Understanding Ear Tumors: What Could a Soft Lump in Your Ear Mean?
Ear tumor Doctor, I have a soft lump at the entrance of my right ear canal. When I press on it, it flattens, and I feel a small hard lump inside that seems to move. When I release the pressure, it expands back into a lump. Could this be ear canal cancer? I have researched a lot, ...
Dr. Lai Yicheng Reply:
Dear Cheng Cheng, Regarding your symptoms, please visit an otolaryngology specialist for evaluation. The doctor will perform a physical examination and further confirm the diagnosis. Thank you for reaching out for consultation. Sincerely, Dr. Lai Yi-Cheng Department of Ra...[Read More] Understanding Ear Tumors: What Could a Soft Lump in Your Ear Mean?
Understanding Movable Lumps in the Armpit: What to Do Next?
There is a hard lump in the armpit? There is a hard lump in my armpit about the size of a BB pellet that moves around. I discovered it about three years ago, and recently I squeezed it, but it burst and disappeared. I would like to know what the implications might be and what I s...
Dr. Lai Yicheng Reply:
Hello: Regarding your symptoms, please visit a surgical specialist for evaluation. The doctor will perform a physical examination and further confirm the diagnosis. Thank you for reaching out for consultation. Changhua Hospital cares about you. Dr. Lai Yi-Cheng, Department of Rad...[Read More] Understanding Movable Lumps in the Armpit: What to Do Next?
Choosing Between Erbitux and Vectibix for Stage IV Colon Cancer
Targeted therapy options for stage IV colorectal cancer? In the case of stage IV colorectal cancer, both Erbitux (cetuximab) and Vectibix (panitumumab) require RAS gene testing to ensure there are no mutations before they can be used. What are the differences between the two? How...
Dr. Lai Yicheng Reply:
Dear Mr. Chen, Regarding your inquiry, the National Health Insurance has specific reimbursement regulations: 1. Cetuximab (e.g., Erbitux): a. For the treatment of metastatic colorectal cancer: i. First-line treatment for patients with RAS wild-type metastatic colorect...[Read More] Choosing Between Erbitux and Vectibix for Stage IV Colon Cancer
Thyroid Nodules: Cyst or Cancer? Understanding Your Diagnosis
Thyroid cyst or malignant tumor? I have a lump about 1.5 cm in size on the left side of my neck near the Adam's apple. I'm unsure if it's hard or soft, but it's definitely not as hard as bone (in reference to the hardness of related cancer tumors). It is movab...
Dr. Lai Yicheng Reply:
Hello, Mr. Luo: A thyroid cyst is a fluid-filled sac found within the thyroid gland. Thyroid cysts typically do not present symptoms unless they are large or if there is bleeding within the cyst, which may cause some compressive symptoms such as pain, difficulty swallowing, breat...[Read More] Thyroid Nodules: Cyst or Cancer? Understanding Your Diagnosis
Understanding Nasopharyngeal Lymphoid Hyperplasia: When to Consider a Second Biopsy?
Please provide the content you would like me to translate? Hello: I asked a question on November 30 last year regarding a right neck swelling and a right nasopharyngeal lymphoid tumor. The tumor measured 0.6*0.5*0.4 cm, and the biopsy results indicated lymphoid hyperplasia in the...
Dr. Lai Yicheng Reply:
Hello: Regarding your question, you may visit the ENT outpatient clinic to consult with a physician for an assessment on whether further examination or regular follow-up is necessary. Thank you for reaching out. Sincerely, Dr. Lai Yi-Cheng, Department of Radiation Oncology, Chang...[Read More] Understanding Nasopharyngeal Lymphoid Hyperplasia: When to Consider a Second Biopsy?
Do Patients with Stage 1A Breast Cancer Need Chemotherapy After Surgery?
For breast cancer staged as 1A N0(i) M0 after complete surgical resection, the need for chemotherapy or targeted therapy depends on several factors, including the tumor's hormone receptor status (estrogen and progesterone receptors), HER2 status, and the patient's overa...
Dr. Lai Yicheng Reply:
Dear Miss LISA, I have received your letter and appreciate the detailed information you provided. Here is a summary of the findings: 1. Your friend has Stage IA breast cancer, not in situ carcinoma. 2. Tumor characteristics: the tumor measures ≤ 1 mm, with three foci. 3. Lymph ...[Read More] Do Patients with Stage 1A Breast Cancer Need Chemotherapy After Surgery?
Understanding Stage IV Astrocytoma: Survival Rates and Post-Surgery Care
A family member has been diagnosed with stage IV astrocytoma, and the doctor has given a prognosis of only 1.5 years left? Hello Dr. Lai, my family member has been diagnosed with a brain tumor (Grade IV astrocytoma), and the doctor has informed us that there is only about a year ...
