Radiation therapy, Oncology FAQ - Page 3

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Understanding Malignant Salivary Gland Tumors: Radiation Therapy Necessity and Risks

Malignant tumors of the salivary glands? Doctor, I would like to ask a question. My family member recently underwent surgery to remove a salivary gland tumor, which was later found to have malignant components. The doctor mentioned that they will need to undergo six weeks of radi...


Dr. Chen Sirong Reply:
Hello! 1. Is radiation therapy absolutely necessary? A: Yes, it is necessary because when performing surgery, a safe margin must be maintained. The parotid gland is small, and if the tumor is too large, it may affect the appearance. Therefore, it can be predicted that the safe ma...

[Read More] Understanding Malignant Salivary Gland Tumors: Radiation Therapy Necessity and Risks


Understanding Lymphadenopathy in Thyroid Cancer Patients: Risks and Treatment Options

Lymphadenopathy Last November, I was diagnosed with stage 2 thyroid cancer (2.5 cm) and underwent a total lobectomy. However, I discovered a round mass in the upper left neck that is not painful and feels immobile. I have no other discomfort in my body. In mid-November, I also re...


Dr. Hu Ziren Reply:
If there is a metastasis to the lymph nodes, it is recommended to first perform a lymphadenectomy, and then consider treatment with iodine-131 or radiation therapy. As for other concerns (such as bleeding risks, surgical risks, etc.), it is advisable to discuss them with the prim...

[Read More] Understanding Lymphadenopathy in Thyroid Cancer Patients: Risks and Treatment Options


Understanding Post-Chemotherapy Symptoms in Lung Cancer Patients

Regarding the complications of lung cancer? My father is a patient with hepatitis B and lung cancer (aged 60). He completed chemotherapy and radiation therapy about one to two years ago, and since then, he sneezes at least once a day (sometimes even more, including several sneeze...


Dr. Chen Yunfang Reply:
Hello: It should not be a side effect of the treatment. You can consult an otolaryngologist. Thank you.

[Read More] Understanding Post-Chemotherapy Symptoms in Lung Cancer Patients


Can Radiation Therapy Improve Speech in Elderly Patients with Brain Cancer?

Radiation Therapy for Brain Cancer The elderly patient (80 years old) at home has secondary brain cancer that is compressing the nerves, leading to unclear speech (but with clear consciousness and understanding). It is also affecting other cranial nerves (such as the inability to...


Dr. Chen Sirong Reply:
Yuil / 27 years old / Female 1. Due to her age, she just wants to try radiation therapy to see if it can help her regain normal speech. Doctor, is there a chance that radiation therapy can restore normal speech? A: The chances are related to the duration of compression; the long...

[Read More] Can Radiation Therapy Improve Speech in Elderly Patients with Brain Cancer?


Understanding Nasopharyngeal Cancer Recurrence: Treatment Options Explained

Nasopharyngeal carcinoma recurrence Doctor, this is the 10th year since my nasopharyngeal carcinoma recurrence. An MRI has revealed lymph nodes behind my right ear and neck. I underwent a traditional lymphadenectomy, and the Epstein-Barr virus test came back normal. Why is it nec...


Dr. Chen Sirong Reply:
Cai Cai / 40 years old / Female The recommendation from the hospital you visited is reasonable. For neck recurrence, surgery followed by chemotherapy and radiation therapy should be considered to reduce the chances of further recurrence. Of course, choosing between the two optio...

[Read More] Understanding Nasopharyngeal Cancer Recurrence: Treatment Options Explained


Understanding Brain MRI Reports: Insights from a Tumor Specialist

Dear Dr. Chen, please interpret the brain MRI report. Thank you? 109/09/16 Imaging or pathology report content Outpatient Zhang Yingzhen 4573630-9 F 5099 050 REQ# PROCEDURE: (15020011) Order Date: 2020/06/04 14:30 Corrected Report D55JCM5 MRI/BRAIN (For GK Follow-up) Execution Da...


Dr. Chen Sirong Reply:
Mr. Lin / 57 years old / Male Regarding the interpretation of the report: 1. The images belong to Zhang Yingzhen, not you. 2. Online, you cannot prove that you are his relative; the outpatient clinic requires a dual identification authorization form, or you should have accompanie...

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Understanding Nodal Marginal Zone Lymphoma: Treatment Options During Pregnancy

Lymphoma Hello Doctor: I have non-Hodgkin lymphoma, specifically nodal marginal zone lymphoma (low-grade, stage I). 1. In April, I discovered a 2 cm enlargement of the right parotid gland, with no symptoms such as fever, swelling, or itching. 2. On July 1, I underwent surgery to ...


