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
Lumps Behind the Ears: Causes and Concerns About Tumors
A lump behind the ear? One day, I felt pain behind my left ear, and I kept touching it, which resulted in a lump about one centimeter in size. It doesn't hurt, but occasionally feels a bit sore and is not very hard. A few days later, I developed a lump about two centimeters ...
Dr. Hu Ziren Reply:
I'm sorry, but I need the specific content you want translated in order to assist you. Please provide the text you would like me to translate.[Read More] Lumps Behind the Ears: Causes and Concerns About Tumors
Understanding Ear Lumps: Causes, Concerns, and When to Seek Help
Hard lump behind the ear? Hello Doctor, I am sixteen years old. I have a lump about one centimeter on my left ear and a lump about two centimeters on my right ear (they are hard, but I'm not sure if they are movable). Initially, they were just painful and felt strange, but a...
Dr. Chen Sirong Reply:
Hello, A-Yue / 16 years old / Female 1. At sixteen years old, you are still a minor. It is advisable to inform your parents to take you for a medical consultation. 2. What could be the cause of the lump? The exact reason is uncertain. 3. Could it be cancer? The lumps are present...[Read More] Understanding Ear Lumps: Causes, Concerns, and When to Seek Help
Understanding Hard Lumps: Possible Causes in Groin and Head Areas
Head and groin mass? There are one or two hard lumps about half a centimeter in size near the pocket area of the pants, which are not painful when pressed. Additionally, there are approximately six or seven lumps behind the head, measuring about one and a half to two centimeters,...
Dr. Chen Sirong Reply:
Hello Benson, 13 years old, male student. 1. Since you are a minor, it is advisable to inform your family if you notice any unusual changes in your body. 2. It is difficult to determine whether a tumor is benign or malignant based solely on your description. 3. I recommend that...[Read More] Understanding Hard Lumps: Possible Causes in Groin and Head Areas
Understanding Popliteal Tumors: Types, Risks, and Characteristics
Popliteal tumor Doctor, what type of tumor could be located in the popliteal fossa? If it is about 10 centimeters in size, is it possible for it to be benign? If it is malignant, what is the likelihood of metastasis? The symptoms are very similar to a Baker's cyst, but the d...
Dr. Hu Ziren Reply:
The doctor mentioned that tumors include both benign and malignant types, and this also encompasses Baker's cysts. However, why is there no consideration for removing a mass that is approximately 10 centimeters in size?[Read More] Understanding Popliteal Tumors: Types, Risks, and Characteristics
Understanding Skin Lumps: Tumor or Just a Skin Issue?
There is a hard lump under the skin? Hello doctor, I have a palpable lump in the area of my buttocks. The skin does not show any abnormal color, and the lump does not move when I pinch it. It has been there for about eight years. Since it hasn't been painful or increased in ...
Dr. Hu Ziren Reply:
It should just be a lipoma or another benign tumor.[Read More] Understanding Skin Lumps: Tumor or Just a Skin Issue?
Managing Stage IV Esophageal Cancer with Metastasis: Key Considerations
Stage IV esophageal cancer with metastasis to other sites? Hello, Doctor! At the beginning of July, my father (56 years old) suddenly experienced weakness in his left leg. After examination at the hospital, it was found that there were 3-4 tumors of varying sizes in his brain. Fu...
Dr. Lai Yicheng Reply:
Dear Ms. Wu, Thank you for your letter. Here are the responses to your inquiries in order: 1. Currently, nutrition is being administered primarily via a nasogastric tube. Oral intake should be avoided to prevent aspiration pneumonia due to potential esophageal obstruction from ...[Read More] Managing Stage IV Esophageal Cancer with Metastasis: Key Considerations
Understanding Gastrointestinal Stromal Tumors: Survival and Treatment Options
Gastrointestinal stromal tumors (GISTs) Hello: My mother-in-law (60 years old) underwent resection of a gastrointestinal stromal tumor (GIST) measuring over 20 centimeters two years ago. During the surgery, many small tumors were also discovered in the abdominal cavity. The docto...
Dr. Hu Ziren Reply:
1. The causes of death are similar to those of common cancers, but some may experience gastrointestinal bleeding or even rupture. 2. If there is a recurrence, surgical resection usually only serves to manage complications and tumor growth. 3. If medications can prolong the ti...[Read More] Understanding Gastrointestinal Stromal Tumors: Survival and Treatment Options
Exploring Potential Bone Metastasis in Endometrial Cancer Patients
Suspected bone metastasis from endometrial cancer? Hello Doctor: I had surgery for endometrial cancer last May, and the pathology report indicated stage III. By February, all my treatments were completed, but my tumor markers have not decreased (still in the 70s). There are sever...
Dr. Chen Sirong Reply:
Patient: Jin Ding / 67 years old / Female Hello: 1. What other methods can be used to find the cause? A: 1A. The most proactive approach is a biopsy (the advantage is definitive confirmation). 1B. The next option is imaging diagnostics: 1.1. Out-of-pocket po...[Read More] Exploring Potential Bone Metastasis in Endometrial Cancer Patients
Can a 10cm Liver Tumor Be Treated? Understanding the Risks and Options
Is it possible to treat a 10 cm liver tumor? My father, aged 46, is a carrier of hepatitis B and does not have a habit of drinking alcohol. Our family maintains a normal lifestyle, diet, and routine, and he regularly takes reishi mushroom supplements for liver health. He also goe...
