Understanding Arm Muscle Tumors: Treatment and Recovery Insights
Arm muscle tumor Last November, while working, I developed a lump on my right forearm due to an impact. I applied a topical plaster at a traditional Chinese medicine clinic for three months. Since the lump did not subside for a long time, I went to a major hospital's orthope...
Dr. Fan Sheng Reply:
Aji: For malignant sarcoma of the muscle, it is best to administer localized radiation therapy and aggressive chemotherapy after surgery. Just six cycles of chemotherapy may not be sufficient, so please consult your attending physician to see if radiation therapy should be added....[Read More] Understanding Arm Muscle Tumors: Treatment and Recovery Insights
Is There a Link Between Childhood Leukemia and Adult Brain Tumors?
Brain tumor I have a cousin who was diagnosed with leukemia at the age of 3 or 4 and has since been cured. Follow-up results show that he has not relapsed. Now, at 24 years old, he suddenly developed a brain tumor last year, which was surgically removed, but this year, another br...
Dr. Fan Sheng Reply:
Tina: Malignant brain tumors are indeed difficult to completely resect, so the chance of recurrence is significant. As for the relationship with blood cancer, if the patient was treated for acute lymphoblastic leukemia years ago and underwent radiation therapy to the brain to eli...[Read More] Is There a Link Between Childhood Leukemia and Adult Brain Tumors?
Managing Cancer in Pregnant Patients: A Case Study and Treatment Options
Pregnant woman with terminal cancer? The patient is a breast cancer metastasis case, and the baby in her womb is currently 22 weeks old, appearing to be normal. The patient has previously insisted on keeping the baby without undergoing any treatment. Recently, the tumor on her ne...
Dr. Chen Sirong Reply:
Hello: 1. I also recommend returning to Taiwan for treatment. 2. During my time at National Taiwan University Hospital, I provided radiation therapy to a pregnant woman with nasopharyngeal carcinoma, and her child was born healthy. Based on the medical experience at NTU Hospital,...[Read More] Managing Cancer in Pregnant Patients: A Case Study and Treatment Options
Exploring the Effectiveness of Immunotherapy for Cervical Cancer
Regarding immunotherapy for cervical cancer? Question 1: Is immunotherapy for cervical cancer currently effective for patients according to general gynecologic oncologists? My mother has recurrent cervical cancer that has metastasized to the lumbar spine, and the tumor has grown ...
Dr. Chen Sirong Reply:
Hello: 1. Any treatment for her condition has not shown significant effects. 2. Try to accept the journey ahead. 3. It is recommended to consider stronger pain management methods, such as spinal blocks or portable morphine for pain control. Sincerely, Dr. Chen Sih-Rong, Oncology.[Read More] Exploring the Effectiveness of Immunotherapy for Cervical Cancer
Understanding Lung Adenocarcinoma Treatment: A Patient's Journey
Treatment of lung adenocarcinoma? Hello Doctor, my mother has been diagnosed with lung adenocarcinoma, and the hospital decided to perform surgery to remove the tumor. After removing a portion of her lung, the doctor also removed lymph nodes for cancer metastasis examination. The...
Dr. Chen Sirong Reply:
Hello: 1. Procedural issues: The clinical stage is determined by pre-operative examination results, while the surgical stage can be assessed during the surgery. The final pathological stage is confirmed through post-operative histopathological examination. 2. The ability to u...[Read More] Understanding Lung Adenocarcinoma Treatment: A Patient's Journey
Navigating Treatment Consent for Brain Tumor Patients with Mental Health Issues
Brain tumor Hello Dr. Chen, I would like to ask you the following questions: My sister was diagnosed with a brain tumor last year at a hospital in Kaohsiung. Since then, she has exhibited many symptoms associated with brain tumors, such as severe paranoia, hallucinations, constan...
Dr. Chen Sirong Reply:
Hello: 1. It is essential to first consult with a psychiatrist to determine whether the mental disorder is indeed caused by a brain tumor, and to discuss potential treatment options. If surgery or radiation therapy is necessary, and the patient is experiencing a mental disorder...[Read More] Navigating Treatment Consent for Brain Tumor Patients with Mental Health Issues
Treatment Options for Lymphoma in Patients with Metastatic Cancer
Lymphoma My mother-in-law has a history of colorectal cancer and vaginal cancer, which has now metastasized to lymph node cancer located in the lower abdomen and the lymph nodes near the blood vessels behind the intestines. Due to the proximity of the cancer to the kidneys, she i...
