Is a CEA Level of 10,000 Possible? Understanding Cancer Marker Limits
Is it really possible for the CEA level to reach 10,000? Hello Director Lai, I discovered a CEA level of 1085 during my health check in August this year, and subsequently, the clinic tested it again with a value of 1500. Later, after transferring to another hospital, the results ...
Dr. Lai Yicheng Reply:
Hello, Miss La Bao: Question 1. Is there a limit to the CEA index? Carcinoembryonic antigen (CEA) is the most commonly used tumor marker for colorectal cancer. However, CEA is not exclusive to colorectal cancer; it can also be elevated in breast cancer, gastric cancer, pancre...[Read More] Is a CEA Level of 10,000 Possible? Understanding Cancer Marker Limits
Differences Between Erbitux and Vectibix in Stage IV Colorectal Cancer Treatment
The differences between Erbitux (cetuximab) and Vectibix (panitumumab) lie primarily in their molecular structure, indications, and specific mechanisms of action. Erbitux is a chimeric monoclonal antibody that targets the epidermal growth factor receptor (EGFR) and is primarily...
Dr. Hu Ziren Reply:
1. It is usually necessary to check for BRAF mutations. 2. Both options have similar efficacy, so there is no particular preference for one over the other; it is recommended to discuss any further questions in detail with your treating physician.[Read More] Differences Between Erbitux and Vectibix in Stage IV Colorectal Cancer Treatment
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
Understanding Adjuvant Therapy Options for Colorectal Cancer Patients
Adjuvant medication Hello, Dr. Lai! I recently underwent a colonoscopy, and it was found that there are two flat polyps extending horizontally at the cecum: one measuring approximately 1.5 cm x 0.7 cm and the other in a V-shape measuring about 2 cm x 0.5 cm. Visually, they are di...
Dr. Lai Yicheng Reply:
Dear Ms. K.K., Thank you for your inquiry. Here are the responses: 1. All diagnoses should be based on the pathological report from laboratory tests. If it is not a malignant tumor, polypectomy may suffice. However, if it is unfortunately malignant, the pathological report from...[Read More] Understanding Adjuvant Therapy Options for Colorectal Cancer Patients
Oral Chemotherapy for Stage II Colon Cancer: Risks and Benefits for Elderly Patients
Oral chemotherapy drugs Hello Dr. Chen, my mother is 86 years old and underwent a right hemicolectomy for a tumor at the end of March. She has now been discharged and is back home. However, the pathology report indicates that although it is stage II, the cell differentiation is p...
Dr. Chen Sirong Reply:
Mr. Zhang / 47 years old / Male Hello, 1. I would like to ask the doctor about the differences between not taking oral chemotherapy drugs and taking them for a stage II colorectal cancer postoperative patient. A: Personally, I believe that the differences in taking or not taki...[Read More] Oral Chemotherapy for Stage II Colon Cancer: Risks and Benefits for Elderly Patients
Understanding Elevated CEA Levels After Colon Surgery and Chemotherapy
Postoperative and chemotherapy monitoring of abnormal CEA levels? Hello Doctor, my mother underwent a colectomy last November, and her CEA level was in the 70s at that time. After the surgery, the level did not decrease. Following the initiation of chemotherapy, the CEA level con...
Dr. Chen Yunfang Reply:
Hello: The CEA (Carcinoembryonic Antigen) level is indeed a tumor marker, but it is not specific and is not limited to colorectal cancer. Elevated levels can occur in various cancers throughout the body, such as head and neck cancer, lung cancer, breast cancer, gastric cancer, pa...[Read More] Understanding Elevated CEA Levels After Colon Surgery and Chemotherapy
Understanding Post-Chemotherapy and Radiation Side Effects in Colorectal Cancer
Chemotherapy and radiation therapy side effects? My sister is 39 years old and has stage III colon cancer. The doctor recommended a five-week course of chemotherapy and radiation therapy, after which the tumor shrank by 80% or disappeared. She is currently resting at home for abo...
Dr. Chen Yunfang Reply:
Hello: I cannot answer this because there are too many possible causes for the pain, such as pain from the tumor itself, pain from intestinal perforation, or pain from a wound infection or abscess (which, if not treated, could lead to sepsis and be fatal)... She needs to see a ph...[Read More] Understanding Post-Chemotherapy and Radiation Side Effects in Colorectal Cancer
Addressing Lung Metastasis in Colorectal Cancer: Treatment Options and Concerns
The issue of colorectal cancer metastasizing to the lungs? Dear Doctor, I would like to ask a few questions. My father was diagnosed with colon cancer 4-5 years ago, which was staged from 1 to 2. He underwent surgery for tumor resection and received approximately 8 months of che...