Dr. Lai Yicheng Reply:
The first question is unclear, and I cannot provide advice based on it. For the second question, please avoid consuming irritating foods such as spicy, greasy, fried foods, and stewed dishes with old ginger and Chinese cabbage. For more detailed information, you may consult a nut...[Read More] Understanding Stage IV Astrocytoma: Survival Rates and Post-Surgery Care
Understanding Swelling in the Right Neck: Possible Causes and Concerns
Swelling in the right neck? Hello Doctor: Last Friday morning, I woke up to find two lumps in the middle of my right neck. Initially, they felt similar to a calf muscle cramp, swollen and painful. When I visited the clinic that evening, one of the lumps had merged into a larger m...
Dr. Lai Yicheng Reply:
Hello, Miss: 1. If nasopharyngeal carcinoma has metastasized, the lump will not disappear with medication. 2. All tumor diagnoses are primarily based on pathology reports. A few are diagnosed through visual examination, unless the tumor has progressed to the point of ulceratio...[Read More] Understanding Swelling in the Right Neck: Possible Causes and Concerns
Understanding Elevated Ca-125 Levels in Endometrial and Ovarian Cancer
Elevated Ca-125 levels? Hello, doctor. My mother (57, postmenopausal) experienced bleeding a few months ago and underwent a dilation and curettage (D&C). Afterward, she was diagnosed with endometrial cancer and underwent surgery to remove her uterus, ovaries, and lymph nodes....
Dr. Lai Yicheng Reply:
Hello Miss Joan: Could you please discuss your concerns (including medications and examinations) with your mother's attending physician, and inquire whether a PET scan is necessary? If you are still unable to clarify your doubts, you are welcome to prepare the necessary docu...[Read More] Understanding Elevated Ca-125 Levels in Endometrial and Ovarian Cancer
Red, Painful Lump in Armpit: When to See a Doctor?
A painful, red lump in the armpit? I suddenly felt pain in my lower abdomen, and upon inspection, I noticed a swollen, red, and painful area that does not move, but there is no pus. Which specialty should I consult for this issue? Does my low water intake have any relation to thi...
Dr. Lai Yicheng Reply:
Hello, the physician cannot provide treatment without a personal examination. Please refer to similar questions in this field, and you may inquire further about lymph node surgery with your attending physician. Edema is related to the number of lymph nodes removed, and it is advi...[Read More] Red, Painful Lump in Armpit: When to See a Doctor?
Understanding Enlarged Left Axillary Lymph Nodes: Causes and Treatment Options
Left axillary lymphadenopathy? Hello Dr. Lai! My boyfriend discovered a large lump under his left armpit in August 2017. Prior to this, he had experienced an influenza infection, and we are unsure if that was a triggering factor. In August, he visited the oncology department at M...
Dr. Lai Yicheng Reply:
Hello, Miss Gu. The physician cannot provide treatment without a personal examination. Please refer to similar questions in this field and consult your attending physician regarding lymph node surgery. Since edema is related to the number of lymph nodes removed, it is advisable t...[Read More] Understanding Enlarged Left Axillary Lymph Nodes: Causes and Treatment Options
Understanding a Soft Scalp Lump: When to Seek Medical Advice
I have a lump about four centimeters in size on the top right of my head? I have a lump about four centimeters in size on the back part of my right scalp. It feels somewhat soft when pressed and is not hard. Pressing on the lump itself doesn’t cause much pain, but there is some t...
Dr. Lai Yicheng Reply:
It is recommended to consult a dermatologist or a general surgeon. Radiation oncology Dr. Lai, thank you.[Read More] Understanding a Soft Scalp Lump: When to Seek Medical Advice
Understanding Elevated CEA Levels: Cancer Recurrence or Bone Metastasis?
Abnormal cancer markers? Hello Doctor, my mother was diagnosed with breast cancer nearly 10 years ago and underwent treatment. Five years ago, doctors confirmed that there were no tumors. She has continued to have ultrasounds every year. This year, my mother reported neck pain th...
Dr. Lai Yicheng Reply:
Dear [Recipient], Regarding your inquiry, the elevation of the CEA (Carcinoembryonic Antigen) level can be attributed to various factors. If the levels continue to rise, further investigation will be necessary. Please return to your attending physician for evaluation. Wishing y...[Read More] Understanding Elevated CEA Levels: Cancer Recurrence or Bone Metastasis?
Understanding Lumps Under the Armpit: When to Seek Medical Advice
There is a hard lump in the armpit? Hello Doctor: A few days ago, I discovered a lump in my armpit that doesn't look much like a pimple. It is painful to touch and press, but the pain has been decreasing day by day. After about three days, it is almost painless, but the lump...
