Lump Above Groin: What Could It Be and Which Specialist to See?
There is a hard lump on the left side of the pubic area above the pubic hair? Today, I suddenly felt a lump above my pubic area in the hair, about the size of half a finger joint, approximately 1.5 centimeters in size, and it hurts when pressed. Which specialist should I see, and...
Dr. Lai Yicheng Reply:
Hello Mr. Yu, 1. You should consult a general surgeon for a physical examination, which can be followed by an ultrasound examination. 2. The symptoms will be evaluated based on the examination results. If further investigation is needed, a biopsy can be performed for confirmat...[Read More] Lump Above Groin: What Could It Be and Which Specialist to See?
Understanding Forehead Tumors During Pregnancy: When to Seek Treatment
A small tumor on the forehead? I am over four months pregnant and discovered a small tumor on my forehead during the Spring Festival this year. It is round, approximately 0.4 cm in diameter and about 0.2 cm in height. It feels hard to the touch and is close to skin color. Before ...
Dr. Lai Yicheng Reply:
Dear Ms. Juice, Regarding your inquiry about the small tumor on your forehead, I would like to provide the following recommendations: 1. No, local anesthesia will not affect the fetus. 2. Based on your description, it seems more likely to be benign. If you are concerned, you ...[Read More] Understanding Forehead Tumors During Pregnancy: When to Seek Treatment
Understanding Unilateral Breast Tissue Asymmetry: What You Need to Know
Breast tissue Hello, I previously inquired about this, but another physician seemed to misunderstand my question. They might have thought I was asking about bilateral asymmetry, so I would like to ask again about unilateral (local) asymmetry. Recently, a family member underwent...
Dr. Chen Sirong Reply:
AC / 20 years old / Female. The breast ultrasound report needs to be explained by the physician; it cannot be interpreted solely based on the information you provided regarding asymmetry. Please return to the physician's clinic for a face-to-face consultation. Happy New Year...[Read More] Understanding Unilateral Breast Tissue Asymmetry: What You Need to Know
Managing Low Blood Counts After Chemotherapy for Lung Cancer
Post-chemotherapy indices are low? Hello, doctor. I would like to inquire about my grandmother, whose cancer cells have metastasized to her lungs. She has undergone approximately four rounds of chemotherapy, but the doctor mentioned that all her levels are low, and she should avo...
Dr. Lai Yicheng Reply:
Dear Ms. Huang, Important precautions during chemotherapy: 1. Wear a mask when visiting public places. During periods of low white blood cell counts, avoid going to crowded areas to reduce the risk of bacterial infections. 2. Avoid contact with individuals who have colds, measl...[Read More] Managing Low Blood Counts After Chemotherapy for Lung Cancer
Post-Colon Cancer Complications: Adhesions and Bowel Incontinence Solutions
Postoperative intestinal adhesions after colorectal cancer surgery? Hello, Doctor. My father was diagnosed with stage II colon cancer four years ago. He initially underwent chemotherapy to shrink the tumor before having surgery to preserve his anus, which unfortunately resulted i...
Dr. Lai Yicheng Reply:
Hello, Sir: Question 1: Regarding new technologies, it would be better to consult a surgeon for more clarity. Question 2: Postoperative adhesions are often caused by previous abdominal surgeries, pelvic inflammatory disease due to infections, or even as a result of chemotherapy...[Read More] Post-Colon Cancer Complications: Adhesions and Bowel Incontinence Solutions
Understanding Nasal Sebaceous Cysts: Do They Require Surgery?
There is a polyp in the nose? I recently visited an otolaryngologist because I found a white, protruding growth inside my nose. The doctor told me it was a sebaceous cyst and mentioned that as long as it doesn't grow larger or cause pain, surgery is not necessary due to its ...
Dr. Lai Yicheng Reply:
Ms. Tseng: The exact cause of sebaceous cysts is unknown, and cases are reported year-round. These cysts are located in the dermis or subcutaneous fat layer of the skin. Due to the unclear etiology, it is speculated that they may form when dead keratinized cells from the epidermi...[Read More] Understanding Nasal Sebaceous Cysts: Do They Require Surgery?
Understanding Thyroid Cancer: Key Questions and Surgical Considerations
Thyroid cancer issues? Hello Doctor: I previously asked you a question, and I appreciate your response. I have a thyroid nodule on the right side that is approximately 2.2 cm. The fine needle aspiration report indicates calcification, cellular mutation, and unclear margins, with ...