Dr. Chen Sirong Reply:
Hello Doctor, Borgy / 39 years old / Female 1. Could you please change the medication? 2. If your esteemed father is physically able, there are injectable options available, as well as targeted therapies that can be used in conjunction with chemotherapy. Thank you for your cor...[Read More] Addressing Lung Metastasis in Colorectal Cancer: Treatment Options and Concerns
Can Breast Cancer Metastasize to the Liver After Lung Spread?
Breast cancer metastasis to the lungs? Is it possible for breast cancer that has metastasized to the lungs to also metastasize to the liver?
Dr. Lai Yicheng Reply:
Hello, sir: The most common sites of cancer metastasis are the lungs, bones, and liver. The primary metastatic sites for different types of cancer are as follows: - Breast cancer: lungs, liver, bones. - Colorectal cancer: liver, peritoneum, lungs. - Kidney cancer: lungs, liver,...[Read More] Can Breast Cancer Metastasize to the Liver After Lung Spread?
Managing Chemotherapy Side Effects in Elderly Patients with Rectal Cancer
Elderly patients are unable to tolerate chemotherapy? Dear Director, My father is 84 years old. After the Lunar New Year, he was diagnosed with stage 2B rectal cancer (the tumor is 4 cm from the anal opening). The attending physician assessed that the tumor is too large and reco...
Dr. Lai Yicheng Reply:
Dear Miss Hsiao-Yun, Thank you for your letter. Here is my response: Your father has a stage 2B malignant tumor in the lower rectum, and there is a possibility for "sphincter-preserving treatment." Based on our experience, preoperative radiation combined with chemother...[Read More] Managing Chemotherapy Side Effects in Elderly Patients with Rectal Cancer
Understanding Lateral Tumors and Malignant Adenomas in Colorectal Health
There are laterally developing tumors within the intestine and a malignant intestinal adenoma on the intestinal wall? My father was found to have a lateral type of developing adenoma in the left colon during a colonoscopy on January 28 of this year. The report indicated: "A ...
Dr. Lai Yicheng Reply:
Dear Ms. He, I have read your letter several times, but I still do not fully understand your content. I will attempt to answer your questions. 1. Your father's intestinal malignancy refers to colorectal cancer. From your letter, I cannot determine the stage; please consult...[Read More] Understanding Lateral Tumors and Malignant Adenomas in Colorectal Health
Chemotherapy Choices for Stage 2B Colon Cancer: Traditional vs. Oral Options
Confusion about chemotherapy For stage 2B colorectal cancer, is it better to use traditional chemotherapy or oral chemotherapy?
Dr. Chen Yunfang Reply:
Hello: Essentially, both types of medications are "5FU," with the difference being whether it is the original injectable form of 5FU or the later developed oral capsule form (marketed as Ufur). The efficacy of both is quite similar (as the active ingredient is nearly th...[Read More] Chemotherapy Choices for Stage 2B Colon Cancer: Traditional vs. Oral Options
Could My Symptoms Indicate Colon Cancer or Polyps?
Do I have cancer? Hello, I would like to explain my previous health condition: I usually experience constipation and am prone to diarrhea, which I attribute to irritable bowel syndrome. Sometimes, I notice bleeding during constipation, which I believe is due to hemorrhoids. Recen...
Dr. Lai Yicheng Reply:
Dear Ms. Ching-Ching, Regarding your inquiry, you may visit the gastroenterology outpatient clinic for a specialist evaluation to determine whether a colonoscopy is necessary and to assess the appropriate type. Changhua Hospital cares about your well-being. Sincerely, Direc...[Read More] Could My Symptoms Indicate Colon Cancer or Polyps?
Understanding Cancer Markers: Insights on Stage 3B Rectal Cancer
The cancer index for sigmoid colon cancer? Dear Doctor: For a patient with stage 3B sigmoid colon cancer, after surgery, the cancer marker level decreased from over 50 to around 4. Is this a significant reduction? I understand that cancer markers are not always accurate, but a de...
