Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis
Lymphadenopathy Hello Doctor: Around October, I experienced sharp pain in my jaw and throat. Upon pressing, I discovered a hard swollen lymph node near my salivary glands, approximately 2 cm in size. In November, I was very worried and went to see an ENT specialist and an endocri...
Dr. Chen Sirong Reply:
Hello [email protected]: 1. Is it possible that my colorectal carcinoma in situ has metastasized to the cervical lymph nodes? A: "In situ" means that it is localized and does not metastasize. 2. If the ultrasound shows no issues, do I need to go to an ENT spec...[Read More] Understanding Enlarged Lymph Nodes: Concerns and Next Steps in Diagnosis
Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Low white blood cell count with abnormal differentiation? I am concerned about not wanting to frequently visit the hospital and occupy medical resources, but I also worry that if there is a real issue, it may delay treatment. Therefore, I would like to ask Dr. Chen whether my sit...
Dr. Chen Yunfang Reply:
Hello: 1. The white blood cell count is unremarkable. You can decide whether to seek medical attention; if so, you should consult a hematologist. 2. Similarly, if you choose to seek medical attention, you can also see a hematologist. 3. These abnormalities do not have any particu...[Read More] Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Is Chemotherapy Suitable for My 82-Year-Old Grandmother with Stage 4 Pancreatic Cancer?
Is chemotherapy suitable for a patient with stage IV pancreatic cancer who has insufficient physical strength? My grandmother is 82 years old, lives a regular life, and has no bad habits. She has stage IV pancreatic cancer that has spread to the peritoneum and intestines (diffuse...
Dr. Hu Ziren Reply:
In cases of advanced age and poor nutritional status, where the patient is unable to undergo oral chemotherapy, it is recommended to consider palliative care and symptom management. If palliative care and symptom management are initiated, subsequent evaluations will depend on the...[Read More] Is Chemotherapy Suitable for My 82-Year-Old Grandmother with Stage 4 Pancreatic Cancer?
Understanding Your Blood Test Results: Insights for Tumor Patients
Blood test report Hello Dr. Chen, Recheck results: RBC: 5.26, HB: 12.1, HCT: 40.3, RDW: 20.7, MCV: 76.6, MCH: 25.5, MCHC: 31.5, MPV: 7.3, Fe: 48, UIBC: 392, Monocytes: 12.8. The physician at the Chinese medicine clinic stated that there is no anemia, but the report shows seve...
Dr. Chen Yunfang Reply:
Hello: I agree! You do not have anemia! Anemia is determined solely by the hemoglobin (Hb) level, and yours is 12.1, which is normal. The other abnormal values are not helpful in diagnosing your condition! They are unrelated to your dizziness and hair loss. You should consult ano...[Read More] Understanding Your Blood Test Results: Insights for Tumor Patients
Timing Growth Hormone Injections for Craniopharyngioma Patients: Key Considerations
Timing of Growth Hormone Injection in Patients with Craniopharyngioma A 7-year-old child diagnosed with precocious puberty was found to have a brain tumor. In April of this year, the child underwent surgery for a craniopharyngioma. Due to a height increase of less than 2 centimet...
Dr. Chen Sirong Reply:
Zhang S / 42 years old / Female 1. What impact does administering growth hormone injections have on craniopharyngiomas in the brain? A: I can provide you with a paper from mainland China that suggests there are no significant adverse effects. 2. If one were to administer gro...[Read More] Timing Growth Hormone Injections for Craniopharyngioma Patients: Key Considerations
Understanding Enlarged Lymph Nodes: Is It Nasopharyngeal Cancer?
Enlargement of cervical lymph nodes? Hello Doctor, the physician diagnosed me with lymphadenopathy. (I felt a hard lump under my ear, quite firm, immobile, painless, and it feels relatively large, about the size of a small tomato.) I had an HSV-2 infection years ago, and after re...
Dr. Yan Jingheng Reply:
1. HSV is not the virus that causes nasopharyngeal carcinoma; EBV is the virus responsible for nasopharyngeal carcinoma, while HPV is associated with oropharyngeal carcinoma. Currently, there is no confirmed link between HSV and cancer. 2. A biopsy of the lymph nodes is necessary...[Read More] Understanding Enlarged Lymph Nodes: Is It Nasopharyngeal Cancer?
