Impact of Thyroid Cancer Treatment on Future Pregnancy Chances
Thyroid radiofrequency ablation Hello, I would like to ask about my situation. I was diagnosed with papillary thyroid carcinoma around November last year, and I underwent a course of radiation therapy (30 sessions totaling 6000 rads) a little over a month later. Given my current ...
Dr. Chen Sirong Reply:
Hello: It will not affect future fertility, it is suitable for pregnancy, and it will not have adverse effects on the child. It is recommended to wait at least 3 months, and 6 months is even better. I previously worked at National Taiwan University, and some nasopharyngeal cancer...[Read More] Impact of Thyroid Cancer Treatment on Future Pregnancy Chances
Understanding Primary Lymphoid Disorders: Treatment Options and Prognosis
Primary lymphoid neoplasm (lymphoma) Hello Doctor, I would like to ask about primary lymphoid disorders (lymphoma). A family member has similar symptoms, and after going to the hospital for blood tests and X-rays, the doctor said everything was fine, but further gastrointestinal ...
Dr. Chen Sirong Reply:
Hello: 1. Benign lymphadenopathy, such as that caused by a cold or bacterial infection, can lead to localized lymph node enlargement, which should resolve with infection control. 2. Malignant lymphoma is formed due to DNA mutations in lymphocytes, but it is very sensitive to radi...[Read More] Understanding Primary Lymphoid Disorders: Treatment Options and Prognosis
Understanding Brain Cancer Treatment and Radiation Effects in Taiwan
Brain cancer Hello Doctor, 1. The clinical trial for urine extract CDA2 has already begun in Taiwan. Which hospitals offer this treatment? 2. After radiation therapy for brain tumors, abnormal reactions may occur around the tumor, such as enlargement or the appearance of nume...
Dr. Chen Sirong Reply:
Hello: 1. Please search online for Professor Lai Chi-Ming. 2. Early delayed reactions occur between 1 to 12 weeks and usually resolve within the next 4 months, while late delayed reactions occur after six months. 3. Please refer to English literature. 4. It cannot be definitively...[Read More] Understanding Brain Cancer Treatment and Radiation Effects in Taiwan
Understanding Tongue Cancer: Bleeding, Treatment Options, and Pain Management
I have a question to ask? Dr. Huang: I have a few questions to ask. Why does tongue cancer keep bleeding? Is this related? Since it is now in the terminal stage, can chemotherapy and radiation therapy still be administered? If so, how can we alleviate the patient's suffering...
Dr. Chen Sirong Reply:
Hello: 1. The cause of bleeding is due to the weakened surface cells of the tongue cancer, which can easily become injured and bleed from friction during eating, or due to cancer cells invading blood vessels. 2. Chemotherapy or radiation therapy can be administered. 3. To allevia...[Read More] Understanding Tongue Cancer: Bleeding, Treatment Options, and Pain Management
Seeking Help: Navigating Malignant Brain Tumor Treatment Options
My brother has been diagnosed with a malignant brain tumor... please help me? My brother was diagnosed with a malignant brain tumor after fainting and being admitted to Kaohsiung Chang Gung Memorial Hospital at the end of May this year. The doctor immediately announced that surge...
Dr. Chen Sirong Reply:
Hello: 1. Without the name of the medication, I cannot confirm whether it is covered by health insurance. I believe Chang Gung Hospital would not deceive patients. 2. I suggest considering the option of discontinuing treatment. Family members do not need to feel that providing tr...[Read More] Seeking Help: Navigating Malignant Brain Tumor Treatment Options
Choosing the Best Treatment for Rare Sphenoid Sinus Cancer
[Urgent Question] What treatment options should be chosen for sphenoid sinus cancer? I'm very sorry to hear about your mother's situation. It's important to consult with a medical professional who can provide personalized advice based on her specific condition.
Dr. Chen Sirong Reply:
Hello: 1. I personally recommend photon knife treatment, and multiple sessions of photon knife therapy. 2. The probability of side effects increases; regarding the specific side effects, imaging studies are necessary to understand the exact location before determining them. 3. Th...[Read More] Choosing the Best Treatment for Rare Sphenoid Sinus Cancer
Understanding Radiation Therapy for Benign Brain Tumors: Key Questions Answered
Brain tumor Hello, doctor. 1. When treating a benign brain tumor with radiation therapy, is radiation applied to areas outside of the tumor? 2. If so, would subsequent MRI imaging show an increase in size (possibly due to necrosis in the surrounding tissue)? 3. If surgical rese...