Dr. Hu Ziren Reply:
1. The need for radiation therapy depends on the area being irradiated. If the radiation field does not include the breast or chest cavity, it is generally still possible to hold a child and breastfeed. 2. The rate of progression from low-grade lymph node marginal zone lymphoma ...

[Read More] Understanding Nodal Marginal Zone Lymphoma: Treatment Options During Pregnancy


Understanding Pineal Tumors: Size, Symptoms, and Treatment Options

I would like to inquire about pineal gland tumors? My sister recently experienced severe headaches and went to see a doctor, who diagnosed her with a pineal gland tumor measuring 6 centimeters. Although my sister mentioned that it might be benign rather than malignant and that sh...


Dr. Chen Sirong Reply:
Ms. Bai / 21 years old / Female 1. I would like to inquire if a 6 cm pineal gland tumor will cause any effects. A: Symptoms such as headaches and nausea may already be present. You do not need to worry about any additional symptoms; she will likely have regular follow-up appoin...

[Read More] Understanding Pineal Tumors: Size, Symptoms, and Treatment Options


Understanding Prostate Cancer Treatment Options for Elderly Patients

Prostate cancer Hello Dr. Chen, my father is 81 years old and had a PSA level of 14.9, which led to a prostate biopsy that confirmed the presence of cancer cells. The doctor then arranged for a CT scan of the pelvic area, a chest X-ray, and a nuclear medicine scan of the entire s...


Dr. Chen Sirong Reply:
J / 52 years old / Male Hello! 1. The doctor recommended laser treatment to remove the prostate. A: This procedure is likely not aimed at prostate cancer but rather at benign prostatic hyperplasia (BPH). What I mean is: for BPH, laser treatment is applicable; for prostate canc...

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Evaluating the Necessity of Continuing Experimental Cancer Treatments

The necessity of continuing to participate in clinical trials? Hello Dr. Chen: The patient's second sister (59 years old) has stage IV breast cancer. The doctor did not perform surgery due to metastasis, so she is undergoing chemotherapy and concurrent radiation therapy to t...


Dr. Chen Yunfang Reply:
Hello: 1. If you join a clinical trial, you must adhere to the trial regulations. I cannot advise you on whether to withdraw from the trial, as this is an agreement between you and the principal investigator, and outsiders cannot know the specific details involved. 2. Psychol...

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Understanding Lung Metastasis from Gynecological Cancer: Treatment Options and Considerations

Gynecological cancer metastasized to the lungs? Hello, Doctor! My mother was diagnosed with vulvar cancer 7-8 years ago and underwent surgery to remove the tumor. It recurred two years later, requiring another surgery and radiation therapy. Last year, several tumors were found in...


Dr. Chen Yunfang Reply:
Hello: There are no textbook-standard answers to these three questions; the responses can vary for each patient even under similar circumstances. 1. The risk assessment and outcomes of surgery are not something I can explain; that should be addressed by the surgeon. 2. The dec...

[Read More] Understanding Lung Metastasis from Gynecological Cancer: Treatment Options and Considerations


Understanding Targeted Therapy for Stage 3B Lung Squamous Cell Carcinoma

The treatment options for stage IIIB squamous cell lung carcinoma typically include a combination of therapies. These may involve: 1. **Chemotherapy**: Often used as a primary treatment to shrink tumors and control symptoms. 2. **Radiation Therapy**: Can Hello Dr. Chen, my mothe...


Dr. Chen Sirong Reply:
Paul / 38 years old / Male 1. It is advisable to consult his attending physician first in order to provide answers based on his condition and physical status. 2. For stage IIIb, the treatment is as follows: chemotherapy combined with radiation therapy, followed by targeted th...

[Read More] Understanding Targeted Therapy for Stage 3B Lung Squamous Cell Carcinoma


Understanding Persistent Fever and Breathing Issues in Brain Cancer Patients

Breast cancer metastasis to the brain, with persistent fever and shortness of breath? I'm sorry to hear about your family's situation. Here are the translated questions: Q1: The doctor said the wheezing is due to pneumonia, but why does it continue to worsen even after...


Dr. Chen Sirong Reply:
If a 25-year-old woman says: 1. This is your only family member! However, the reality is that the disease has metastasized and has progressed to stage IV. If her physical condition is poor, it can be considered terminal. Generally, even after chemotherapy and radiation therapy fo...