Understanding Lymphocyte and Eosinophil Levels in Tumor Diagnosis
Lymphocyte 48.2 and Eosinophil 0.6? Hello, Dr. Yan! Recently, I visited the doctor due to a sore throat, and an ultrasound examination revealed a 1.2 cm lymph node in my neck. I was scratched by a cat recently; could this be cat scratch fever? I have already gone to the hospital ...
Dr. Yan Jingheng Reply:
Hello, as you mentioned, the (percutaneous biopsy/imaging-guided drainage procedure) will be performed in a few days. Of course, a diagnosis can only be confirmed after the biopsy results are available, so it is advisable to wait for the pathology report.[Read More] Understanding Lymphocyte and Eosinophil Levels in Tumor Diagnosis
How to Handle a Hard Lump Under Your Armpit: Symptoms and Next Steps
If you discover a lump in your armpit, what is the best way to handle it? About one or two months ago, I discovered a hard lump under my left armpit, approximately 3cm by 4cm in size. Sometimes, I experience cramping pain starting from that area, which can radiate to my entire le...
Dr. Chen Sirong Reply:
Hello, Jin, 23 years old, male. 1. Based on these symptoms, what type of issues or diseases could be initially suspected? A: Benign tumor or malignant tumor. 2. Which specialty should I consult? A: General Surgery. 3. What tests should I undergo to confirm whether it is a t...[Read More] How to Handle a Hard Lump Under Your Armpit: Symptoms and Next Steps
Understanding Groin Lumps: Possible Causes and When to Seek Help
A hard lump developed in the groin area a few days ago? Hello doctor, three days ago I discovered a hard lump in my groin, measuring about two centimeters. The day before yesterday, it seemed to shrink a bit, and I thought it was getting better, but then it grew back the next day...
Dr. Chen Sirong Reply:
Good morning / 17 years old / Female. Hello, 1. I would like to ask the doctor if it is possible that it is a tumor. A: Broadly speaking, it resembles a benign tumor, such as a sebaceous cyst that you are aware of. In general, malignant tumors tend to be hard, do not change in si...[Read More] Understanding Groin Lumps: Possible Causes and When to Seek Help
Understanding Stable CA-199 Levels: What It Means for Your Health
Regarding the CA 19-9 levels showing no change after multiple tests? Hello Dr. Hu, I would like to ask you a question. I undergo an abdominal ultrasound every six months, and I have a routine colonoscopy and gastroscopy once a year, along with tumor marker screenings. Recently, I...
Dr. Hu Ziren Reply:
The normal range for CA 19-9 is 0-37. A value within this normal range is considered normal, so it is advised not to worry too much.[Read More] Understanding Stable CA-199 Levels: What It Means for Your Health
Understanding MRI and CT Scans in Liver Cancer Follow-Up Care
Instrument examination Several years ago, a family member underwent surgery for liver cancer and had a good recovery, with follow-ups every three months. Recently, a CT scan indicated a gray shadow on the liver, prompting the doctor to schedule blood tests and a nuclear magnetic ...
Dr. Chen Sirong Reply:
Jj / 31 years old / Male 1. Is the recurrence confirmed as a local recurrence (viable)? A: 2. Local recurrence (viable): - A growing nodule with early enhancement and early washout at the S2/S3 junction, approximately 2 cm in size, suggestive of hepatocellular carcinoma (HC...[Read More] Understanding MRI and CT Scans in Liver Cancer Follow-Up Care
Understanding Abdominal Tumors: Signs, Symptoms, and What to Expect
Abdominal tumor There is a hard lump about 3 centimeters in size located to the right of the center of the navel. Initially, it was not that large and was not easily felt when lying down, but now the lump has grown and can be felt when lying down or on the side. When standing and...
Dr. Hu Ziren Reply:
It may be an abdominal hernia; it is recommended to see a general surgeon.[Read More] Understanding Abdominal Tumors: Signs, Symptoms, and What to Expect
Understanding MRI Findings: Pituitary Microadenoma and Pineal Cyst Insights
Magnetic Resonance Imaging (MRI) Report Impression: 1. A 6.8mm nodule at the right pituitary gland with delayed enhancement, suspected to be a microadenoma. Clinical correlation and follow-up are recommended. 2. A 12.3x7.8mm pineal cyst is noted. For further details, please see ...
Dr. Chen Sirong Reply:
Y / 27 years old / Female 1. Doctor, does this mean I have a pineal cyst, or is observation sufficient? A: You have a pineal cyst; benign observation is sufficient. 2. Doctor, based on the current size of the pituitary gland, is surgery necessary, or can it be treated with med...[Read More] Understanding MRI Findings: Pituitary Microadenoma and Pineal Cyst Insights
Understanding Persistent Pain in Lung Adenocarcinoma Treatment
Cancer treatment My mother has lung adenocarcinoma and has been on targeted therapy for two months. However, her pleuritic pain has changed from intermittent to persistent (the doctor explained that this is due to tumor pressure). I would like to ask the physician if persistent p...
