Understanding Basal Cell Carcinoma on the Eyelid: Treatment Options and Concerns
Regarding skin cancer of the eyelid (basal cell carcinoma)? Hello Dr. Chen, I would like to consult you regarding a skin cancer issue. My mother had a small growth on her eyelid a week before the Lunar New Year, so she went to the ophthalmology department at Hsinchu Cathay Hospit...
Dr. Chen Sirong Reply:
Hello Yi-Hsin, congratulations to you and also to your mother. Basal cell carcinoma rarely metastasizes, and when excised cleanly, it seldom recurs. I suspect the ophthalmologist has successfully removed the tumor. Of course, the ophthalmologist may not have excised a large area,...[Read More] Understanding Basal Cell Carcinoma on the Eyelid: Treatment Options and Concerns
Understanding Chemotherapy Decisions for Elderly Cancer Patients
Some questions regarding chemotherapy? Dear Dr. Fan, My mother is 78 years old and discovered a lump in her breast in February. She underwent surgery at Dalin Tzu Chi Hospital, where a biopsy confirmed it was cancer. A few weeks after the surgery, we received the pathology repor...
Dr. Fan Sheng Reply:
Dear Mr. Yuan, Hello. First of all, considering your mother's age, it is highly likely that her breast cancer specimen's estrogen receptor (ER) is positive. If this is the case, I recommend administering the oral estrogen receptor antagonist Tamoxifen for two years, fo...[Read More] Understanding Chemotherapy Decisions for Elderly Cancer Patients
Low White Blood Cell Count and Skin Bruising: What You Need to Know
Leukopenia and subcutaneous bleeding? Hello Doctor: I have a few questions I would like to ask. 1. During my health check-up last June, my white blood cell count was low at 4.3. Will this affect my health, and how can I improve my immune system? 2. I recently saw a television ...
Dr. Fan Sheng Reply:
Ms. Hui-Ling: A white blood cell count of 4.3 is equivalent to 4300/microL, which is still within the normal range. However, since you have been experiencing persistent subcutaneous bleeding in your legs and arms, it is important to seek consultation with a hematologist as soon a...[Read More] Low White Blood Cell Count and Skin Bruising: What You Need to Know
Can Keloid Prone Individuals Develop Internal Tumors or Cancer?
Does keloid predisposition affect internal organs and lead to cancer? Dear Dr. Fan, My sister was diagnosed with malignant uterine leiomyosarcoma around this time last year. She underwent surgery to remove her uterus and one ovary, followed by six months of chemotherapy. After c...
Dr. Fan Sheng Reply:
Frank: Is it possible for keloids to develop in internal tissues? There hasn't been much research on that. However, wasn't the sarcoma in the pelvic cavity removed? Any specimen that is surgically excised is sent for pathological examination. If you request a pathology ...[Read More] Can Keloid Prone Individuals Develop Internal Tumors or Cancer?
Managing Swelling in Patients Taking Iressa for Lung Cancer Treatment
How to improve the condition of leg edema after taking Iressa? Hello Dr. Chen! My father was diagnosed with lung cancer in September 2003, and by the time it was discovered, he was already in stage II. After undergoing chemotherapy and radiation therapy, his condition improved, a...
Dr. Chen Sirong Reply:
Hello: How can I improve the condition of leg edema that occurred after taking Iressa? Please consult an oncologist or a pulmonologist. As for purchasing a wheelchair, a standard outdoor wheelchair will suffice. If you need further information, please call the Taoyuan City Assist...[Read More] Managing Swelling in Patients Taking Iressa for Lung Cancer Treatment
Understanding Popliteal Masses: Symptoms, Causes, and Next Steps
Popliteal cyst Hello Dr. Fan, Recently, I discovered two lumps in the popliteal fossa of my right leg that resemble tumors. Initially, they were painful to the touch and movable. One lump is larger and visible, while the other can only be felt with pressure. The larger lump has ...
Dr. Fan Sheng Reply:
Vivi: Based on your description, the two lumps appear to be more like lymphadenitis. As the inflammation subsides, the lumps have also decreased in size, which suggests there may not be a significant issue. However, the skin problem is difficult to assess, so it is best to consul...[Read More] Understanding Popliteal Masses: Symptoms, Causes, and Next Steps
Managing Pain and Symptoms After Stage IV Colon Cancer Surgery and Chemotherapy
Pain My aunt underwent a tumor resection surgery for stage IV colon cancer (which has metastasized to the liver) about a month ago (July 4). Last Thursday (July 27), she received her second round of chemotherapy. On the first day after the treatment, she felt very good, but start...
