Understanding Groin Lumps: Causes, Treatments, and When to Seek Surgery
There is a lump in the groin area? I have had a hard lump in my groin for three months. It started suddenly with a hard lump on the left side of my groin, which swelled up and caused pain while walking. A surgeon diagnosed it and to find the cause, I underwent an ultrasound, bloo...
Dr. Chen Sirong Reply:
Anonymous / 27 years old / Male 1. There has been a hard lump in the groin for three months. 2. The surgical diagnosis included ultrasound, blood tests (elevated white blood cell count), and a CT scan (approximately 4x3 cm), but no aspiration or biopsy was performed. 3. Aft...[Read More] Understanding Groin Lumps: Causes, Treatments, and When to Seek Surgery
Should We Wait for Follow-Up Ultrasound for a 2.3 cm Liver Tumor?
Liver tumor measuring 2.3 centimeters, with all blood test indices showing positive results? Hello Doctor: My mother is 45 years old, and her recent health check-up report showed a liver tumor measuring 2.3 cm. When we visited the hospital, the doctor only mentioned to wait for a...
Dr. Lai Yicheng Reply:
Dear Ms. Hui, Thank you for your letter. In response to your inquiry regarding your mother, the health check report indicates a liver tumor measuring 2.3 cm. To confirm the diagnosis, you may discuss with your attending physician to arrange for a triphasic CT scan of the liver. ...[Read More] Should We Wait for Follow-Up Ultrasound for a 2.3 cm Liver Tumor?
Managing Lymph Node Malignancy During Pregnancy: Key Considerations
Pregnant women diagnosed with malignant lymphoma? Hello, doctor. My wife was diagnosed with a malignant lymphadenoma in mid-April, and the biopsy and pathology report confirmed this. After completing a CT scan, no tumors were found in other areas. We originally planned to proceed...
Dr. Chen Sirong Reply:
Concerned Father / 36 years old / Male Hello, due to the lack of biopsy report specifying the type of lymphoma, it is difficult to determine whether to: A) proceed with radiation therapy on the right arm and undergo chemotherapy after pregnancy, or B) immediately terminate the p...[Read More] Managing Lymph Node Malignancy During Pregnancy: Key Considerations
Understanding a Soft Neck Lump: Is It Lymphoma or Something Else?
A lump on the right side of the neck? Hello Doctor: In mid-February of this year, I noticed a lump on the right side of my neck. It is elongated, measuring about 1 cm in length and only 2-3 mm in width. Over the past two months, it has not significantly increased in size, and it ...
Dr. Chen Sirong Reply:
Ah Hong / 15 years old / Male 1. It shouldn't be like that. If it were cancer, it would continue to grow. 2. If it grows, becomes hard, changes color, or presents other symptoms, please seek medical attention immediately at Taoyuan Hospital, Dr. Chen Si-Rong.[Read More] Understanding a Soft Neck Lump: Is It Lymphoma or Something Else?
Is Delayed Radiation Therapy Increasing Cancer Recurrence Risk?
Is it too late for radiation therapy? Hello Dr. Lai! Two years ago, I underwent a partial mastectomy on my left breast, and the tumor measured 2.6 cm with no lymph node involvement. My Oncotype recurrence score was 18%, and my doctor mentioned that taking an aromatase inhibitor f...
Dr. Lai Yicheng Reply:
Dear Madam, Thank you for your letter. I would like to respond as follows: The delay of nearly five months before starting radiation therapy has not been formally documented in the medical community regarding its impact on the likelihood of recurrence. Please rest assured and co...[Read More] Is Delayed Radiation Therapy Increasing Cancer Recurrence Risk?
Understanding Shoulder Pain: Possible Tumor-Related Causes
Shoulder pain? I have lumps in my neck, armpit, and groin. There are two lumps in my left armpit, each less than one centimeter. Sometimes, my left armpit feels a bit sore, but it is not painful, and the lumps are movable.
Dr. Chen Sirong Reply:
Xiaomi / 17 years old / Male 1. The most likely cause is still lymphadenopathy or other benign conditions. 2. To obtain a definitive diagnosis, it is necessary to visit a hospital for a physician's evaluation, and possibly a biopsy. 3. If you prefer not to go to the hospita...[Read More] Understanding Shoulder Pain: Possible Tumor-Related Causes
Sudden Neck Lump: What Could It Be and Should You Worry?
Sudden protrusion? I'm sorry to bother you, but I would like to ask about a sudden lump that has appeared on the side of my neck. I noticed it recently, and it hurts when I press on it; it feels like a solid mass. I have a family history of cardiovascular disease and I am ov...