Dr. Hu Ziren Reply:
1. Chronic hepatitis B carriers are inherently at risk for liver cancer. 2. It is recommended to discuss treatment options with the attending physician. 3. In some cases, alpha-fetoprotein levels may not necessarily be elevated in liver cancer (approximately 25% of cases).[Read More] Can a 10cm Liver Tumor Be Treated? Understanding the Risks and Options
Understanding Uncertain Tumor Results: What You Need to Know
There is a lump in the middle of the bone in the front of the lower leg? Dear Doctor, my father underwent surgery on May 24 to remove a skin mass, which was sent for pathology testing. The hospital informed us that the stitches would be removed in two weeks, along with the report...
Dr. Hu Ziren Reply:
Hello, online friend: If a skin mass is excised and the pathology report indicates squamous cell carcinoma, it is often true that most cases are metastatic. Therefore, it is recommended to wait for the results of a comprehensive examination (including a CT scan) before proceeding...[Read More] Understanding Uncertain Tumor Results: What You Need to Know
Understanding Lymph Node Swelling: When to Seek Further Evaluation
Lymphadenopathy Hello, doctor. Last week, I felt a lymph node about 2 cm in size at the intersection of my neck and left shoulder. It is movable and not painful. The next day, I went to see an ENT specialist and had blood tests done. The doctor reviewed the results and said that ...
Dr. Hu Ziren Reply:
Hello, netizen: If you have noticed lymph nodes that have been palpable for a short period, it is advisable to monitor them for a few months. If they continue to enlarge or if more nodes appear, further evaluation is recommended.[Read More] Understanding Lymph Node Swelling: When to Seek Further Evaluation
Navigating Breast Cancer Treatment Options for a 90-Year-Old Grandmother
My grandmother, who is over 90 years old, has been diagnosed with stage II breast cancer. What are the concerns regarding her subsequent treatment? Recently, it was discovered that my 90-year-old grandmother has stage II breast cancer, PR+ER+Her2+(currently undergoing FISH testin...
Dr. Chen Sirong Reply:
Meg, 30 years old, female. 1. After examination, there is no metastasis, but due to age and the inherent risks of surgery, she chooses to forgo surgical intervention. Can she opt for direct hormonal therapy and targeted therapy with government insurance coverage for trastuzumab...[Read More] Navigating Breast Cancer Treatment Options for a 90-Year-Old Grandmother
Assessing End-Stage Multiple Myeloma: Symptoms and Treatment Options
End-stage assessment of multiple myeloma? Dear Doctor, My father was diagnosed with stage II multiple myeloma six years ago at the age of 65. He did not undergo a stem cell transplant but chose treatment with CyBorD (cyclophosphamide, bortezomib, and dexamethasone). For the firs...
Dr. Chen Yunfang Reply:
Hello: 1. The original physician from Hospital L has returned, and the physician from Hospital Z has asked you to go back to the original hospital for treatment, so it’s quite clear where to go. 2. The symptoms of multiple myeloma are primarily related to the bone marrow. As the ...[Read More] Assessing End-Stage Multiple Myeloma: Symptoms and Treatment Options
Understanding Unidentified Bumps on the Shin: What You Need to Know
Unknown object I would like to ask: I can feel two protrusions above my calf bone, one is smaller and the other is larger. I can feel them when I press on them, but they are not painful. They appear slightly raised on the outside, but not very noticeable. Should I be concerned ab...
Dr. Hu Ziren Reply:
Netizen: Since I didn't see it, I don't know if you're referring to something subcutaneous? If so, it should just be some subcutaneous lipomas or other benign tumors; I recommend just monitoring it.[Read More] Understanding Unidentified Bumps on the Shin: What You Need to Know
Understanding Groin Lumps: Possible Causes and When to Seek Help
Inguinal mass Hello Doctor: Recently, I noticed a lump in my groin area that is slightly painful when pressed and can move. Additionally, I have small, bump-like lesions on my abdominal skin. I have researched a lot and found that these could be related to lymphatic tumors or a w...
Dr. Lai Yicheng Reply:
Dear Xiaohau, Thank you for your letter. I recommend seeking a surgical biopsy to determine whether the condition is benign or malignant. Wishing you all the best and a smooth process. Sincerely, Dr. Lai Yicheng Department of Radiation Oncology[Read More] Understanding Groin Lumps: Possible Causes and When to Seek Help
Understanding Lymph Node Issues: When to See a Specialist
Lymph node issues? Hello Doctor, I had a biopsy of the groin lymph nodes last October, which turned out to be benign. In February, I had a PET scan for a chest nodule, and there were no significant issues. However, recently I have been feeling more and more lymph nodes, so I went...
Dr. Chen Yunfang Reply:
Hello: First of all, the excision of subcutaneous lymph nodes is a procedure that any general surgeon can perform; you can choose anyone. Those who claim to have special expertise are simply indicating that they are particularly specialized in this area. Lymph node excision is so...[Read More] Understanding Lymph Node Issues: When to See a Specialist
Managing Lateral Lymph Node Metastasis in Papillary Thyroid Cancer: Surgery or I-131?
For lateral lymph node metastasis of papillary thyroid carcinoma, is surgery recommended or is iodine-131 treatment preferred? 1. What is the ideal level of thyroglobulin (TG)? 2. Given the bilateral lateral neck lymph node metastasis, should surgery be performed or should anothe...
Dr. Chen Sirong Reply:
Marian / 21 years old / Male Q1: What is the ideal TG value? A: For patients on thyroid hormone replacement, a TG < 1 indicates successful treatment, while a TG > 5 raises suspicion for recurrence. For those not on thyroid hormone replacement, a TG < 5 indicates succe...[Read More] Managing Lateral Lymph Node Metastasis in Papillary Thyroid Cancer: Surgery or I-131?
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