Dr. Chen Sirong Reply:
Hello: 1. The reasons for being unable to undergo radiation therapy may include: 1. Poor physical condition. 2. The extent of the disease is too large. However, if the issue is merely proximity to the kidneys, advanced techniques such as Intensity-Modulated Radiation Therapy (IMR...[Read More] Treatment Options for Lymphoma in Patients with Metastatic Cancer
Understanding the Side Effects of Chest Radiation Therapy on Normal Tissues
Radiation Therapy I would like to ask if radiation therapy to the chest can cause adverse effects on other normal tissues or organs. Will the esophagus be affected as well? I feel some discomfort while swallowing, could you please explain? Thank you.
Dr. Chen Sirong Reply:
Hello: Chest radiation therapy can affect the following tissues: 1. Skin: It may become red, dark, dry, and may even peel or break, causing pain. You can use nourishing creams like Baoliao Mei to reduce side effects. 2. Lungs: A small portion of the lung may be affected depending...[Read More] Understanding the Side Effects of Chest Radiation Therapy on Normal Tissues
Understanding Pituitary Tumors: Links to Hypertension and Treatment Options
Pituitary tumor Hello, doctor! Last year, I was diagnosed with hypertension at the hospital. During an MRI in May, the cardiology department found adrenal hyperplasia, and in December, another MRI revealed a pituitary tumor. 1. Is there a relationship between the pituitary tumo...
Dr. Fan Sheng Reply:
Vicky: 1. There is indeed a significant relationship between pituitary tumors, adrenal hyperplasia, and hypertension. 2. The cause of pituitary tumors is unknown. 3. The vast majority of pituitary tumors are not cancerous. 4. Your condition may be due to a pituitary tumor secreti...[Read More] Understanding Pituitary Tumors: Links to Hypertension and Treatment Options
Understanding Multiple Myeloma: Symptoms, Treatments, and Support Options
Issues related to multiple myeloma? Hello, Doctor: I apologize for taking up your time! My mother was diagnosed with multiple myeloma (stage II) four years ago. After undergoing chemotherapy and radiation therapy, along with diligent care, her condition has remained relatively st...
Dr. Fan Sheng Reply:
Mr. Zhang: The recurrence and progression of multiple myeloma should be determined by abnormal immunoglobulin levels from blood tests, X-ray imaging of the bones, and bone marrow aspiration and biopsy. As far as I know, the new drug Velcade must be purchased out-of-pocket, but a ...[Read More] Understanding Multiple Myeloma: Symptoms, Treatments, and Support Options
Understanding Stage II Breast Cancer Metastasis to the Lungs: What to Expect
Urgent question... Stage II breast cancer with newly discovered lung metastasis..? Hello, I would like to ask: My classmate was diagnosed with stage II breast cancer two years ago. She underwent radiation therapy and chemotherapy, but recently it was discovered that the cancer ha...
Dr. Chen Sirong Reply:
Hello: 1. Different physicians may have varying approaches to disease management. 2. The administration of radiation therapy is generally similar and can reduce the risk of chest recurrence. 3. Different chemotherapy agents may have varying efficacy, but even with the strongest m...[Read More] Understanding Stage II Breast Cancer Metastasis to the Lungs: What to Expect
Managing Esophageal Cancer in Elderly Patients: Treatment and Nutrition Tips
Esophageal cancer is a type of cancer that occurs in the esophagus, the long tube that carries food from the throat to the stomach. There are two main My grandmother is 71 years old and has diabetes. She regularly sees a doctor and has just been diagnosed with esophageal cancer. ...
Dr. Chen Sirong Reply:
Hello: Treatment options: 1. Radiation therapy followed by chemotherapy and then surgery 2. Direct surgery 3. Only radiation therapy and chemotherapy 4. Only oral chemotherapy medications. A thorough assessment of the patient's physical condition is necessary to determine th...[Read More] Managing Esophageal Cancer in Elderly Patients: Treatment and Nutrition Tips
Understanding Laryngeal Cancer: Risks, Treatment, and Care Tips
Laryngeal cancer? I would like to ask a question!! My father has been diagnosed with throat cancer, and his condition has been ongoing for 5 to 6 months. The doctor at Shin Kong said it is already very serious and that we need to start treatment quickly. I would like to know if t...
Dr. Fan Sheng Reply:
Xiao Pei: In the early stages of throat cancer, surgical treatment can be considered. However, this comes at the cost of losing the vocal cords, and the patient will need to use an assistive device for speech. If the cancer is "already quite advanced," it may not be pos...[Read More] Understanding Laryngeal Cancer: Risks, Treatment, and Care Tips
Understanding Laryngeal Cancer Staging, Symptoms, and Treatment Options
Confirmed diagnosis of throat cancer? Laryngeal cancer is classified into stages based on the TNM system, which assesses Tumor size (T), lymph Node involvement (N), and Metastasis (M). 1. **Stage I**: The cancer is small and localized to the larynx. Symptoms may include hoarsen...