Dr. Lai Yicheng Reply:
In response to your question: 1. The thyroid nodule is 2.2 cm; if it is confirmed to be malignant, complete removal is necessary. 2. Endoscopic surgery has smaller incisions and lower risks compared to traditional surgery. 3. Preoperative evaluations, in addition to blood tests (...[Read More] Understanding Thyroid Cancer: Key Questions and Surgical Considerations
Optimal Dosing Intervals for TS-1 in Cancer Treatment
TS-1 dosing interval Thank you for your previous response. I have another question: TS-1 is prescribed to be taken within 30 minutes after breakfast and dinner. If the timing of breakfast and dinner is not fixed, what is the minimum time interval that should be maintained between...
Dr. Lai Yicheng Reply:
Hello Mr. Jiang: Regarding the recommended interval between medication doses, it is advised to have at least 6 hours between meals. Additionally, since you are currently undergoing chemotherapy, it is suggested to keep your meal times as consistent as possible, as this is better ...[Read More] Optimal Dosing Intervals for TS-1 in Cancer Treatment
Can TS-1 for Pancreatic Cancer Be Taken After Liquid Meals?
Consultation on the administration of TS-1? Is the pancreatic cancer medication TS-1 required to be taken after meals? If I am unable to eat, is it acceptable to take it after drinking Ensure liquid nutrition?
Dr. Lai Yicheng Reply:
Hello Mr. Jiang: 1. According to research, administering medication in a fasting state alters the bioavailability of oteracil potassium. Additionally, the phosphorylation of capecitabine is inhibited, which reduces its antitumor efficacy. Therefore, TS-1 should be taken after m...[Read More] Can TS-1 for Pancreatic Cancer Be Taken After Liquid Meals?
Can Esophageal Tumors Fluctuate in Size Before Treatment?
Tumor issues Hello, doctor: Is it possible for a malignant tumor in the esophagus to fluctuate in size before any treatment is administered? For example, during an endoscopy, could it appear larger if there is inflammation present? Thank you.
Dr. Lai Yicheng Reply:
Ms. Chen: Has the esophageal malignancy you mentioned been confirmed by a pathological biopsy? Am I interpreting your question correctly as asking whether "during endoscopy, esophagitis can present with fluctuating severity, with swallowing symptoms improving and worsening i...[Read More] Can Esophageal Tumors Fluctuate in Size Before Treatment?
Understanding Post-Surgery Treatment Options for Breast Cancer
Post-treatment for breast cancer? Your mother is currently sixty years old and underwent a left mastectomy on December 21, 2015. The tumor measured 0.7 cm with no lymph node metastasis, and testing revealed HER2+++ which is considered positive. The physician has recommended chemo...
Dr. Lai Yicheng Reply:
Ms. Han: 1. Your mother has a left breast cancer tumor measuring 0.7 cm, with no lymph node metastasis. Her2 is 3+ (positive), estrogen receptor positive (+, 10%), and progesterone receptor positive (+, 40%). She underwent a left mastectomy on December 21, 2015. 2. According to t...[Read More] Understanding Post-Surgery Treatment Options for Breast Cancer
Understanding Stage II Breast Cancer: Diagnosis and Treatment Options
Stage II breast cancer Hello Dr. Lai: I was diagnosed with stage II breast cancer at the end of 2014 and underwent a total mastectomy. At the same time, there was another tumor about 1 cm on the opposite side, which the doctor assessed as benign through a core needle biopsy, so i...
Dr. Lai Yicheng Reply:
Hello, Miss: 1. Mammography and breast ultrasound cannot provide a definitive diagnosis; only a pathological biopsy can confirm it with 100% accuracy. 2. Since you are now 55 years old and postmenopausal, it is still recommended that you undergo a mammogram. (Premenopausal women ...[Read More] Understanding Stage II Breast Cancer: Diagnosis and Treatment Options
Understanding Metastasis Risks During HER2 Breast Cancer Treatment
Is there a possibility of metastasis during breast cancer treatment? Hello, doctor. My mother was diagnosed with breast cancer (HER2 type) in May 2015. She has completed six rounds of chemotherapy and has undergone surgery for local excision, targeted therapy, and radiation thera...
Dr. Lai Yicheng Reply:
Hello, Miss: 1. It is relatively uncommon for breast cancer patients undergoing chemotherapy, surgery, radiation therapy, and targeted drug treatment to experience distant metastasis (unless the breast cancer is at a very advanced stage with a high number of infected axillary l...[Read More] Understanding Metastasis Risks During HER2 Breast Cancer Treatment
Understanding Persistent Lumps: Are They Signs of Lymphoma?
