Radiation therapy, Oncology FAQ - Page 7

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Managing Metastatic Breast Cancer: Treatment Options for Recurrence and Symptoms

Breast cancer recurrence and metastasis? Hello, doctor. I was diagnosed with stage II breast cancer and underwent a mastectomy. I did not receive chemotherapy during the interim and have been under continuous follow-up. Unfortunately, the cancer has now recurred and spread throug...


Dr. Chen Yunfang Reply:
Hello: There is no best answer or standard answer to your question. Even with chemotherapy (and possibly targeted therapy, depending on the pathology report) and brain radiation therapy, there is no guarantee of how much normal function can be restored. Please find a trusted phys...

[Read More] Managing Metastatic Breast Cancer: Treatment Options for Recurrence and Symptoms


Understanding Laryngeal Cancer: Treatment Options and Risks of Inaction

Laryngeal cancer: Risks of treatment and non-treatment? Hello, Doctor! My father is 63 years old. He was diagnosed with laryngeal cancer in September 2014, classified as glottic type, with the tumor located on the vocal cords. There was no metastasis, but the doctor did not speci...


Dr. Lai Yicheng Reply:
Dear Ms. Chen: First, we need to know your father's treatment schedule, the radiation dosage, the locations of the two recurrences, and the intervals between them in order to provide you with accurate advice. Generally, the recommendations are as follows: Laryngeal cancer ty...

[Read More] Understanding Laryngeal Cancer: Treatment Options and Risks of Inaction


Bladder Cancer Treatment: Targeted Therapy, Immunotherapy, and Concerns

Bladder cancer D1 Hello Doctor, I would like to ask the following questions: 1. My mother has bladder cancer and has undergone a radical cystectomy. During the surgery, two lymph nodes in the groin were found. The attending physician mentioned that she needs to undergo chemothe...


Dr. Chen Sirong Reply:
1. My mother has bladder cancer and has undergone a total cystectomy. During the surgery, two lymph nodes in the groin were found, and the attending physician mentioned that she needs to undergo chemotherapy. Are there any targeted therapies or immunotherapies available? The comb...

[Read More] Bladder Cancer Treatment: Targeted Therapy, Immunotherapy, and Concerns


Understanding Low White Blood Cell Counts in Cancer Patients

Leukopenia Hello, my mother (currently 68 years old) was diagnosed with stage IV breast cancer in August 2010 and began treatment (chemotherapy, left mastectomy, and radiation therapy) for nearly a year and a half. She currently maintains follow-up visits to the oncology departme...


Dr. Chen Yunfang Reply:
Hello: Regarding the low white blood cell count you mentioned, it is indeed quite unusual. I have many breast cancer patients who are taking Fulvestrant, and they have not experienced low blood counts. I believe the low white blood cell count is unrelated to this medication. If i...

[Read More] Understanding Low White Blood Cell Counts in Cancer Patients


Can a PSA Level of 1.13 Indicate Remaining Prostate Cancer?

Is it possible to have malignant tumors with a post-prostate cancer PSA level of 1.13? On June 29, 2015, the PSA level was 17.4. A biopsy on August 3 of the same year confirmed the presence of malignant tumors, specifically prostate cancer. On September 4, the PSA level increased...


Dr. Chen Yunfang Reply:
Hello: The prostate-specific antigen (PSA) level is used for monitoring, not for diagnosing prostate cancer. The diagnosis of prostate cancer relies on pathological biopsy; if cancer is present, it is confirmed. Unless you have undergone surgical removal, you cannot say there are...

[Read More] Can a PSA Level of 1.13 Indicate Remaining Prostate Cancer?


Drug Interactions: Can Cranberry Supplements Affect Hormonal Therapy?

Drug interactions Hello Doctor: I am a patient with endometrial cancer. I previously underwent radiation therapy, which led to ureteral fibrosis. Recently, I have been experiencing frequent urinary tract infections. My doctor suggested that I could take a dietary supplement calle...


Dr. Lai Yicheng Reply:
Hello: Regarding your question, there are currently no specific side effects associated with the combined use of Megejohn and New Cranberry. However, if you only supplement with New Cranberry but do not drink enough water or hold in urine, it can still lead to urinary tract infec...

[Read More] Drug Interactions: Can Cranberry Supplements Affect Hormonal Therapy?


Understanding Malignant Soft Tissue Tumors in the Hip: Prognosis and Survival Rates

Connective tissue tumor of the left hip? Hello Doctor, my grandmother is 74 years old. In May of this year, she experienced abnormal swelling in her hip, and after examination, it was found to be a malignant tumor in the connective tissue of her left hip. She underwent a second s...


