Managing Stage II Hodgkin's Lymphoma: Treatment Options and Next Steps
Hodgkin's Lymphoma I am a patient with stage II Hodgkin's lymphoma. Initially, when it was discovered, the lymphoma measured 9.1 x 4.9 cm. After receiving 8 cycles of chemotherapy, my doctor assessed the situation and felt that the response was not satisfactory, so we s...
Dr. Chen Sirong Reply:
Hello: 1. You may try chemotherapy with different agents. 2. Alternatively, radiation therapy at a higher dose should achieve complete remission. Sincerely, Dr. Chen Sih-Rong, Oncology.[Read More] Managing Stage II Hodgkin's Lymphoma: Treatment Options and Next Steps
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...[Read More] Prostate Cancer Treatment: Radiation vs. Surgery - Which is Better?
Understanding Surgical Options and Prognosis for Advanced Parotid Gland Cancer
Reoperation Hello Dr. Chen, I sincerely appreciate your guidance. My mother underwent a PET CT scan, and there is something in her right breast. She will have a fine needle aspiration (FNA) tomorrow. The doctor mentioned that if it is metastatic, there would be no need for surger...
Dr. Chen Sirong Reply:
Hello: 1. If there is metastasis in the right breast, the situation is not optimistic. If there is no metastasis in the right breast and the surgery is successful, the outlook is better. 2. The postoperative survival rate is uncertain, as the success rate after recurrence is gene...[Read More] Understanding Surgical Options and Prognosis for Advanced Parotid Gland Cancer
Understanding Nasopharyngeal Cancer Recurrence: What You Need to Know
Nasopharyngeal carcinoma recurrence I have been diagnosed with nasopharyngeal cancer for over four years and have follow-up appointments every three months, along with CT scans. Recently, I experienced a tingling sensation in my ear, so my doctor ordered an MRI. The report indica...
Dr. Chen Sirong Reply:
Hello: 1. It did not exist originally. 2. Please first confirm whether there is a recurrence. The methods for confirmation are: (1) MRI to determine if there is a consultation with the ENT department and the radiation oncology department for radiological diagnosis. (2) Perform a ...[Read More] Understanding Nasopharyngeal Cancer Recurrence: What You Need to Know
Understanding Lymph Node Metastasis: Concerns and Surgical Options
Lymphatic metastasis Dr. Chen, I apologize for asking so many questions, but I am very concerned about my mother's condition, and I hope you can understand. During her radiation therapy, she experienced a recurrence and underwent a fine needle aspiration (FNA) and a PET CT s...
Dr. Chen Sirong Reply:
Hello: 1. If it has not metastasized, there is still hope. 2. I agree with your mother's attending physician's recommendations. 3. The wound may be difficult to manage, but we can only cooperate with the doctor. 4. Life is not in immediate danger, but the concern is tha...[Read More] Understanding Lymph Node Metastasis: Concerns and Surgical Options
Understanding Acute Lymphoblastic Leukemia: Prognosis and Treatment Options
Acute Lymphoblastic Leukemia (ALL) Dear Dr. Fan, My cousin, who is about 10 years old, was hospitalized due to gastrointestinal bleeding and was diagnosed with acute leukemia. Unfortunately, due to a delay of nearly two months in Vietnam, her condition has worsened significantly...
Dr. Fan Sheng Reply:
Xiao Jing: Based on your assessment, the situation appears to be very pessimistic due to significant delays in treatment. It is challenging to administer chemotherapy to patients with renal failure, and without chemotherapy, acute lymphoblastic leukemia cannot achieve remission a...[Read More] Understanding Acute Lymphoblastic Leukemia: Prognosis and Treatment Options
Understanding Post-Surgery Concerns in Parotid Cancer Treatment: A Patient's Guide
Electrotherapy Hello Dr. Chen, I previously inquired about my mother's salivary gland cancer issues in March and April, and I have some additional questions I hope to discuss with you. After my mother underwent a total parotidectomy, she was scheduled for 33 sessions of radi...
Dr. Chen Sirong Reply:
Hello: 1. Electrotherapy does not cause metastasis; it is the disease itself that is prone to spreading due to its high grade. 2. I still recommend performing a Fine Needle Aspiration (FNA), as the potential harm is that the procedure may damage the surrounding tissue. 3. If ther...[Read More] Understanding Post-Surgery Concerns in Parotid Cancer Treatment: A Patient's Guide
Post-Surgery Rehabilitation for Oral Cancer: Managing Complications and Nutrition
Rehabilitation after Oral Cancer Surgery Dear Dr. Chen, My father is fifty-nine years old. Last July, he underwent surgery for stage II tongue cancer, followed by thirty sessions of radiation therapy a little over a month after the surgery. Unfortunately, during a PET scan this ...
