Does Liver Cancer Spread to Bones? Understanding Symptoms and Risks
Does liver cancer invade the bones? In March of this year, my father's AFP test result was 903, and the doctor confirmed liver cancer. Previously, it was only suspected. My father mentioned that his arm hurts and he is unable to reach back to grab a tissue. Could this be rel...
Dr. Chen Sirong Reply:
Jovi: Hello, I suspect two things: 1. The bone in my arm may have metastasized liver cancer. 2. The cervical spine may have metastasized liver cancer causing compression of the spinal nerves, which connect to the arm right after exiting the cervical spine. Regardless, I recommend...[Read More] Does Liver Cancer Spread to Bones? Understanding Symptoms and Risks
Understanding Smooth Muscle Sarcoma: Treatment Options and Concerns
Smooth muscle sarcoma I'm sorry, Doctor. My mother had one ear removed, which has affected her hearing. If it is malignant, could it spread through the bloodstream to the entire body? After the partial removal of the ear, it seems to have spread to the lungs, and she had sur...
Dr. Chen Sirong Reply:
It seems that you may not fully understand the condition, possibly because you are still young and your parents have not completely explained it to you. It might be a good idea to have a thorough discussion with them to gain a better understanding, which could help alleviate any ...[Read More] Understanding Smooth Muscle Sarcoma: Treatment Options and Concerns
Feeling a Chicken Bone Stuck in Throat After Laryngeal Cancer Radiation?
After radiation therapy for throat cancer, it feels like a chicken bone is stuck in the throat. What should I do? After radiation therapy for throat cancer, it feels like there is a chicken bone stuck in the throat?
Dr. Chen Sirong Reply:
Mr. Fan-Jiang: Hello, you probably haven't undergone surgery and have only received radiation therapy, right? The treatment dose might be around 6660-7000 cGy. How long has it been since the treatment ended? Is it 1-2 months? After treatment, local fibrosis or edema may occu...[Read More] Feeling a Chicken Bone Stuck in Throat After Laryngeal Cancer Radiation?
Targeted Therapy for Nasopharyngeal Cancer: Efficacy and Prognosis
Can nasopharyngeal carcinoma be treated with targeted therapy? Hello Dr. Chen: Recently, a friend of mine was diagnosed with nasopharyngeal carcinoma, and the pathology report indicates it is stage II. Aside from a hard mass in the neck measuring about 3 cm, there are no other cl...
Dr. Chen Sirong Reply:
1. Due to the high sensitivity of nasopharyngeal carcinoma cells to radiation, radiation therapy has been the primary treatment for nasopharyngeal carcinoma. While radiation therapy can effectively control local tumor cells, nasopharyngeal carcinoma is prone to metastasis; theref...[Read More] Targeted Therapy for Nasopharyngeal Cancer: Efficacy and Prognosis
Understanding Nasopharyngeal Cancer: Survival Rates, Recurrence, and Nutrition
Hello, doctor! Hello, doctor! I would like to ask about my father, who was diagnosed with stage IV nasopharyngeal cancer a month ago. What is the likelihood of recovery? Is there a chance of recurrence? What kind of foods can he eat? Will chemotherapy cause significant suffering ...
Dr. Chen Sirong Reply:
1. The probability of recovery in stage IV is divided into IVA, where there is more severe local invasion of the nasopharynx; IVB, where lymph node metastasis occurs to the supraclavicular lymph nodes; and IVC, where there is distant metastasis to the liver, lungs, or bones. The ...[Read More] Understanding Nasopharyngeal Cancer: Survival Rates, Recurrence, and Nutrition
Coping with Terminal Lung Cancer: A Daughter's Journey and Care Tips
My father passed away last Tuesday? Dr. Chen Si-Rong: Hello! Thank you for your suggestions. My father underwent emergency surgery for a perforated intestine on the 27th of last month. Although the surgery was successful, he later contracted a CMV virus, leading to a lung infecti...
Dr. Chen Sirong Reply:
Please accept my condolences. I suggest you focus on the name of a deity, visualizing the sun descending upon your home, completely enveloping it, and offering blessings for him.[Read More] Coping with Terminal Lung Cancer: A Daughter's Journey and Care Tips
Navigating Rare Breast Cancer Treatment: Seeking Guidance for Unusual Cases
Treatment for breast cancer patients with special conditions - please help! Hello, doctor! We truly value medical resources, but we are feeling quite lost, which is why we are seeking your advice. My mother was diagnosed with breast cancer at the He Shin Cancer Hospital in May th...