Dr. Fan Sheng Reply:
Laryngeal cancer staging is quite complex and cannot be detailed here. Generally, it is classified based on the size of the primary tumor, the extent of local tissue involvement, the degree of lymph node metastasis in the larynx, and the presence of distant metastasis. The five-y...[Read More] Understanding Laryngeal Cancer Staging, Symptoms, and Treatment Options
Understanding Laryngeal Cancer: Treatment Options and Prognosis Explained
Laryngeal cancer Hello Dr. Chen, recently my grandfather was diagnosed with throat cancer. We currently do not know the stage of the cancer, but it seems that any contact with the tumor causes bleeding. The doctor mentioned that he has about six months left to live. Isn't th...
Dr. Chen Sirong Reply:
Hello: 1. An MRI can determine the stage of the disease. 2. Radiation therapy can be used for hemostasis. 3. Early-stage laryngeal cancer can be cured, but late-stage may still be fatal. 4. Please proceed with surgery or radiation therapy as soon as possible. Sincerely, Dr. Chen ...[Read More] Understanding Laryngeal Cancer: Treatment Options and Prognosis Explained
Understanding Advanced Laryngeal Cancer: Treatment Options and Prognosis
Laryngeal cancer Recently, my grandfather was diagnosed with throat cancer, and the tumor is quite large. The doctor is leaning towards radiation therapy, but he also mentioned that there is only about six months left. Hearing this has made our family very sad. Is there any way t...
Dr. Chen Sirong Reply:
Hello: 1. An MRI can determine the stage of the disease. 2. Radiation therapy can be used for hemostasis. 3. Early-stage laryngeal cancer can be cured, but late-stage may still be fatal. 4. Please proceed with surgery or radiation therapy as soon as possible. Sincerely, Dr. Chen ...[Read More] Understanding Advanced Laryngeal Cancer: Treatment Options and Prognosis
Urgent Care for Advanced Throat Cancer: What to Do Next?
Laryngeal cancer Hello Doctor: My father is in the advanced stage of throat cancer. However, the doctor has scheduled the surgery for 15 days later. What should I do? I know that the longer we wait, the more dangerous it becomes. I can't find anyone to help me. Please give m...
Dr. Fan Sheng Reply:
Yiting: There must be a lot of preparations needed for throat cancer surgery, so it is unlikely to have the surgery within three to five days after diagnosis. Also, what do you mean by "end stage"? Generally, "end stage" refers to a condition where surgery is ...[Read More] Urgent Care for Advanced Throat Cancer: What to Do Next?
Effective Treatments for Vaginal Melanoma: A Patient's Journey
Melanoma Hello Dr. Chen: My mother was diagnosed with a melanoma growing in her vagina after experiencing vaginal bleeding in October 2004. She underwent surgery to remove her uterus and ovaries, followed by approximately five months of interferon therapy with regular follow-ups....
Dr. Chen Sirong Reply:
Hello: 1. When you refer to the treatment for this condition, are you talking about melanoma or sepsis? 2. Sepsis is diagnosed by the infectious disease and gynecology departments, which identify the pathogen and administer antibiotics for treatment. If the condition is currently...[Read More] Effective Treatments for Vaginal Melanoma: A Patient's Journey
Essential Care Tips for Nasopharyngeal Cancer Patients at Home
Daily Care for Nasopharyngeal Patients Hello Doctor: My father is a stage II nasopharyngeal cancer patient. He completed chemotherapy and radiation therapy in May of this year and is currently resting at home. Recently, he has been experiencing some cold symptoms and consulted an...
Dr. Fan Sheng Reply:
Hello: Radiation therapy may cause damage to the skin and bones, which could be the reason for the current symptoms. The worst-case scenario is a recurrence of cancer invading the skull, leading to pain. If there are blisters on the skin, consider the possibility of a virus causi...[Read More] Essential Care Tips for Nasopharyngeal Cancer Patients at Home
The Necessity of Cranial Radiation in Pediatric Leukemia Treatment
The Necessity of Cranial Radiation Therapy in Pediatric Leukemia Patients Dear Doctor, My daughter is five years old and was diagnosed with Acute Lymphoblastic Leukemia (ALL) last year. At the time of diagnosis, her white blood cell count was approximately 170,000, and she exhib...
Dr. Fan Sheng Reply:
Mr. Apple: Indeed, cranial radiation therapy can lead to various side effects in children in terms of cognitive function, attention, height, endocrine function, and bone density. An alternative approach is to use what you referred to as Triple IT and High Dose Methotrexate therap...[Read More] The Necessity of Cranial Radiation in Pediatric Leukemia Treatment