Understanding Neck Masses and Low Platelet Counts: Key Insights
Neck mass and thrombocytopenia? 1. About last September, I noticed a hard lump in the back of my shoulder that has been swollen and painful. It has not gone away and is about 1 cm in size; it does not hurt or move and feels very hard. It hasn't grown larger, but my family in...
Dr. Hu Ziren Reply:
1. If there is no continuous enlargement, it is recommended to simply observe. 2. In young women with thrombocytopenia, it may be autoimmune thrombocytopenic purpura. 3. However, if there are other hematological abnormalities present, it is advisable to consult a pediatric he...[Read More] Understanding Neck Masses and Low Platelet Counts: Key Insights
Understanding Blood Test Results: A Guide for Cancer Patients
I don't understand the blood test report? I have a habit of donating platelets, but the center has noted abnormal results in my last three tests and referred me to a hospital for blood tests. However, I do not understand the meaning of the values and would like to consult a ...
Dr. Hu Ziren Reply:
Thrombocytopenia (<100,000, your count is 47,000), combined with a history of splenomegaly, initially raises suspicion for "idiopathic (autoimmune) thrombocytopenic purpura." However, a definitive diagnosis requires further testing and the exclusion of other potentia...[Read More] Understanding Blood Test Results: A Guide for Cancer Patients
Understanding Thymic Cancer Metastasis: Symptoms and Treatment Options
Thymic carcinoma metastasis Hello Doctor, my family member, a 21-year-old male, experienced lower back pain and underwent an X-ray in early February, which revealed an abnormal enlargement of the thymus. A biopsy confirmed thymic carcinoma (lymphoepithelial type) with bone metast...
Dr. Lai Yicheng Reply:
Hello Ms. Chen, regarding the symptoms of your relative, we are unable to provide an accurate diagnosis without actually observing the symptoms. Please return to the hospital for a thorough evaluation by a physician. It is important to seek medical attention as soon as possible f...[Read More] Understanding Thymic Cancer Metastasis: Symptoms and Treatment Options
Understanding Sudden Red Spots on the Arm: Causes and Concerns
Subcutaneous hemorrhage with red spots on the arm? Hello, doctor. Today I woke up and suddenly noticed dark red or coffee-colored petechiae (like needle pricks) under the skin of my left arm. The day before, I had a Thai oil massage that involved my arms, and later that evening, ...
Dr. Fan Sheng Reply:
As you mentioned, the petechiae under the skin of the left arm may be caused by the pressure from the massage oil. The slight bleeding from the nasal mucosa and gums may also have identifiable causes. Since the platelet count is normal, there is no need for concern.[Read More] Understanding Sudden Red Spots on the Arm: Causes and Concerns
Understanding APTT: High Levels and Potential Concerns in Oncology
APTT, or Activated Partial Thromboplastin Time, Hello Doctor: I recently had a blood test, and the report indicated that my activated partial thromboplastin time (aPTT) is elevated. The normal range is 23.9 to 34.9 seconds, while my value is 38.9 seconds. Additionally, after show...
Dr. Fan Sheng Reply:
Dear Peggy: Your condition resembles purpura, and it may be necessary to prioritize the evaluation of autoimmune issues that could be causing the coagulation dysfunction. Please seek consultation at the hematology and immunology outpatient clinics as soon as possible. Thank you.[Read More] Understanding APTT: High Levels and Potential Concerns in Oncology
Alternative Treatments for Thrombocytopenia: Beyond Steroids and Splenectomy
Purpura Hello, I have several male friends who were diagnosed with thrombocytopenic purpura in middle school. They have been on long-term corticosteroids and immunosuppressants. The doctor once suggested a splenectomy, but the family opposed it unless absolutely necessary. Their ...
Dr. Chen Sirong Reply:
Hello, based on the information provided by the netizen, the patient is likely experiencing thrombocytopenic purpura due to a deficiency of platelets. In addition to corticosteroids and immunosuppressants, there are other treatment options available, including the aforementioned ...[Read More] Alternative Treatments for Thrombocytopenia: Beyond Steroids and Splenectomy
Is There a Direct Link Between Purpura, Proteinuria, and Cancer?
Purpura Is there a direct relationship between purpura and proteinuria with cancer?
Dr. Yang Youhua Reply:
Purpura and proteinuria are not directly related to cancer. If a malignant tumor invades the kidneys, it may cause proteinuria; if it invades the bone marrow, it could lead to thrombocytopenia, making the patient prone to bleeding. The simultaneous occurrence of purpura and prote...[Read More] Is There a Direct Link Between Purpura, Proteinuria, and Cancer?