Dr. Chen Sirong Reply:
Hello: 1. Accept the reality: Currently, bone necrosis requires hyperbaric oxygen therapy. There is no need to worry about the possibility of recurrence in the future, as excessive concern can create stress for the entire family. 2. Nutritional care: Consider a liquid diet, high-...[Read More] Post-Surgery Rehabilitation for Oral Cancer: Managing Complications and Nutrition
Understanding Mucoepidermal Carcinoma: Concerns About Surgery During Radiation Therapy
Mucoepidermoid Carcinoma Hello, Dr. Chen. I previously consulted you about my mother's condition. During her radiation therapy, two additional masses appeared behind her ears. She underwent a fine needle aspiration (FNA) biopsy, and the doctor mentioned that the results were...
Dr. Chen Sirong Reply:
Hello: 1. Since the number of radiation therapy sessions is still limited, I recommend postponing surgery. 2. The surgery is likely to be successful, but there is a high possibility of disease recurrence. 3. There should not be any life-threatening risks; please discuss this with...[Read More] Understanding Mucoepidermal Carcinoma: Concerns About Surgery During Radiation Therapy
Recovery Timeline for Oral Cancer Radiation Side Effects
How long does it take for the side effects of radiation therapy for oral cancer to improve? Hello, my uncle is undergoing radiation therapy and chemotherapy for oral cancer, and he is experiencing many side effects: 1. Fibrosis around the surgical site in the neck 2. Oral mucosal...
Dr. Chen Sirong Reply:
Hello: 1. The side effects of radiation therapy will only improve 2 to 4 weeks after the treatment has concluded. 2. The pharmacokinetics of chemotherapy drugs must be determined based on the specific drug type; without knowing the drug name, one can only speculate that for weekl...[Read More] Recovery Timeline for Oral Cancer Radiation Side Effects
Improving Oral Health During Nasopharyngeal Cancer Treatment: Tips and Advice
Nasopharyngeal cancer treatment issues? Hello Doctor: My father is currently undergoing treatment for stage II nasopharyngeal carcinoma, which includes radiation therapy and chemotherapy once a week. He is experiencing some changes in taste, along with oral mucosal lesions, causi...
Dr. Chen Sirong Reply:
Hello: 1. Please consult your attending physician in detail. 2. Oral issues: (1) To prevent more severe symptoms, use symptom relief measures. (2) For treatment, use a topical powder. (3) For pain relief, sublingual administration of Temgesic can be used; for severe pain, a trans...[Read More] Improving Oral Health During Nasopharyngeal Cancer Treatment: Tips and Advice
Understanding Primary Central Nervous System Lymphoma: Risks and Prognosis
Primary Central Nervous System Lymphoma My father-in-law is 75 years old. He originally had nine tumors in his brain, the largest being 6 centimeters. He was diagnosed with primary central nervous system lymphoma last July and underwent 25 sessions of radiation therapy (without c...
Dr. Chen Sirong Reply:
Hello: 1. There is a possibility of recurrence. 2. There is also a possibility of metastasis to other organs. 3. Highly malignant. Sincerely, Dr. Chen Sih-Rong, Oncology.[Read More] Understanding Primary Central Nervous System Lymphoma: Risks and Prognosis
Understanding High-Grade Mucoepidermal Carcinoma of the Parotid Gland: Key Insights
Mucoepidermoid Carcinoma of the Parotid Gland Hello Dr. Chen, my mother's pathology report from her parotid gland surgery has finally come out, confirming it is a high-grade mucoepidermal carcinoma of the parotid gland. The superficial tumor is cancerous and somewhat connect...
Dr. Chen Sirong Reply:
Hello: 1.a. Lymphatic vessels should indicate that there are cancer cells in the nearby lymphatic vessels, which can spread to nearby lymph nodes, then to the thoracic duct, and eventually throughout the body. b. There is no need to consider whether there are methods to know; in ...[Read More] Understanding High-Grade Mucoepidermal Carcinoma of the Parotid Gland: Key Insights
Understanding Recurrent Sinus Cancer: Causes, Treatment, and Risks
Why does one keep developing sinus cancer? Doctor: Hello~~~ My father previously had sinus cancer and underwent two surgeries to successfully remove it. However, recently, he has discovered cancer in the forehead area, near the eyebrows, and it has been causing persistent pain. I...