Dr. Chen Sirong Reply:
Miss Chiu / 18 years old / Female has a protrusion on the side of her neck. It hurts when pressed and feels like a lump. A: The first suspicion would be lymphadenopathy. However, it is essential to go to the hospital for a diagnosis by a physician, especially since a small number...[Read More] Sudden Neck Lump: What Could It Be and Should You Worry?
Understanding Movable Lumps Under the Armpit: When to Seek Medical Advice
There is a hard lump in the armpit? A few days ago, I felt some soreness near my right armpit and thought it was just a simple strain. While massaging the area, I discovered a movable lump that causes slight pain when pressed. It feels small, and from the outside, there is no pro...
Dr. Lai Yicheng Reply:
Dear Miss Hsiao-Yu, Thank you for your inquiry. Without having seen your condition in person, it is difficult to answer your questions. I recommend that you return to the hospital to consult with a surgeon or a dermatologist. Best regards, Dr. Lai Yi-Cheng Department of R...[Read More] Understanding Movable Lumps Under the Armpit: When to Seek Medical Advice
Understanding Lymphatic Swelling in the Neck: Causes and Next Steps
There is lymphatic edema in the left side of the neck? Hello, doctor. Three years ago, I discovered lymphatic swelling on the left side of my neck (about five centimeters from the thyroid position, approximately 1.5 times larger than the corresponding lymph node on the right side...
Dr. Lai Yicheng Reply:
Dear Mr. Huan, In response to your inquiry, please find the answers below: 1. Your concern about "tumors in the neck metastasizing to the oral cavity" is not a phenomenon that occurs clinically. Additionally, the description of "left cervical lymphatic swelling, ...[Read More] Understanding Lymphatic Swelling in the Neck: Causes and Next Steps
Understanding Enlarged Lymph Nodes and Low White Blood Cell Count
Lymphadenopathy with leukopenia? Last week, I visited a gastroenterologist due to gastrointestinal discomfort. After undergoing an endoscopy, no abnormalities were found, only mild gastritis. I also asked the gastroenterologist to refer me to an ENT specialist to examine the lymp...
Dr. Lai Yicheng Reply:
Mr. Zhao: Thank you for your inquiry. Here are the responses: 1. Since each individual's constitution is different, it is indeed possible. If you are concerned about anesthesia leading to low white blood cell counts, please discuss with your physician whether a re-evaluation...[Read More] Understanding Enlarged Lymph Nodes and Low White Blood Cell Count
Understanding Lung Adenocarcinoma: Diagnosis, Treatment, and Next Steps
Diagnosed with lung adenocarcinoma? Hello, I hope you don't mind me reaching out for advice. My mother (68 years old) was found to have four tumors during an LDCT scan (1 in the right middle lobe, 2 in the right upper lobe, and 1 in the left upper lobe). She only feels some ...
Dr. Lai Yicheng Reply:
Dear Ms. Joyce, Regarding your letter, as you described, "After surgery, three tumors were confirmed to be lung adenocarcinoma (RML*1, RUL*1, LUL*1)." Therefore, the postoperative cancer staging should be M1a. As for whether there is metastasis beyond the lungs, I reco...[Read More] Understanding Lung Adenocarcinoma: Diagnosis, Treatment, and Next Steps
Understanding Eye Flashes: Could They Indicate a Pituitary Tumor?
Flashes of light in the eyes? I have been experiencing flashes in my right eye for several months, and they occur in a fixed position (I already have floaters). The doctor examined my retina and found no issues. Previously, a doctor suggested that I see a neurologist, but during ...
Dr. Lai Yicheng Reply:
Hello, student: Based on your described symptoms, it does not seem like a pituitary tumor. Is your menstrual cycle normal? I recommend you see an endocrinologist for a proper diagnosis. Changhua Hospital cares about you. Dr. Lai Yi-Cheng[Read More] Understanding Eye Flashes: Could They Indicate a Pituitary Tumor?
Understanding Lymphoma: Neck Pain and Lumps Explained
I would like to inquire about lymphoma? Hello Doctor, I would like to inquire about something. About a month ago, I started experiencing soreness in my neck and shoulders. I feel tightness in my neck, and I noticed a small lump above my collarbone. I'm not sure if it is a ly...
Dr. Chen Yunfang Reply:
Hello: Generally speaking, lymphoma tends to grow gradually over time and is usually painless, without pulsation. However, the lump you felt should be examined by a doctor at the hospital to determine if it is a lymph node. You can consult either a hematologist-oncologist or a ge...[Read More] Understanding Lymphoma: Neck Pain and Lumps Explained
Understanding Chemotherapy for Elderly Patients with Breast Cancer
About breast cancer chemotherapy? Dear Director Lai, I apologize for the intrusion. My mother is 76 years old and was diagnosed with stage II breast cancer in February of this year (with a 2.5 cm tumor in the left breast; CT and bone scans showed no metastasis). She underwent su...
