Understanding Stage Migration in Lung Adenocarcinoma: A Patient's Journey
A family member was diagnosed with stage 2A lung adenocarcinoma and underwent thoracotomy, only to be informed afterward that it is actually stage 4. Does this mean the surgery was in vain? Hello Dr. Lai, the patient started coughing in October last year and continued seeking med...
Dr. Lai Yicheng Reply:
Dear Miss Xiao Mei, 1. Positron Emission Tomography (PET) scans have certain limitations, such as the inability to accurately predict very small lymph nodes or small lesions in the brain or liver. 2. Currently, the patient's condition is "inoperable," so I recomme...[Read More] Understanding Stage Migration in Lung Adenocarcinoma: A Patient's Journey
Is Radiation Therapy Necessary After Chemotherapy for Stage II Triple-Negative Breast Cancer?
In stage II triple-negative breast cancer, the necessity of radiation therapy after chemotherapy followed by surgery depends on several factors, including the size of the tumor, lymph node involvement, and the margins of the surgical resection. Radiation therapy is often recommen...
Dr. Chen Yunfang Reply:
Hello: You underwent chemotherapy before surgery, right? It is remarkable that no cancer cells were found in the pathology report, as the probability of this happening is usually only 30%. You are quite fortunate, as patients with such results tend to live long and well. Regardin...[Read More] Is Radiation Therapy Necessary After Chemotherapy for Stage II Triple-Negative Breast Cancer?
Understanding Radiation and Chemotherapy for Stage II B Endometrial Cancer
Radiation Therapy and Chemotherapy for Cancer Hello, my mother has been diagnosed with stage II B endometrial adenocarcinoma and will undergo radiation therapy. The side effects of radiation therapy seem quite significant. With the current linear accelerator technology, will ther...
Dr. Lai Yicheng Reply:
1. Regarding radiation therapy: The uterus and bladder are adjacent organs, so part of the bladder may fall within the radiation field, which can lead to difficulties in urination during treatment. These symptoms are temporary and reversible, and will gradually improve after trea...[Read More] Understanding Radiation and Chemotherapy for Stage II B Endometrial Cancer
Understanding Post-Treatment MRI Results for Nasopharyngeal Cancer
Two months after treatment for nasopharyngeal carcinoma, the MRI still shows bright spots? I am a stage II nasopharyngeal carcinoma patient with bilateral cervical lymphadenopathy. I completed 33 sessions of radiation therapy and 6 cycles of chemotherapy at National Taiwan Univer...
Dr. Chen Sirong Reply:
Mr. Li / 41 years old / Male Hello, 1. Is this normal? (Is it because the MRI was done too soon after treatment (2 months), causing the radiation effects to not completely eliminate the tumor?) A: The timing seems reasonable. You can confirm this through one of the following tw...[Read More] Understanding Post-Treatment MRI Results for Nasopharyngeal Cancer
Assessing Nasopharyngeal Cancer Treatment: Beyond CT, MRI, and EBV
Examination items In general, when assessing the improvement of nasopharyngeal carcinoma during radiation therapy and chemotherapy, in addition to CT and MRI scans and EBV (Epstein-Barr Virus) titers, other methods may include physical examinations, endoscopic evaluations, and PE...
Dr. Lai Yicheng Reply:
Hello, Miss Lai. 1. In assessing the improvement of nasopharyngeal carcinoma during radiation therapy and chemotherapy, in addition to CT and MRI scans, the EBV index, along with the physician's visual examination and the patient's self-reported symptoms, are also imp...[Read More] Assessing Nasopharyngeal Cancer Treatment: Beyond CT, MRI, and EBV
Understanding the Need for Lymph Node Surgery Before Breast Cancer Radiation
Regarding breast cancer radiotherapy? Is it necessary to perform another surgery to remove lymph nodes from the axilla for examination before radiation therapy for breast cancer, in order to determine the radiation dose, number of sessions, and whether the radiation field should ...
Dr. Lai Yicheng Reply:
Dear Miss Lin, Thank you for your letter. Here are my responses: 1. Due to the incomplete information you provided, I am unable to give you more accurate advice. It is essential to review the pathology report and PET scan to determine the subsequent treatment and therapy option...[Read More] Understanding the Need for Lymph Node Surgery Before Breast Cancer Radiation
Can Surgery Replace Chemotherapy for Triple-Negative Breast Cancer?
Can triple-negative breast cancer be changed to tumor resection after infection following the first chemotherapy? Hello Dr. Lai, my friend's mother-in-law is nearly 70 years old. Last year, she discovered a hard lump in her right breast, and during a hospital examination, th...