Dr. Chen Sirong Reply:
Hello: 1. It is likely a side effect of chemotherapy. 2. The patient's condition is best understood by the primary physician, so I recommend asking the patient's attending physician if they can be contacted for consultation outside of outpatient hours. 3. Finally, I sug...[Read More] Managing Pain and Symptoms After Stage IV Colon Cancer Surgery and Chemotherapy
Understanding Lumps in the Groin: Causes and When to Seek Help
There is a hard lump in the groin area? Hello Doctor, I have been dealing with athlete's foot and itching in my groin area for several years. Recently, I started dating someone and I'm concerned about potential awkward situations, so I want to resolve these issues. Rece...
Dr. Chen Sirong Reply:
Hello: 1. For athlete's foot and itching in the groin area, it is important to patiently follow the dermatologist's instructions for applying medication. 2. Most lumps are benign lymphadenopathy, which may be caused by an athlete's foot infection, and it is necessa...[Read More] Understanding Lumps in the Groin: Causes and When to Seek Help
Understanding Axillary Tumors: Fibromas vs. Lymphadenopathy Risks
Axillary tumor I'm not sure if these are the same as what others refer to as "fibromas" or if it's due to lymphadenopathy. However, I remember having a very small lump under my left armpit since childhood. It doesn't hurt when I pull on it slightly, and t...
Dr. Chen Sirong Reply:
Hello: 1. Due to discoloration and pain, it is necessary to see a doctor promptly. 2. Most cases are benign and can be managed effectively. Sincerely, Dr. Chen Sih-Jung, Oncology.[Read More] Understanding Axillary Tumors: Fibromas vs. Lymphadenopathy Risks
Can I Have Surgery to Remove a Lump on My Thigh While Pregnant?
Is it possible to have surgery to remove a hard lump on the inner thigh while being pregnant? Hello! Last summer, I developed a lump on the inner side of my thigh that resembled a lymph node. When I consulted a doctor, they mentioned it was likely unrelated. However, after more t...
Dr. Chen Sirong Reply:
Hello: It is recommended that you consult a general surgeon for a diagnosis from the attending physician. You can ask the doctor for detailed information in person, which will help you understand better. Wishing you good health.[Read More] Can I Have Surgery to Remove a Lump on My Thigh While Pregnant?
Exploring Alternatives for Advanced Biliary Cancer Management
Cholangiocarcinoma In the case of advanced biliary cancer, where biliary obstruction necessitates the use of a drainage tube, patients may still experience significant discomfort. Are there alternative methods available? The patient is currently abroad; are there any reputable ho...
Dr. Chen Sirong Reply:
Hello: 1. While the use of a drainage tube in terminal stages may be uncomfortable, it is better than not using one. I personally cannot think of a better method. 2. Even the most authoritative hospitals cannot cure terminal cancer patients, so I recommend seeking a nearby medica...[Read More] Exploring Alternatives for Advanced Biliary Cancer Management
Essential Care Tips for Esophageal Cancer Patients and Nutrition Support
Issues Related to Esophageal Cancer Patients My father is an esophageal cancer patient, and he has experienced significant weight loss due to chemotherapy. I would like to inquire about the following matters: 1. Precautions for tracheostomy tubes 2. Precautions for gastrostomy tu...
Dr. Chen Sirong Reply:
Hello: 1. Precautions for tracheostomy tubes: Regular disinfection, periodic replacement to avoid infection and dislodgment. 2. Precautions for gastrostomy tubes: Ensure proper fixation to prevent pulling and dislodgment. Before feeding, flush with a small amount of water to p...[Read More] Essential Care Tips for Esophageal Cancer Patients and Nutrition Support
Understanding Skin Cancer Staging and Prognosis: Key Insights
Skin cancer Hello, about a month ago, I developed a tumor on my nose, which soon spread to the area around my lips. It has now metastasized to my left shoulder, where there are 3 to 4 tumors near my lips and on my left shoulder. Some of them are painful when pressed. If this is c...
Dr. Fan Sheng Reply:
It is difficult to determine the nature of your skin lesion based on your description. Please seek medical attention as soon as possible; it may be necessary to excise a sample for pathological examination to determine if it is cancerous.[Read More] Understanding Skin Cancer Staging and Prognosis: Key Insights
Understanding the Side Effects of Chest Radiation Therapy on Normal Tissues
Radiation Therapy I would like to ask if radiation therapy to the chest can cause adverse effects on other normal tissues or organs. Will the esophagus be affected as well? I feel some discomfort while swallowing, could you please explain? Thank you.