Dr. Fan Sheng Reply:
Xiaomi: This situation likely indicates that residual cancer cells have regrown. If surgery is not an option, we should consider radiation therapy and chemotherapy. Wishing you a smooth treatment process.[Read More] Understanding Recurrent Sinus Cancer: Causes, Treatment, and Risks
Understanding Nasopharyngeal Cancer Radiation Therapy: Is It Always Necessary?
Is the effectiveness of radiotherapy for nasopharyngeal carcinoma significant? My friend's father is a nasopharyngeal cancer patient. Recently, he underwent radiation therapy, and the attending physician insisted on continuing the treatment, which has caused severe damage to...
Dr. Chen Sirong Reply:
Hello: 1. Continuous treatment is essential; it cannot be stopped. 2. If unable to eat, a nasogastric tube can be inserted for feeding, or daily nutritional injections can be administered, using large-volume IV fluids with amino acids and fats, as well as high-protein supplements...[Read More] Understanding Nasopharyngeal Cancer Radiation Therapy: Is It Always Necessary?
Understanding Salivary Gland Tumors: Diagnosis, Treatment, and Prognosis
Salivary gland tumor 2 Dr. Chen, thank you for your valuable advice. My mother was scheduled for an early surgery by the doctor before your reply (on March 5th afternoon), and the preliminary results indicate a malignant tumor. The removed tissue is now being sent for further tes...
Dr. Chen Sirong Reply:
Hello: 1. The preliminary verification is not 100% certain, but it should be over 80-90% accurate. 2. The decision for postoperative treatment must depend on the cleanliness of the surgical margins and the pathology report. 3. Most of these tumors should be treatable, and whether...[Read More] Understanding Salivary Gland Tumors: Diagnosis, Treatment, and Prognosis
Managing Agitation and Sleep Disturbances in Brain Tumor Patients During Treatment
The patient experiences day-night reversal and agitation due to a brain tumor? My father is a patient with small cell lung cancer. In early March, brain metastases were discovered, but the doctors believed they were not causing any issues, so they decided to postpone treatment. R...
Dr. Chen Sirong Reply:
Hello: Our hospital also handles treatment through injections, and in all cases here, all patients have been able to undergo treatment quietly with this method. Sincerely, Dr. Chen Sih-Rong, Oncology Department.[Read More] Managing Agitation and Sleep Disturbances in Brain Tumor Patients During Treatment
Liver Transplant: Risks for Donors and Options for Patients with Cancer
Liver transplantation My mother has cirrhosis and liver cancer. Yesterday, she underwent radiation therapy for the cancer cells. Since I am living abroad, I cannot be with her, and I have informed my sister that the cirrhosis may further endanger my mother's life. It would b...
Dr. Fan Sheng Reply:
Vegetables: Liver transplantation is really not my area of expertise; I recommend consulting a surgical team with experience in liver transplants. I apologize for that.[Read More] Liver Transplant: Risks for Donors and Options for Patients with Cancer
Understanding Leg Swelling After Cervical Cancer Surgery: Causes and Solutions
After cervical cancer removal, one leg has become swollen and hardened? Dear Dr. Fan, My mother-in-law was diagnosed with stage 1 cervical cancer in August of this year and subsequently underwent surgery, during which her uterus, ovaries, and lymph nodes were removed. She is cur...
Dr. Fan Sheng Reply:
Johnson: The situation you described is most likely lymphedema, which is caused by obstruction of the lymphatic vessels. The obstruction can result from surgical removal, radiation-induced fibrosis, or cancer invasion. Treatment options are limited. Lymph nodes serve as fortresse...[Read More] Understanding Leg Swelling After Cervical Cancer Surgery: Causes and Solutions
Understanding Osteoradionecrosis: Complications After Oral Cancer Treatment
Radiation-induced osteonecrosis 1. Is the surgical debridement performed due to osteoradionecrosis after oral cancer surgery considered a treatment for cancer or a complication following cancer radiotherapy? ( ) Treatment for cancer (X) Complication following cancer radiotherapy ...
Dr. Chen Sirong Reply:
Hello: 1. Regarding complications after cancer radiotherapy. 2. Due to impaired local blood circulation following radiation therapy, some bone necrosis may occur, which can be treated with hyperbaric oxygen therapy. If that is not effective, surgical debridement will be necessary...[Read More] Understanding Osteoradionecrosis: Complications After Oral Cancer Treatment