Dr. Lai Yicheng Reply:
Dear Ms. Ruby Chen, Thank you for your letter. Here are my responses: 1. Tumors that can be surgically removed generally have better outcomes when followed by chemotherapy and radiation therapy. However, this depends on the surgical method and the extent of resection. If the tu...[Read More] Can Surgery Replace Chemotherapy for Triple-Negative Breast Cancer?
Effects of Radiation Therapy on Early-Stage Breast Cancer Patients
Breast Cancer Radiation Therapy Hello, I would like to understand the effects of radiation therapy after breast cancer treatment. A stage I breast cancer patient has undergone surgery abroad and had a tissue expander implanted. The doctor has suggested that radiation therapy may ...
Dr. Chen Sirong Reply:
Linlin, a 29-year-old female patient who underwent breast reconstruction, can still receive hormone therapy, chemotherapy, or radiation therapy postoperatively, which does not conflict with further treatment for breast cancer. Future follow-ups, including outpatient physical exam...[Read More] Effects of Radiation Therapy on Early-Stage Breast Cancer Patients
Understanding Post-Radiation Effects in Nasopharyngeal Cancer Patients
Post-radiation changes in the skull base after nasopharyngeal carcinoma treatment? Hello Dr. Lai, I have completed my nasopharyngeal cancer treatment nearly two years ago. In April of this year, an MRI scan revealed a gray area at the skull base. The radiologist informed me that...
Dr. Lai Yicheng Reply:
Dear Mr. Jiahe, In response to your inquiry, please find our reply below: 1. The gray lesions observed at the skull base on your MRI scan, whether seen on T1-weighted imaging (T1WI), T2-weighted imaging (T2WI), or under contrast enhancement, have different implications. Given y...[Read More] Understanding Post-Radiation Effects in Nasopharyngeal Cancer Patients
Understanding Low White Blood Cell Counts After Chemotherapy
White blood cells after chemotherapy? It has been 7 months since I completed chemotherapy, and during my monthly follow-up visits to the hospital, my white blood cell count has consistently been around 2,000 to 3,000. All other lab results are normal. I have also undergone PET sc...
Dr. Chen Yunfang Reply:
Hello: 1. Did you have low white blood cell counts seven months ago before starting chemotherapy? If so, that indicates there was already an issue. 2. If not, could it be related to the chemotherapy drugs? I believe it is unlikely, as the effects of chemotherapy typically reso...[Read More] Understanding Low White Blood Cell Counts After Chemotherapy
Understanding Post-Treatment Side Effects of Nasopharyngeal Cancer
Side effects after treatment for nasopharyngeal carcinoma? Hello Dr. Lai: I just completed radiation and chemotherapy for nasopharyngeal carcinoma in May of this year, and it has been exactly two months. I returned to work on July 18 and started feeling some numbness in my chin o...
Dr. Lai Yicheng Reply:
Dear Mr. Lee9788, Thank you for your message. I would like to respond as follows: Many patients who have undergone radiation therapy for head and neck cancer experience symptoms similar to yours. This is a side effect caused by radiation damage to the nerves in the cervical spin...[Read More] Understanding Post-Treatment Side Effects of Nasopharyngeal Cancer
Understanding Mediastinal Tumors: Symptoms and Concerns for Your Health
Symptoms of mediastinal tumors may include: 1. Chest pain or discomfort 2. Coughing, which may be persistent or worsening 3. Shortness of breath or difficulty breathing 4. Wheezing or stridor (a high-pitched wheezing sound) 5. Hoarseness or changes in voice My mother is 64 year...
Dr. Hu Ziren Reply:
Hello, netizen: A mediastinal tumor may be a thymoma, which can be associated with myasthenia gravis. This condition can affect the ocular muscles, leading to ptosis and diplopia; if it impacts the respiratory muscles, it may result in respiratory muscle weakness or respiratory f...[Read More] Understanding Mediastinal Tumors: Symptoms and Concerns for Your Health
Understanding the Need for Second Surgery in Early Stage Breast Cancer
Second surgery for breast cancer? Hello, Dr. Lai! I found calcifications in my mammogram, and after an ultrasound and biopsy, it was determined to be stage 0 ductal carcinoma in situ (DCIS) measuring 2.5 cm. I underwent surgery to remove a 7 cm x 7 cm tissue sample for pathologic...
Dr. Lai Yicheng Reply:
Dear Ms. Belinda Ho, Hello. In response to your inquiry regarding stage I breast cancer, I would like to ask whether you are considering breast-conserving surgery or modified radical mastectomy. If you choose the former, it is recommended to follow up with adjuvant radiation the...[Read More] Understanding the Need for Second Surgery in Early Stage Breast Cancer
Radiation Therapy Concerns: Options After Stage II Breast Cancer Surgery
Radiation therapy issues Dr. Chen: Hello! I have two questions I would like to ask you, thank you! 1/ After a lumpectomy for stage II breast cancer, is it possible to choose not to undergo chemotherapy? Since the lymph nodes are clear, the doctor mentioned that I could opt for ra...