Dr. Lin Zongzhe Reply:
Hello: 1. The maximum therapeutic dose for tumors is administered, but other areas may also receive some radiation dose. 2. There may be "radiation therapy side effects" that manifest. 3. It depends on the specific situation of incomplete surgical resection, and additio...[Read More] Understanding Radiation Therapy for Benign Brain Tumors: Key Questions Answered
Optimal Timing for Radiation Therapy After Surgery for Tumor Patients
Radiation therapy How long after surgery is it appropriate to start radiation therapy?
Dr. Lin Zongzhe Reply:
Hello: It is best to start treatment within 1 to 1.5 months after the wound has healed (stitches removed). This message is on behalf of Dr. Chen Sih-Rong from the Taoyuan Hospital, Department of Health, Executive Yuan.[Read More] Optimal Timing for Radiation Therapy After Surgery for Tumor Patients
Understanding Tumor Treatment: Insights on Brainstem Tumors and X-ray Knife Use
Tumor Hello doctor, my friend has a tumor located near the brainstem. After surgery to remove it, there is some residual tumor. He had already undergone radiation therapy before the surgery, so the radiologist recommends using a gamma knife. However, the neurosurgeon says it is n...
Dr. Lin Zongzhe Reply:
Hello: 1. Not related to astrocytoma. 2. Prior to surgery, radiation therapy was administered, so any subsequent radiation therapy must use a linear accelerator to minimize side effects—according to the opinion of the radiologist. 3. Previous radiation therapy may cause necrosis ...[Read More] Understanding Tumor Treatment: Insights on Brainstem Tumors and X-ray Knife Use
Understanding Oral Cancer: Treatment Options and Recovery Insights
Could you please clarify your request? Hello, I read several articles about "oral cancer" today. What confuses me is that over 80% of cases are attributed to so-called "bad habits" (like chewing betel nut), while the remaining 20% are related to hygiene issues...
Dr. Fan Sheng Reply:
Ms. Weng: Tongue cancer can be life-threatening, and the survival rate refers to the proportion of patients who survive. An 80% one-year survival rate means that after one year, 80% of the patients are still alive. If your father’s tongue cancer has already metastasized to the ly...[Read More] Understanding Oral Cancer: Treatment Options and Recovery Insights
Understanding Radiation Therapy: Key Insights on Repeat Treatments
Regarding radiation therapy? Hello, doctor. I previously asked about the issue of secondary radiation therapy, and the doctor replied as follows: 1. Performing a second radiation treatment on the same area can lead to cell necrosis. 2. Radiation therapy can be performed on differ...
Dr. Lin Zongzhe Reply:
Hello: 1. There is no specified interval for secondary radiation therapy, but the closer the intervals, the greater the side effects. 2. The dosage for brain radiation therapy is approximately 5000-6400 centigrays, and the larger the treatment area, the smaller the tolerable dose...[Read More] Understanding Radiation Therapy: Key Insights on Repeat Treatments
Understanding Stage 3B Lung Cancer: Treatment Options and Patient Care
Please ask questions related to "lung cancer." Is stage 3B lung cancer, which has metastasized to the bones after radiation therapy, considered terminal? The patient originally had mild asthma, a history of tuberculosis (now cured), peptic ulcer disease, elevated blood ...
Dr. Lin Zongzhe Reply:
Hello: 1. Metastasis to the bones indicates stage IV disease. 2. In addition to chemotherapy, supportive therapies, such as pain management and nutritional supplementation, are also very important for patients. 3. It is advisable to increase fluid intake, and a physician may pres...[Read More] Understanding Stage 3B Lung Cancer: Treatment Options and Patient Care
Exploring Treatment Options for Brainstem Tumors: X-ray Knife vs. Radiation Therapy
Tumor My friend had a tumor near the brainstem that was surgically removed, but there is residual tissue near the brainstem. Is this situation suitable for treatment with a gamma knife or photon knife? Are these treatment methods associated with fewer side effects compared to rad...
Dr. Lin Zongzhe Reply:
Hello: The X-ray knife or photon knife is more focused on the lesion, resulting in less damage to the surrounding tissues. However, when treating the brainstem with X-ray or photon knives, there may still be some radiation dose involved, and the level of this dose depends on the ...[Read More] Exploring Treatment Options for Brainstem Tumors: X-ray Knife vs. Radiation Therapy
Understanding Radiation Therapy Options for Brain Tumor Patients
Radiation therapy Hello doctor, I am a brain tumor patient. After undergoing stereotactic radiosurgery, my condition has not improved one year later. In mid-December 2003, I received 30 sessions of intensity-modulated radiation therapy with a dose of 215. I have just transferred ...