Dr. Chen Sirong Reply:
Hello: Chest radiation therapy can affect the following tissues: 1. Skin: It may become red, dark, dry, and may even peel or break, causing pain. You can use nourishing creams like Baoliao Mei to reduce side effects. 2. Lungs: A small portion of the lung may be affected depending...[Read More] Understanding the Side Effects of Chest Radiation Therapy on Normal Tissues
Is It Skin Cancer? Understanding Facial Spots and Tumor Concerns
Is it cancer? My friend suddenly developed dark patches on both cheeks one day. He visited a dermatologist who diagnosed it as sunspots, but we feel it doesn't look quite like that. What should we do? Could it be skin cancer? Which specialist should we consult? What tests ca...
Dr. Fan Sheng Reply:
Sky: You should be able to see a dermatologist. They can consult with different skin specialists for opinions.[Read More] Is It Skin Cancer? Understanding Facial Spots and Tumor Concerns
Is a Sudden 2mm Black Spot on Skin a Sign of Cancer?
A small black mole (similar to a nevus) with a diameter of 2mm suddenly appeared on the skin? I suddenly noticed a small black mole (similar to a mole) on the right side of my right little toe, measuring about 2mm in diameter, but it is larger than a typical mole. I am certain th...
Dr. Chen Sirong Reply:
Hello: 1. New lesions. 2. Color changes. 3. Any enlargement should raise suspicion for cancer; please seek prompt evaluation from a dermatologist. Sincerely, Dr. Chen Sih-Jung, Dermatology.[Read More] Is a Sudden 2mm Black Spot on Skin a Sign of Cancer?
Understanding Neurofibromatosis: Treatment Options and Genetic Factors
Neurofibroma Hello Doctor: My brother, when he was about 5 or 6 years old, developed small bumps on his skin that seem to grow larger with age. He also has some dark spots on his body, which were fewer when he was younger but have increased as he grew older. We consulted a doctor...
Dr. Chen Sirong Reply:
Hello: Neurofibromatosis is a hereditary neurological disorder that can be clinically divided into two types, with Type 1 being more common. Statistically, there is one patient for every 4,000 newborns. Patients develop multiple tumors due to abnormal proliferation of their nerve...[Read More] Understanding Neurofibromatosis: Treatment Options and Genetic Factors
Understanding Breast Tissue Changes: What to Know About Lumps and Growths
Areola There is a circular area around the left nipple that is not very hard but is quite large, approximately 4 centimeters in diameter, and it can be moved under the armpit. I haven't felt any hard lumps when I palpate the area. If I press on it continuously, it becomes pa...
Dr. Chen Sirong Reply:
Dear Miss, Based on your description, it does not seem to be breast cancer. However, since there is a hard lump, it is important to pay close attention to it. I would recommend that you take the time to have it checked by a general surgeon or a breast surgeon for a more thoroug...[Read More] Understanding Breast Tissue Changes: What to Know About Lumps and Growths
Essential Care Tips for Nasopharyngeal Cancer Patients at Home
Daily Care for Nasopharyngeal Patients Hello Doctor: My father is a stage II nasopharyngeal cancer patient. He completed chemotherapy and radiation therapy in May of this year and is currently resting at home. Recently, he has been experiencing some cold symptoms and consulted an...
Dr. Fan Sheng Reply:
Hello: Radiation therapy may cause damage to the skin and bones, which could be the reason for the current symptoms. The worst-case scenario is a recurrence of cancer invading the skull, leading to pain. If there are blisters on the skin, consider the possibility of a virus causi...[Read More] Essential Care Tips for Nasopharyngeal Cancer Patients at Home
Understanding Lymph Node Metastasis: Concerns and Surgical Options
Lymphatic metastasis Dr. Chen, I apologize for asking so many questions, but I am very concerned about my mother's condition, and I hope you can understand. During her radiation therapy, she experienced a recurrence and underwent a fine needle aspiration (FNA) and a PET CT s...
Dr. Chen Sirong Reply:
Hello: 1. If it has not metastasized, there is still hope. 2. I agree with your mother's attending physician's recommendations. 3. The wound may be difficult to manage, but we can only cooperate with the doctor. 4. Life is not in immediate danger, but the concern is tha...[Read More] Understanding Lymph Node Metastasis: Concerns and Surgical Options