Dr. Fan Sheng Reply:
Dear Jason: The principle of positron emission tomography (PET) is to utilize glucose labeled with radioactive elements to detect areas in the body with particularly high metabolic rates. It is generally assumed that tumor cells have a higher metabolic rate than normal tissues, s...[Read More] Navigating Rare Breast Cancer Treatment: Seeking Guidance for Unusual Cases
Caring for an Elderly Father with Brain Metastasis: Tips and Guidance
How to care for an elderly father with brain metastases? Hello, Doctor! My 68-year-old father has been diagnosed with lung cancer for three years. He was already at the late stage of stage II when first discovered. He has undergone surgery, radiation therapy, and chemotherapy, an...
Dr. Chen Sirong Reply:
1. Generally speaking, if there are brain metastases, the average life expectancy is 4 to 6 months. Please be mentally prepared for a more accurate time estimate, and you can consult his attending physician for clarification. 2. The process of disease deterioration will natural...[Read More] Caring for an Elderly Father with Brain Metastasis: Tips and Guidance
Effective Treatment Options for Advanced Lung Cancer in Elderly Patients
Treatment for advanced lung cancer? Hello, my grandfather is in his 70s and recently went to the hospital for an examination, where he was suspected to have advanced lung cancer. Given that he has a history of heart issues, what treatment options would be most appropriate? I hope...
Dr. Chen Sirong Reply:
1. It is expected that this condition may only allow for one to two years of life. 2. Treatment options are limited to chemotherapy and radiation therapy. 3. Choosing not to treat is also an option. 4. Delaying treatment until symptoms arise is another choice. 5. Please d...[Read More] Effective Treatment Options for Advanced Lung Cancer in Elderly Patients
Can Brain Tumors Undergo Second Radiation Therapy?
Can a brain tumor undergo radiation therapy twice? My father is 71 years old and was diagnosed with lung cancer a few years ago, which has metastasized to the brain. After undergoing chemotherapy for the lungs and radiation therapy for the brain, his condition has been well contr...
Dr. Chen Sirong Reply:
Hello: 1. Please have the original treating hospital evaluate the possibility of photon knife radiation therapy. 2. Alternatively, consider seeking evaluation at Veterans General Hospital, National Taiwan University Hospital, or Taipei Medical University Hospital. 3. Out-of-pocke...[Read More] Can Brain Tumors Undergo Second Radiation Therapy?
Understanding Chemotherapy Duration and Recurrence Risks for Neck Lymphoma
Secondary and unspecified malignant tumors of the lymph nodes? How long does chemotherapy typically last for the above-mentioned condition, and how many weeks does each cycle usually take? The tumor is located in the neck, and if the superficial tumor has disappeared but there is...
Dr. Chen Sirong Reply:
Hello: 1. Based on the information you provided, it is difficult to determine whether it is: a. an undifferentiated malignant tumor of the cervical lymph nodes with an unknown primary site, but suspected to be a head and neck cancer with cervical lymph node involvement, or b. l...[Read More] Understanding Chemotherapy Duration and Recurrence Risks for Neck Lymphoma
Managing Swelling in Patients Taking Iressa for Lung Cancer Treatment
How to improve the condition of leg edema after taking Iressa? Hello Dr. Chen! My father was diagnosed with lung cancer in September 2003, and by the time it was discovered, he was already in stage II. After undergoing chemotherapy and radiation therapy, his condition improved, a...
Dr. Chen Sirong Reply:
Hello: How can I improve the condition of leg edema that occurred after taking Iressa? Please consult an oncologist or a pulmonologist. As for purchasing a wheelchair, a standard outdoor wheelchair will suffice. If you need further information, please call the Taoyuan City Assist...[Read More] Managing Swelling in Patients Taking Iressa for Lung Cancer Treatment
Understanding Hard Mass Near the Belly Button in Advanced Liver Cancer
There is a hard lump in the lower right quadrant near the navel? Hello, my father is a terminal liver cancer patient. In February, he underwent surgery to remove a liver tumor, and now a hard mass has been found in the lower right area of his abdomen near the navel, which the att...
Dr. Chen Sirong Reply:
Hello: The condition has spread to other parts of the body, and there is a possibility of further growth. 1. Whether surgical resection is possible must be determined by a specialist based on examinations such as computed tomography (CT) angiography. 2. However, radiation therapy...[Read More] Understanding Hard Mass Near the Belly Button in Advanced Liver Cancer
Understanding Lymph Node Tumors: Treatment Options and Recovery Insights
Lymphoma Hello Doctor: A few days ago, my father went for an endoscopy due to stomach pain and was diagnosed with a gastric ulcer and a duodenal ulcer. The doctor mentioned that my father's intestines appeared to have a growth, and after a biopsy, the report indicated it is ...