Dr. Lin Zongzhe Reply:
Hello: 1. Performing radiation therapy a second time on the same area can lead to cellular necrosis. 2. Radiation therapy can be performed again on different areas. 3. If the same area is treated again due to disease recurrence, and after the physician's explanation, the pat...[Read More] Understanding Radiation Therapy Options for Brain Tumor Patients
Managing Post-Radiation Bleeding After Rectal Cancer Treatment
Post-treatment bleeding Dear Doctor, My father experienced bleeding from the anus after undergoing radiation therapy for rectal cancer. The treating physician mentioned that the radiation dose was too strong, but it was necessary to combat the cancer. I would like to ask for yo...
Dr. Lin Zongzhe Reply:
Hello: The area around the anus is prone to infections, so the primary task is to keep the affected area clean. During this time, it is advisable to consume lighter foods. Additionally, you may ask your physician to prescribe an ointment for use on the affected area. Sincerely, D...[Read More] Managing Post-Radiation Bleeding After Rectal Cancer Treatment
Understanding Oral Cancer Treatment: Survival Rates and Options Explained
The efficacy of treatment for oral cancer? Hello, a friend's father has just been diagnosed with oral cancer, and I would like to ask a few questions. 1. Is oral cancer, nasopharyngeal cancer, head and neck cancer, and laryngeal cancer merely a matter of location, or are t...
Dr. Lin Zongzhe Reply:
Hello: 1. Apart from the differences in location, the optimal combination of treatment methods for these types of cancer also varies. 2. The purpose of combining radiation therapy and chemotherapy is "organ preservation," which aims to avoid impacting voice and eating f...[Read More] Understanding Oral Cancer Treatment: Survival Rates and Options Explained
Should You Remove a Brain Tumor After Radiation Necrosis? Expert Insights
Brain tumor Hello, I have a question regarding whether a tumor that has undergone radiation necrosis needs to be surgically removed. Some doctors say it should be removed since leaving it in the brain is not ideal, while others say it is unnecessary because the dead cells will sh...
Dr. Lin Zongzhe Reply:
Hello: Whether or not to undergo surgical treatment after radiation therapy for a brain tumor is a complex question that cannot be answered lightly on paper. I recommend discussing this matter in person with a neurosurgeon before making a decision. Sincerely, Dr. Lin Tsung-Che, D...[Read More] Should You Remove a Brain Tumor After Radiation Necrosis? Expert Insights
Understanding Lymph Node Tumors: Symptoms, Treatment, and Recovery Insights
Lymphoma Hello Doctor: My aunt noticed a round lump near her left neck, close to the lymph nodes, since mid-last year. By the end of last year, she began experiencing intermittent pain, but she was afraid to get it checked out due to the fear of receiving bad news. However, after...
Dr. Lin Zongzhe Reply:
Hello: The treatment for lymphoma primarily involves chemotherapy, and depending on the condition, radiation therapy may sometimes be necessary. There is a chance for complete recovery, and it is not insignificant, so please cooperate closely with your physician's treatment ...[Read More] Understanding Lymph Node Tumors: Symptoms, Treatment, and Recovery Insights
Understanding Treatment Options for Brain Tumors: Radiation and Beyond
Brain tumor Hello, doctor. I am a brain tumor patient. After undergoing Gamma Knife treatment, my tumor has increased in size. The doctor recommended intensity-modulated radiation therapy, but when I consulted with the oncologist, they mentioned that the probability of complete e...
Dr. Lin Zongzhe Reply:
Hello: The decision to undergo chemotherapy depends on the histological classification of the tumor, its location and associated symptoms, the rate of tumor progression, and your overall health condition. Intensity-modulated radiation therapy may also be beneficial. However, the ...[Read More] Understanding Treatment Options for Brain Tumors: Radiation and Beyond
Understanding Lymph Node Tumors: Diagnosis, Treatment, and Prognosis
Lymphoma My sister, who is 27 years old, recently noticed some pain and swelling under her neck. She went to the hospital for a check-up, where she underwent a CT scan and a biopsy. The doctor mentioned that it could be a lymph node tumor and recommended chemotherapy, but since t...
Dr. Lin Zongzhe Reply:
Hello: The hospitalization is aimed at promptly completing the staging examinations for lymphoma and preparing for certain chemotherapy and possibly radiation therapy. Generally, the cure rate for lymphoma in a 27-year-old patient is quite good, so please cooperate with the physi...[Read More] Understanding Lymph Node Tumors: Diagnosis, Treatment, and Prognosis