An unexplained mass for nearly two years? Hello doctor, I started noticing a lump under my left ear and below my right ear during the summer of 2014. It doesn't hurt or itch, and it feels soft to the touch. It has remained about the same size, roughly 1 centimeter, for over ...
Dr. Lai Yicheng Reply:
Hello, sir: It is recommended that you consult an otolaryngologist regarding the lumps behind your left ear and below your right ear, as well as seek dental treatment for your cavities. Maintaining good healthcare habits can provide peace of mind, and the specialists in each fiel...[Read More] Understanding Persistent Lumps: Are They Signs of Lymphoma?
Can Stopping Betel Nut Consumption Reduce Cancer Risk?
Shoulder pain If I used to chew betel nut but no longer do, will I get cancer? I went to a clinic for an examination, and the doctor said everything is fine.
Dr. Lai Yicheng Reply:
Hello, sir: It is recommended that you visit an otolaryngology department for an examination or go to major hospitals for cancer screening. Our hospital offers free head and neck as well as otolaryngology cancer screenings for individuals aged 30 and above. You are welcome to com...[Read More] Can Stopping Betel Nut Consumption Reduce Cancer Risk?
Understanding Abdominal Hard Lumps: Potential Causes and Concerns
Umbilicus Hello doctor, in the past month, I have felt a hard lump under my navel, about the size of a soybean, which is immovable. I experienced severe stomach pain in mid-November and mid-December, to the point where walking was difficult. During the hospital visit in mid-Novem...
Dr. Lai Yicheng Reply:
Dear Miss (unsigned), Regarding your concerns mentioned in your letter, I have not personally seen the patient and can only make judgments based on the limited information provided: 1. You experience frequent severe stomach pain (in November and December) lasting for several ho...[Read More] Understanding Abdominal Hard Lumps: Potential Causes and Concerns
Is a Small Painful Lump Near My Groin Safe? Insights for College Students
A small hard lump measuring 1.8 cm on the right side of the pubic area (connecting to the right thigh)? I am a freshman, and yesterday I discovered a small hard lump on the right side of my pubic hair (where the body connects to the right thigh). It hurts a little when I press on...
Dr. Lai Yicheng Reply:
Hello, sir: Regarding your question, it is recommended to first undergo a consultation and evaluation by a general surgeon to determine if there are any other possibilities. Changhua Hospital cares about you. Sincerely, Dr. Lai, Department of Radiation Oncology.[Read More] Is a Small Painful Lump Near My Groin Safe? Insights for College Students
Understanding Cancer-Related Fatigue: Symptoms, Causes, and Concerns
Cancer-related fatigue Hello Doctor, I have recently read about cancer-related fatigue, which includes symptoms such as "physical and mental exhaustion, fatigue, lethargy, tiredness, feeling drained, listlessness, weakness in the limbs, forgetfulness, difficulty concentratin...
Dr. Lai Yicheng Reply:
Hello, Sir: Fatigue is a common symptom in various chronic diseases and is characterized as a subjective feeling or objective decline in physical capacity. Out of respect for cancer patients, cancer-related fatigue (CRF) has traditionally been defined as a self-perceived symptom ...[Read More] Understanding Cancer-Related Fatigue: Symptoms, Causes, and Concerns
High White Blood Cell Count: Should You Worry About Leukemia?
The white blood cell count is as high as 23,100? In September, my blood test showed a white blood cell count of 15,000. I had two more tests in between, and the count remained around 15,000. I underwent a white blood cell differential, which came back normal. However, on December...
Dr. Lai Yicheng Reply:
Dear young lady, 1. We have received your letter informing us that your white blood cell count was 15,000 in September and increased to 23,100 in December without any fever. The concern you have regarding leukemic conditions, specifically the presence of "immature leukocyte...[Read More] High White Blood Cell Count: Should You Worry About Leukemia?
Understanding Ewing's Sarcoma: Recurrence and Survival Rates Explained
Primary bone cancer Hello, doctor. Is Ewing's sarcoma a type of tumor that is likely to recur or be fatal? The information available online is quite disorganized and scarce.
Dr. Chen Yunfang Reply:
Hello: Ewing's sarcoma is the third most common type of bone cancer, primarily affecting children and adolescents, and is characterized by rapid tumor growth. Regarding prognosis, if there is no distant organ metastasis at the time of diagnosis and only localized tumors are ...[Read More] Understanding Ewing's Sarcoma: Recurrence and Survival Rates Explained