Dr. Lai Yicheng Reply:
Dear Mr. Huang, I understand from your letter that according to the National Health Insurance guidelines for targeted therapy, your mother must first complete chemotherapy before being eligible for "Hecancerping." If you wish to use the targeted medication directly, no...[Read More] Understanding Chemotherapy for Elderly Patients with Breast Cancer
Understanding Long-Term Lymph Nodes: When to Seek Medical Attention
Chronic lymphadenopathy Hello, I have had multiple lymph nodes in my body for many years. For about three years, I have had them on the left side of my neck, behind my ears, and in the groin area. They have been persistent but do not cause any pain or seem to be enlarging. Some a...
Dr. Lai Yicheng Reply:
Dear Mr. Jacky, Thank you for your message. In response, lymph nodes can become enlarged when there is inflammation, infection, or the presence of tumor cells. It is recommended to consult a surgeon or a hematologist-oncologist for evaluation. A thorough examination by a physici...[Read More] Understanding Long-Term Lymph Nodes: When to Seek Medical Attention
Understanding Groin Lumps: Are They Tumors or Something Else?
There is a lump in the groin area? Hello, doctor. About a month or two ago, I noticed a growth in my groin area that is about the size of half a finger. It has a black dot on the surface, and it doesn't hurt or cause any discomfort. What could this be? Is it a tumor?
Dr. Chen Sirong Reply:
Mr. Wu / 20 years old / Male About one or two months ago, I noticed a growth in the groin area that is about the size of half a finger. It has a black dot on the surface, does not cause any sensation, and is not painful. What could this be? 1. Without an actual examination, it ...[Read More] Understanding Groin Lumps: Are They Tumors or Something Else?
Effective Strategies for Reducing Morphine Use After Tumor Surgery
Tapering method for morphine? Hello Doctor, Purpose: To reduce the dosage of morphine. Original Situation: Prior to surgery, the patient experienced severe pain due to a tumor, leading to a total of 21 days of morphine use before and after the operation. During hospitalization...
Dr. Chen Yunfang Reply:
Hello: The Celebrex you are currently taking is not morphine; it is simply a non-steroidal anti-inflammatory drug (NSAID) that is gentle on the stomach. Are you sure you have taken morphine? If not, it is difficult to determine what these uncomfortable symptoms are related to. Pl...[Read More] Effective Strategies for Reducing Morphine Use After Tumor Surgery
Understanding Neck Tumors: Seeking a Second Opinion on Diagnosis
A tumor on the neck? Hello Dr. Chen: I have had a lump on the left side of my neck for almost three years. Recently, I had a CT scan, and the doctor said they are still unsure what it is, only suggesting it might be a hemangioma. To confirm, I would need to undergo surgery for a ...
Dr. Chen Sirong Reply:
Dear [Recipient], I apologize for the delayed response as I was out of the country. 1. To achieve a definitive diagnosis for any tumor, the only reliable method is through surgical excision and histopathological examination. 2. Regarding your inquiry: Are you suggesting that I...[Read More] Understanding Neck Tumors: Seeking a Second Opinion on Diagnosis
Understanding Tumors on Both Sides of the Jaw: Are They Malignant?
There are tumors on both sides of the mandible? There are four tumors on both sides of the mandible that are movable, have recently increased in size, and sometimes cause pain while at other times do not. Could this be a malignant tumor?
Dr. Chen Sirong Reply:
Hello, Xiao Cheng / 14 years old / Male. Of course, the likelihood of cancer in adolescents is quite low. Have you informed your parents? There is a possibility of a larger tumor or a malignant condition. It would be advisable to tell your parents so they can accompany you to s...[Read More] Understanding Tumors on Both Sides of the Jaw: Are They Malignant?
Understanding Neck Tumors: Concerns About X-Ray Radiation and Treatment Options
Neck problems Hello Dr. Chen, I would like to ask you two questions: 1. About four years ago, I noticed a lump on the upper side of my neck (it is elongated, not nodular). I consulted an ENT specialist who said it was nothing (I was concerned he might not have palpated it cle...
Dr. Chen Sirong Reply:
Hello, I would like to ask you two questions: 1A. Theoretically, the dosage used in medical practice is within an acceptable and reasonable range. 1B. This reasonable range does not imply that it will not stimulate the original tumor or any normal parts of the body to become m...[Read More] Understanding Neck Tumors: Concerns About X-Ray Radiation and Treatment Options