Dr. Chen Sirong Reply:
Hello: 1. Are you certain it is lymphoma of the intestines? 2. If so, a biopsy should be performed, followed by a whole-body PET scan or CT scan. 3. After understanding the extent of the spread, chemotherapy can be administered. 4. If the local area does not completely respond to...[Read More] Understanding Lymph Node Tumors: Treatment Options and Recovery Insights
Understanding Tumor Treatment: Concerns About Surgery and Infection Risks
Oncology 1. My father has a hard lump below his right thigh, and after examination, the doctor recommended surgery for removal, which revealed it to be a cancerous tumor. He has been undergoing radiation therapy for over a year, and recently he has been experiencing heaviness in ...
Dr. Chen Sirong Reply:
Hello: 1. Difficulty walking may be due to (1) aging, or (2) localized fibrosis at the surgical site. Although the chance of recurrence is low, it is still advisable to follow up with the original surgeon. 2. An infection with Escherichia coli in the blood should be treated by an...[Read More] Understanding Tumor Treatment: Concerns About Surgery and Infection Risks
Understanding Lymphoma: Symptoms, Treatment, and Survival Rates Explained
Lymphoma??? Hello Doctor, my father is 58 years old and is currently hospitalized at Mackay Memorial Hospital in Taipei. The doctor said he has lymphoma. What exactly is lymphoma? What are the implications? What is the treatment success rate in the early stages? I have researched...
Dr. Fan Sheng Reply:
Milo: Lymphoma, as you mentioned, is when lymphocytes transform into cancer cells. However, based on the pathological tissue morphology and clinical staging, the treatment methods and prognosis can vary. Radiation therapy is not necessarily the most common initial approach; chemo...[Read More] Understanding Lymphoma: Symptoms, Treatment, and Survival Rates Explained
Effective Treatment Options for Esophageal and Lymphoma Cancer
How should esophageal cancer and lymphoma be treated? Hello! My father underwent oral cancer cell resection surgery in April this year. In July, it was discovered that the cancer cells had spread to the lymph nodes and esophagus. What type of treatment would be most suitable for ...
Dr. Chen Sirong Reply:
Hello: 1. I cannot provide a definitive answer without knowing your father's age and overall health status. 2. The preferred treatment should be surgery combined with radiation therapy and chemotherapy. 3. The survival rate must be inferred based on the actual extent of spre...[Read More] Effective Treatment Options for Esophageal and Lymphoma Cancer
Understanding Treatment Options for Conjunctival Lymphoma in the Eyes
Conjunctival lymphoma? My aunt was recently diagnosed with conjunctival lymphoma in both eyes, with the tumor in the left eye being larger and more prominent. She was then referred to a hematology-oncology specialist for further evaluation, including blood tests, ultrasound, bone...
Dr. Fan Sheng Reply:
Conjunctival lymphoma is not absolutely contraindicated for radiation therapy; a radiation oncologist can be consulted to assess its feasibility, treatment success rate, and potential risks. Since most of these lymphomas are of low grade, oral chemotherapy can achieve good therap...[Read More] Understanding Treatment Options for Conjunctival Lymphoma in the Eyes
Improving Symptoms After Nasopharyngeal Cancer Treatment: What to Expect
Improvement of symptoms after treatment for nasopharyngeal carcinoma? Hello Doctor: My mother is a patient with stage II to III nasopharyngeal carcinoma. She has recently completed chemotherapy and radiation therapy. While we understand that oral discomfort is common after treatm...
Dr. Fan Sheng Reply:
Hello Joyce: Radiation therapy combined with chemotherapy can cause damage to the local mucosa of the nasopharynx, and discomfort may persist for some time. The ringing in the ears may be related to the neurotoxicity of the chemotherapy agents, or it could be due to residual tumo...[Read More] Improving Symptoms After Nasopharyngeal Cancer Treatment: What to Expect
Understanding Treatment Options for Lymphoma: Dietary Restrictions and Care
To inquire about its curative treatment? My mother has been diagnosed with lymphoma. Could you please advise on how to treat this condition? Are there any foods that should be avoided? Thank you for your response.
Dr. Chen Sirong Reply:
Hello: 1. Chemotherapy or radiation therapy may be required based on the condition. 2. Western medicine advocates against smoking, drinking alcohol, and consuming spicy foods, but emphasizes maintaining a normal diet to sustain weight. Traditional Chinese medicine has specific re...[Read More] Understanding Treatment Options for Lymphoma: Dietary Restrictions and Care