[Read More] Understanding Persistent Fever and Breathing Issues in Brain Cancer Patients


Managing Advanced Oral Cancer: Concerns About Treatment and Progression

Terminal stage of oral cancer? Recently, my father was diagnosed with terminal oral cancer, with cancer cells located in the left gum and eroding into the left mandible. Surgery is scheduled for the 15th, but prior to that, the doctor has not prescribed any medication for him asi...


Dr. Chen Sirong Reply:
Ah, 19 years old, female. 1. The surgery date is already scheduled for the 15th. a: That's great! It's coming up quickly. 2. The doctor has not prescribed any medication for my father. Shouldn't we be concerned about the cancer cells spreading to other area...

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Understanding a Hard Lump in the Upper Inner Right Chest: Fat or Something More?

Hard mass in the upper inner right chest? I have a hard lump on the upper inner side of my right breast, measuring 170 cm and weighing 76 kg. It looks normal, but it hurts only when pressed lightly. I visited a family medicine clinic for an examination, and the doctor said it was...


Dr. Chen Sirong Reply:
A 17-year-old male with a specialization in radiation therapy for malignant tumors, please forward your questions to a general surgeon. Thank you.

[Read More] Understanding a Hard Lump in the Upper Inner Right Chest: Fat or Something More?


Managing Rising Cancer Markers: Treatment Options for Advanced Pancreatic Cancer

Elevated cancer markers? Hello, my father was diagnosed with stage IV pancreatic cancer in December, with vascular involvement making surgery impossible. His CA19-9 level is 340, and he has completed a regimen of 7 days of chemotherapy followed by 1 week off, and will continue wi...


Dr. Hu Ziren Reply:
It is recommended to discuss with the attending physician for more appropriate guidance!

[Read More] Managing Rising Cancer Markers: Treatment Options for Advanced Pancreatic Cancer


PET Scans After Breast Cancer Radiation: Understanding False Positives

A positron emission tomography (PET) scan is performed immediately after completing radiation therapy for breast cancer? Hello Dr. Chen: If a patient has just completed radiation therapy (after having undergone a lumpectomy) and then undergoes a PET scan, could the area that rece...


Dr. Chen Sirong Reply:
Mary / 60 years old / Female Dear Mary, It is generally recommended to wait two months after completing radiation therapy. 1. The treated area may show diffuse enhancement, which is different from malignant tumors, so it can theoretically be distinguished. 2. However, if you ...

[Read More] PET Scans After Breast Cancer Radiation: Understanding False Positives


Should My 67-Year-Old Mother with 1cm Breast Cancer Undergo Chemotherapy?

Breast cancer measuring 1 cm without metastasis, uncertain whether to undergo chemotherapy? Dear Dr. Lai, My mother is currently 67 years old and has hypertension. She is continuously taking medications including Clonidine, Bisoprolol, and Amlodipine. She also has bone spur issu...


Dr. Lai Yicheng Reply:
Hello Ms. Lai: Whether adjuvant chemotherapy is needed after breast cancer surgery primarily depends on the tumor size. For example, if the tumor is larger than 1 cm or there is axillary lymph node metastasis, adjuvant chemotherapy is recommended. Here, it is important to explain...

[Read More] Should My 67-Year-Old Mother with 1cm Breast Cancer Undergo Chemotherapy?


How Soon After Breast Cancer Surgery Should Radiation Therapy Begin?

Typically, how long after breast cancer surgery does radiation therapy begin? Hello Doctor: After my family member's breast cancer surgery, it was assessed that chemotherapy is not needed, but radiation therapy is required. However, after visiting the radiation oncology clin...


Dr. Chen Sirong Reply:
Hello: Generally, it is hoped that radiation therapy will begin within 6 weeks after breast cancer surgery. Thank you for your message! Taoyuan Hospital, Chen Si-Rong.

[Read More] How Soon After Breast Cancer Surgery Should Radiation Therapy Begin?


Radiation Therapy for Breast Cancer: Impact on Lymph Node Areas

Radiation therapy for lymphatic regions in breast cancer? Hello Dr. Lai, I would like to ask if the lymphatic areas are also irradiated during radiation therapy for the breast, or if there is a need to specifically adjust the radiation angles? The pathology report indicates tha...


Dr. Lai Yicheng Reply:
Hello: Regarding radiation therapy, it is aimed at treating cancer cells. If there are no cancer cells, radiation therapy is not necessary. Changhua Hospital cares about you. Department of Radiation Oncology, Dr. Lai Yi-Cheng.

[Read More] Radiation Therapy for Breast Cancer: Impact on Lymph Node Areas


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