Dr. Chen Sirong Reply:
Yu Xiaoyu / 16 / 1 If, as you said, it has spread to the lungs, then it is already stage IV. (1) It is said that this type of disease is rare; may I ask what the survival rate for this disease is? The 5-year survival rate = 0. (2) How much time does my grandmother approximately h...

[Read More] Understanding Malignant Soft Tissue Tumors in the Hip: Prognosis and Survival Rates


Understanding Ewing's Sarcoma: Survival Rates and Treatment Options

Bone cancer treatment? Hello, doctor. I would like to ask about the cure rate for Ewing's sarcoma. The tumor appears to be quite large, and I am very afraid of amputation.


Dr. Chen Yunfang Reply:
Hello: The cure rate for Ewing's sarcoma depends on whether there is distant metastasis, such as whether it has spread to the lungs. If there is no distant metastasis, the cure rate is quite good. Generally, complete surgical resection is the best option, but sometimes, if t...

[Read More] Understanding Ewing's Sarcoma: Survival Rates and Treatment Options


Exploring MRI-Guided Ultrasound Therapy for Bone Metastasis in Taiwan

Magnetic Resonance Navigated Ultrasound Therapy Hello Dr. Lai, I would like to inquire about the use of magnetic resonance-guided focused ultrasound therapy for bone metastasis of gastric cancer in the left thigh. Besides Taipei Hospital, are there other hospitals that can perfor...


Dr. Lai Yicheng Reply:
Hello Ah-Wei: 1. Magnetic Resonance-guided Focused Ultrasound (MRgFUS) was introduced in July 2014 as a new treatment device and method. Currently, there are no research reports demonstrating its efficacy, while radiation therapy has been studied for over a decade and has shown...

[Read More] Exploring MRI-Guided Ultrasound Therapy for Bone Metastasis in Taiwan


Do I Need Chemotherapy for Early Stage Breast Cancer?

Is chemotherapy necessary? Stage I breast cancer, partial mastectomy, PR negative, ER positive (90%), Her-2/neu protein: without overexpression (score 1+), Ki-67: ~15% labeling index, 50 years old, perimenopausal, tumor size less than 1 cm (0.8 x 0.7 x 0.6), nuclear grade: 3, no ...


Dr. Lai Yicheng Reply:
Dear Ms. Wu, Breast cancer treatment primarily involves surgical intervention, with radiation therapy, chemotherapy, and hormone therapy as adjuncts. For Stage I: when the tumor is less than two centimeters and has not metastasized beyond the breast, surgical removal of the br...

[Read More] Do I Need Chemotherapy for Early Stage Breast Cancer?


Can Breast Cancer Survivors Safely Return to Weight Training?

Can I go to the gym for weight training after breast surgery? Hello, Doctor. I am a stage 0 breast cancer patient. I underwent a partial mastectomy on my left side in December last year and completed radiation therapy in March this year. Some people have advised me to avoid exert...


Dr. Chen Sirong Reply:
My patient, Xiaoya, has undergone axillary lymph node dissection and received radiation therapy. 1. Holding her grandchild 2. Sewing under pressure 3. Lifting heavy objects, such as a basket of vegetables, has caused her to experience persistent edema, which may eventually resolv...

[Read More] Can Breast Cancer Survivors Safely Return to Weight Training?


Navigating Treatment Options for Bone Metastasis in Breast Cancer

Treatment issues for bone metastases in breast cancer? Hello Doctor, In mid-March of this year, I was diagnosed with bone metastasis from breast cancer (the metastatic areas range from the skull to the left foot, with larger metastases in the left hip and left pelvis). Currently...


Dr. Chen Sirong Reply:
1. So how should one choose correctly? Some breast cancer patients with bone metastasis have survived for 5 years. I don't understand if it's due to: A) You have already used many types of medications, leaving no options available now; B) Your physical condition cannot ...

[Read More] Navigating Treatment Options for Bone Metastasis in Breast Cancer


Managing Side Effects After Nasopharyngeal Cancer Radiation Therapy

Side effects of radiotherapy for nasopharyngeal carcinoma? My father has completed his radiation therapy for nasopharyngeal cancer, but he has been experiencing throat pain for two weeks without improvement and still requires a nasogastric tube for feeding. How long might these s...


Dr. Chen Sirong Reply:
Hello, may I ask how long the side effects will last? 1. A small number of people experience persistent pain and require tube feeding. 2. Most people recover significantly within two weeks to two months. What methods can help speed up recovery? 1. Pay attention to nutrition. 2. O...

[Read More] Managing Side Effects After Nasopharyngeal Cancer Radiation Therapy


Understanding Benign Tumors in the Left Cheek: Risks and Surgical Options

Benign tumor of the left parotid gland? Hello, doctor. I have a benign tumor on my left parotid gland. I had ultrasounds done in April and June of last year, and the doctor said it is located between the parotid gland and the epidermis, measuring 3 centimeters in diameter. Howeve...