Dr. Lai Yicheng Reply:
Hello Huang Xiaomei: The current clinical application of tumor markers is primarily for monitoring treatment. The interpretation of elevated markers helps determine whether patients' levels return to normal after surgery, radiation, or chemotherapy, and whether they rise aga...[Read More] Understanding Cancer Markers: Insights on Stage 3B Rectal Cancer
Understanding Treatment Options for Advanced Colon and Liver Cancer
I'm here to help! Please provide the content you would like me to translate? My brother is 51 years old and has stage III colon cancer, along with three malignant tumors in his liver. Initially, the doctors planned to perform surgery on both, but due to concerns about his ab...
Dr. Lai Yicheng Reply:
Dear Ms. You, Regarding your brother's Stage III colorectal cancer, it has metastasized from the primary site in the colon to the liver. As for surgery, the attending physician will assess the patient's overall health to determine if they are a suitable candidate for t...[Read More] Understanding Treatment Options for Advanced Colon and Liver Cancer
How to Prevent Prolapse After Colostomy Surgery: Tips for Patients
How to prevent stoma prolapse? I had colorectal cancer surgery a year and a half ago, and recently I noticed a significant bulge at the left stoma site (it was flat right after the surgery). Could you please advise me on how to prevent further protrusion? I'm quite worried. ...
Dr. Chen Sirong Reply:
Hello, rectal prolapse is a very common condition, and its occurrence varies depending on the location and type of the procedure performed. There are no effective preventive methods. Wishing you peace and health. Sincerely, Dr. Wang Qichao, Director of the Colorectal Surgery Depa...[Read More] How to Prevent Prolapse After Colostomy Surgery: Tips for Patients
Is Using Tap Water for Daily Enemas Safe After Colorectal Surgery?
Enema solution For a patient with a left-sided colostomy after colorectal cancer surgery, using warm tap water for daily enemas may not be appropriate. The concern with using unboiled tap water is the potential presence of bacteria or contaminants that could lead to infections or...
Dr. Chen Sirong Reply:
Hello: 1. You can use saline solution or warm water. 2. I haven't heard of anyone specifically boiling water before using it at a warm temperature, but if you don't mind the extra effort, you can do that. 3. Not boiling the water should not affect your health in the fut...[Read More] Is Using Tap Water for Daily Enemas Safe After Colorectal Surgery?
Understanding Small Abdominal Tumors After Colorectal Cancer Surgery
Abdominal small tumor I had surgery for colon cancer about six months ago. There is an area extending about 15 degrees from 8 centimeters below my navel in the lower right abdomen. I can feel three lumps about the size of a pea, located in different positions in the lower right a...
Dr. Chen Sirong Reply:
Happy New Year! I'm not sure if it is related to the scarring. It sounds more like a mass in the abdominal wall. You can ask the doctor to examine it during your follow-up visit, and based on the findings, appropriate tests such as a CT scan may be arranged. Thank you for yo...[Read More] Understanding Small Abdominal Tumors After Colorectal Cancer Surgery
Post-Surgery Follow-Up for Stage I Rectal Cancer: Colonoscopy vs. CT Scan
Postoperative care for rectal cancer? In the follow-up after surgery for stage I rectal cancer, which is more effective for accurate diagnosis: colonoscopy or computed tomography (CT) scan? Thank you.
Dr. Chen Sirong Reply:
Gogo underwent surgery for stage I rectal cancer and is now being monitored. A colonoscopy is more accurate for follow-up. Thank you for your message, and Happy New Year, Dr. Tao. Sincerely, Chen Si-Rong.[Read More] Post-Surgery Follow-Up for Stage I Rectal Cancer: Colonoscopy vs. CT Scan
Understanding the Transition from Benign to Malignant Tumors in Cancer Insurance
Cancer is indeed classified as a malignant neoplasm. Thank you very much? Subject: Inquiry about the classification of benign tumors that become malignant or undergo changes, and whether they can still be defined as "malignant neoplasms." I am very grateful for your ass...
Dr. Chen Sirong Reply:
Hello, your main points are: 1. The term "malignant neoplasm." 2. Whether a malignant neoplasm that develops on a benign tumor is covered. 1. I believe the term "malignant neoplasm" in Chinese corresponds to "malignant tumor" in English. Medical st...[Read More] Understanding the Transition from Benign to Malignant Tumors in Cancer Insurance