Dr. Lai Yicheng Reply:
Ms. Lin: Thank you for your inquiry. Based on your description, it is very likely related to your menstrual cycle. I recommend seeing a breast surgeon for further evaluation. Wishing you peace and comfort, Dr. Lai Yi-Cheng, Radiation Oncology.[Read More] Understanding Lumps Under the Armpit: When to Seek Medical Advice
Consulting on Dietary Supplements for Post-Breast Cancer Surgery Recovery
Consultation on Edible Health Supplements for Daily Life After Breast Cancer Surgery My mother is 56 years old and underwent breast cancer surgery six months ago, followed by a series of chemotherapy treatments. She has always had difficulty sleeping, and over time, this may lead...
Dr. Lai Yicheng Reply:
Dear [Recipient's Name], Regarding your inquiry about self-administering "Suntory Sesame E," please discuss this with your attending physician. Wishing you peace and well-being. Sincerely, Dr. Lai Yi-Cheng Department of Radiation Oncology[Read More] Consulting on Dietary Supplements for Post-Breast Cancer Surgery Recovery
Managing Stage IV Nasopharyngeal Cancer: One and a Half Years Post-Treatment
One and a half years after treatment for stage IV nasopharyngeal carcinoma? My husband has stage IV nasopharyngeal carcinoma (T4N3M0), located in the supraclavicular fossa and the longus colli muscle area. After a year and a half of treatment, he is doing well. Recently, during a...
Dr. Lai Yicheng Reply:
1. Please perform a blood test to check the EBV DNA PCR levels, and then assess for any recurrence. 2. The cervical lymph nodes have decreased from 1.2 cm to 0.6 cm and then increased to 0.96 cm; I recommend surgical excision for pathological examination. 3. Is the nasopharyn...[Read More] Managing Stage IV Nasopharyngeal Cancer: One and a Half Years Post-Treatment
Understanding Recurrent Hard Lumps Under the Armpit: Causes and Concerns
Recurrent lumps in the armpit? The recurring hard lumps in the armpit that disappear after a few days, are generally painless but cause discomfort when pressed, and do not move, could be indicative of several conditions. One possibility is the presence of lymphadenopathy, which c...
Dr. Lai Yicheng Reply:
Hello Ms. Claire, Thank you for your message. In response to your inquiry: the swelling sensation in your right armpit, could it be related to your menstrual cycle? If the swelling and pain only occur before and after your menstruation, it may be associated with hormonal change...[Read More] Understanding Recurrent Hard Lumps Under the Armpit: Causes and Concerns
Ensuring Safety at Home: Managing Cancer Medications with Dementia Care
The oral medication for cancer is safe? Hello, doctor! Our elder at home is suspected to have dementia. He has been receiving medical treatment and medication for dementia, but the effects are minimal. He forgets to wash his hands after taking his chemotherapy medication and ofte...
Dr. Lai Yicheng Reply:
Hello, Ms. Sandwich Cookie. Regarding the safety of oral medications for cancer treatment, it is advisable to consult your hospital's pharmacist for a more secure recommendation. Thank you for reaching out. Best regards, Dr. Lai Yi-Cheng, Department of Radiation Oncology, Ch...[Read More] Ensuring Safety at Home: Managing Cancer Medications with Dementia Care
Understanding Swollen Armpits: Causes and When to Seek Help
Swollen underarm? I noticed some swelling in my armpit today while changing clothes. It feels somewhat painful, but not too much. However, the right side seems more swollen compared to the left. What could this be? Should I see a dermatologist?
Dr. Lai Yicheng Reply:
Hello Ms. Ava, Thank you for your message. In response to your inquiry: the feeling of swelling in your right armpit, could it be related to your menstrual cycle? If the swelling and pain only occur before and after your menstruation, it may be associated with hormonal changes....[Read More] Understanding Swollen Armpits: Causes and When to Seek Help
Understanding a Non-Painful Armpit Lump: What You Need to Know
There is a lump in the armpit? I have a lump located slightly above my armpit that has been with me for at least 3 years. It doesn't hurt, doesn't move, and I can't squeeze anything out of it. It grows very slowly and doesn't seem to have changed much; it meas...
Dr. Lai Yicheng Reply:
Hello, Thank you for your inquiry. Since I cannot observe your actual symptoms, I am unable to provide a comprehensive assessment. I recommend that you first consult with a surgeon for evaluation before a diagnosis is made. Changhua Hospital cares about you. Sincerely, Dire...[Read More] Understanding a Non-Painful Armpit Lump: What You Need to Know