Dr. Hu Ziren Reply:
The transition from intermittent pain to persistent pain may be due to tumor pressure or the ongoing progression of the disease. However, since it has only been two months since starting targeted therapy, it is recommended to wait for a 2-4 month imaging efficacy assessment (if a...[Read More] Understanding Persistent Pain in Lung Adenocarcinoma Treatment
Understanding Lymph Node Issues: Concerns About Swelling and Cancer
Lymphatic issues Hello doctor, I suspect I have lymphadenopathy and I'm worried it might be lymphoma, but I'm not sure if I'm overthinking it. I have a few questions to ask: 1. Is lymphadenopathy dangerous even if it hasn't been continuously enlarging? I have...
Dr. Chen Sirong Reply:
Student Li / 13 years old / Male Hello, 1. Is it dangerous if lymph nodes are enlarged but do not continue to grow? A: Many enlarged lymph nodes can remain for years without resolving. If they do not increase in size, change color, become hard, or present new symptoms, then t...[Read More] Understanding Lymph Node Issues: Concerns About Swelling and Cancer
Understanding Bruises and Hard Lumps Under the Left Rib: When to Worry
There is a bruise and swelling located just below the left rib cage? A week ago, my husband suddenly developed a dark bruise on the left side of his abdomen, just below the rib cage. At that time, it was painful to touch and felt hard, with an elongated oval shape approximately 1...
Dr. Chen Sirong Reply:
Xiao Yu / 40 years old / Male 1. Is it possible that this lump could be a tumor? A: It could be benign or malignant, or it might just be inflammation. 2. Should I wait and see if it goes away on its own? A: Both benign and malignant tumors will not go away on their own. I...[Read More] Understanding Bruises and Hard Lumps Under the Left Rib: When to Worry
Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates
Stage II oral cancer Hello Doctor, my sister was diagnosed with stage II left oral mucosal cancer in September last year. Bone scans and neck CT scans showed no metastasis. After the primary physician surgically removed the tumor and sutured with artificial skin (without performi...
Dr. Chen Sirong Reply:
Anonymous / 46 years old / Female Hello, I have been diagnosed with stage II oral cancer, and after the tumor was removed, it has been less than a year, and now it has metastasized to the lymph nodes. Is this possible? A: Yes, it can occur. If metastasis happens, how is the ca...[Read More] Understanding Stage II Oral Cancer: Recurrence, Metastasis, and Survival Rates
Understanding Endometrial Cancer: Key Questions and Insights
Questions about endometrial cancer? Hello, Doctor. I recently sought medical attention due to abnormal bleeding, and after examination, the diagnosis report is as follows: Endometrial Cancer Grade 2/3. The blood test results are: CA-125: 14, CEA: 1, β-hCG: 11. I would like to ask...
Dr. Chen Sirong Reply:
Q: Hello, Qingwen, 60 years old, female. I would like to ask about the significance of three blood test indicators and results, and why there can be a situation where tumor markers are normal but a biopsy shows cancer? A: These blood test indicators are not specific to endometr...[Read More] Understanding Endometrial Cancer: Key Questions and Insights
Understanding Hard Lumps on the Arm: Potential Tumor Concerns
There is a small hard lump on the right arm? Hello: My mother is 47 years old and has a purple lump on her right arm that feels hard. This lump has been present for 3 to 4 years; it started off small and was not given much attention, but it has gradually increased in size. There ...
Dr. Hu Ziren Reply:
If the tumor has increased in size in a short period, it is recommended to consult a plastic surgeon or a general surgeon for evaluation.[Read More] Understanding Hard Lumps on the Arm: Potential Tumor Concerns
Understanding Groin Lumps: When to Seek Medical Advice
Inguinal mass A mass approximately 2 centimeters in size was found on the inner side of the left groin, above the pubic bone. It is not painful upon palpation and does not move. It appears intermittently; sometimes it can be felt, and other times it cannot. This condition was als...
Dr. Chen Yunfang Reply:
Hello: I'm not sure what it is without an examination, so I recommend seeing a gynecologist first. Thank you![Read More] Understanding Groin Lumps: When to Seek Medical Advice