Dr. Chen Sirong Reply:
Ms. Li / 54 years old / Female 1/ Can a patient with stage II breast cancer choose not to undergo chemotherapy after a lumpectomy? Since the lymph nodes are clear, the doctor mentioned that radiation therapy and continuous medication for ten years are options. A: It's diff...[Read More] Radiation Therapy Concerns: Options After Stage II Breast Cancer Surgery
Understanding Left Temporal Brain Tumors: Symptoms, Treatment, and Prognosis
Brain tumor (left temporal lobe) measuring 5x7x4 cm? A few months ago, family members began to experience declines in memory and cognitive abilities. After imaging studies, the doctor diagnosed dementia caused by a stroke. They have been taking medication, but within less than a ...
Dr. Chen Sirong Reply:
Alice / 33 years old / Female 1. Is it malignant? A1. A biopsy is necessary to determine if it is truly malignant. A2. If it is located in the brain, surrounded by bone, and causing pressure on the cranial nerves, even if the pathology is benign, the symptoms can be unbear...[Read More] Understanding Left Temporal Brain Tumors: Symptoms, Treatment, and Prognosis
Post-Thymoma Surgery: Understanding Symptoms and Heart Rate Changes
Postoperative symptoms related to thymoma? About a year ago, I was diagnosed with a thymoma through an X-ray examination, which was not accompanied by myasthenia gravis. A CT scan showed that the tumor was approximately 3x5 cm in size and had invaded the pericardium. The doctor a...
Dr. Lai Yicheng Reply:
Dear Miss Hsiao-Yan, In response to your inquiry, I would like to provide the following information: 1. Based on the symptoms you described, including the rapid heartbeat and pain located between the left clavicle and breast (closer to the sternum), which varies with weather ch...[Read More] Post-Thymoma Surgery: Understanding Symptoms and Heart Rate Changes
Understanding Pituitary Tumor Recurrence: What You Need to Know
Pituitary tumor recurrence About three months ago, I underwent endoscopic surgery through the nasal cavity to remove a pituitary tumor. It has now been discovered that part of it has regrown. Is this normal? Do I need to undergo another surgery? All my other health indicators are...
Dr. Lai Yicheng Reply:
Hello, Miss: You mentioned that the recurrence of your pituitary tumor has affected your vision. It is recommended to consider radiation therapy, such as Gamma Knife or photon therapy. Since we cannot fully understand your condition, please discuss this with your attending physic...[Read More] Understanding Pituitary Tumor Recurrence: What You Need to Know
Managing Lymph Node Malignancy During Pregnancy: Key Considerations
Pregnant women diagnosed with malignant lymphoma? Hello, doctor. My wife was diagnosed with a malignant lymphadenoma in mid-April, and the biopsy and pathology report confirmed this. After completing a CT scan, no tumors were found in other areas. We originally planned to proceed...
Dr. Chen Sirong Reply:
Concerned Father / 36 years old / Male Hello, due to the lack of biopsy report specifying the type of lymphoma, it is difficult to determine whether to: A) proceed with radiation therapy on the right arm and undergo chemotherapy after pregnancy, or B) immediately terminate the p...[Read More] Managing Lymph Node Malignancy During Pregnancy: Key Considerations
Is Delayed Radiation Therapy Increasing Cancer Recurrence Risk?
Is it too late for radiation therapy? Hello Dr. Lai! Two years ago, I underwent a partial mastectomy on my left breast, and the tumor measured 2.6 cm with no lymph node involvement. My Oncotype recurrence score was 18%, and my doctor mentioned that taking an aromatase inhibitor f...
Dr. Lai Yicheng Reply:
Dear Madam, Thank you for your letter. I would like to respond as follows: The delay of nearly five months before starting radiation therapy has not been formally documented in the medical community regarding its impact on the likelihood of recurrence. Please rest assured and co...[Read More] Is Delayed Radiation Therapy Increasing Cancer Recurrence Risk?
Understanding Stage 4 Lymphoma: Options and Hope for Patients
Lymphoma metastasis Hello, I would like to ask if there is really no hope for stage IV lymphoma that has metastasized to the lungs (with half of the lungs affected). It has been a year since the onset of the disease... All treatments for lymphoma have been administered, and radia...
Dr. Lai Yicheng Reply:
Dear Sir/Madam, Thank you for your letter. I would like to clarify that the description of the treatment regimen for lymphoma is unclear, such as which specific medications were administered. It is difficult to provide you with comprehensive advice. However, I can offer general ...[Read More] Understanding Stage 4 Lymphoma: Options and Hope for Patients