Dr. Chen Sirong Reply:
Mr. Li / 40 / 1. What is the risk of facial nerve damage when excising the tumor? A: The surgeon can only answer this question after reviewing your imaging studies. Without seeing your MRI or ultrasound, it is impossible to provide an answer. 2. Will the surgical wound affect my ...

[Read More] Understanding Benign Tumors in the Left Cheek: Risks and Surgical Options


Understanding Left-Sided Skull Base Tumors: Insights and Treatment Options

Left-sided skull base tumor Dear Dr. Chen, My mother has been diagnosed with a left-sided skull base tumor. Although it is not a recurrence or metastasis of the nasopharyngeal carcinoma she had 23 years ago, it is still caused by epithelial cancer cells and has expanded to invad...


Dr. Chen Sirong Reply:
Ms. Zhao / 32 / 1 Hello 1.1 When asked what stage the cancer is, the answer is: If it has reached the skull, it is at least stage 3, possibly stage 4. 1.2 Is the survival rate for this tumor the same as that for nasopharyngeal cancer? A: It is not nasopharyngeal cancer, so the su...

[Read More] Understanding Left-Sided Skull Base Tumors: Insights and Treatment Options


Understanding Nasopharyngeal Cancer and Left Neck Tumors: Key Concerns

Nasopharyngeal carcinoma with a left-sided posterior neck mass? Hello Dr. Chen, My mother is 64 years old and was diagnosed with stage II nasopharyngeal carcinoma 23 years ago. She underwent cobalt-60 radiation therapy at that time, and her condition has been under control sinc...


Dr. Chen Sirong Reply:
Ms. Zhao / 32 / 1 Hello! 1.1 The medical history has lasted for 23 years, with regular check-ups and blood tests at the hospital every year showing no issues. Is there a high chance that this tumor is due to a recurrence of nasopharyngeal carcinoma? A: The likelihood is low, but ...

[Read More] Understanding Nasopharyngeal Cancer and Left Neck Tumors: Key Concerns


Is Pituitary Gland Enlargement Always a Tumor? Surgical Options Explained

Pituitary gland enlargement Dear Dr. Chen, Thank you for your detailed explanation last time! I would like to ask: Is an enlarged pituitary gland (1.35 cm) necessarily a tumor? If it is not a tumor, is surgery always required? If it is a tumor and is benign, is surgery still ma...


Dr. Chen Sirong Reply:
Yuan Qingxi / 58 / 0 Hello, 1. Since I haven't seen your imaging, I cannot definitively determine whether it is a tumor. However, I believe that a general physician would have conducted an examination before informing you that it is a tumor. There are cases where an MRI re...

[Read More] Is Pituitary Gland Enlargement Always a Tumor? Surgical Options Explained


Managing Esophageal Tumor Treatment: Balancing Chemotherapy and Radiation

Esophageal tumor treatment Hello Doctor, my family member has esophageal cancer and has started undergoing out-of-pocket chemotherapy and radiation therapy. They have completed two cycles of chemotherapy and eight sessions of radiation therapy, but their throat has started to fee...


Dr. Lai Yicheng Reply:
Dear Family Member, The side effects of electrotherapy can vary depending on the condition. It is recommended that you discuss the continuation of treatment with your physician. You can also talk to your doctor about prescribing medication to alleviate pain from the side effects...

[Read More] Managing Esophageal Tumor Treatment: Balancing Chemotherapy and Radiation


Managing Fever During Chemotherapy and Radiation Therapy

Chemotherapy and Radiation Therapy - Fever Hello, doctor. My family member is currently undergoing chemotherapy and radiation therapy, but yesterday they caught a cold and developed a fever of 38 degrees Celsius. They went to a nearby clinic for an injection and medication, but t...


Dr. Lai Yicheng Reply:
Hello, Sir: Combined chemotherapy and radiation therapy can cause side effects in the body. On one hand, it requires the effort of the physician, and on the other hand, it requires the effort of the patient. It is important to ensure adequate nutrition and sufficient sleep during...

[Read More] Managing Fever During Chemotherapy and Radiation Therapy


Understanding Esophageal Cancer: Survival Rates and Treatment Options

Esophageal tumor Hello, doctor. My father has been diagnosed with stage III esophageal cancer, and the tumor has grown into the bronchus, making surgery impossible. The doctor has suggested paying out of pocket for injections and radiation therapy. Given my father's current ...


Dr. Lai Yicheng Reply:
Hello Amy: Treatment for esophageal cancer, including chemotherapy and radiation therapy, can improve survival rates. It is important to assess the extent of your father's tumor invasion, as radiation therapy may be beneficial. If possible, please bring your father's me...

[Read More] Understanding Esophageal Cancer: Survival Rates and Treatment Options


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