nose a Sign of Cancer?