Persistent Neck Lump and Sore Throat: Should You Worry About Cancer?
A hard lump in the back of the neck and a sore throat lasting for a week? Last Thursday, after being exposed to the wind, I felt a pressure in my head and a slight sore throat. When I touched the back of my neck, I found a hard lump about two centimeters in diameter, located at t...
Dr. Chen Sirong Reply:
Peter / 25 years old / Male Hello, 1. I have discovered a hard lump in the back of my neck, approximately two centimeters in diameter, located at the topmost cervical vertebra. There are no signs of swelling, and it does not hurt when pressed. Could this lump possibly be a mal...[Read More] Persistent Neck Lump and Sore Throat: Should You Worry About Cancer?
Understanding Oral Cancer Metastasis: Treatment Options and Costs
Oral cancer metastasis Hello Doctor: My father is 60 years old and was diagnosed with stage IV gingival cancer that had invaded the mandible in June of last year. He underwent surgery to remove the mandible and had lymphadenectomy, and the postoperative report showed no cancer ce...
Dr. Lai Yicheng Reply:
Dear Miss Chuang, Thank you for your letter. Here is my response: 1. Your father is currently receiving the standard treatment regimen of "cisplatin + gemcitabine" for head and neck cancer. If this treatment fails, there are many other chemotherapy agents available, s...[Read More] Understanding Oral Cancer Metastasis: Treatment Options and Costs
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 Pituitary Tumors: Size, Growth, and Treatment Options
Pituitary adenoma Hello doctor, I previously lost weight (without taking weight loss medication, just through diet control and exercise), but then my period stopped. I went to see a gynecologist, and after some time of examination, I found out that my period only comes when I tak...
Dr. Lai Yicheng Reply:
Dear Ms. Jemy, Thank you for your letter. Here is my response: A 0.5 cm pituitary adenoma is referred to as a "microadenoma." Medical treatment can be considered initially, and if it is ineffective, surgery or radiation therapy may be considered. I recommend that you f...[Read More] Understanding Pituitary Tumors: Size, Growth, and Treatment Options
Understanding Tendon Tumors: Could It Be Oral Cancer?
A tendon tumor has developed on the left side of the face? My mother has a tendon tumor on the left side of her face, which has already been surgically removed. However, according to the doctor, there were many small tumors, not just one. My mother also reports that the entire le...
Dr. Chen Sirong Reply:
Patient: 16 years old, male 1. According to the attending physician's description, it seems to be a pre-existing tendon tumor or an unspecified tumor that requires further examination or treatment. I did not fully understand the physician's explanation at that moment, ...[Read More] Understanding Tendon Tumors: Could It Be Oral Cancer?
Concerns About a Hard Lump in the Breast: Is It Cancer?
Chest lump Hello Doctor: My mother has a large hard lump in her left breast. It feels very firm and solid, and pressing on the lump is quite painful. Sometimes, even without touching it, the lump can hurt on its own, and it's very painful. The lump is located on the outer si...
Dr. Lai Yicheng Reply:
Dear Ms. Chen, Thank you for your letter. Based on your description, there is a hard lump in the left breast that occupies about two-thirds of the breast. Although I have not performed a physical examination, I believe there is a significant likelihood of malignancy. I recommend...[Read More] Concerns About a Hard Lump in the Breast: Is It Cancer?
Could a Lump in My Shoulder Indicate a Tumor? Seeking Medical Advice
Feeling a lump similar to a tumor in the shoulder? Hello Doctor, I would like to ask about the pain I've been experiencing in my right shoulder and neck area. It has been very sore and feels tight and stiff for about 2 to 3 months. Recently, when I applied a muscle relief oi...
Dr. Lai Yicheng Reply:
Dear Mr. Chou, Thank you for your letter. In response to your described symptoms, it is difficult to assess your actual condition without a physical examination. We recommend that you visit an otolaryngologist for further evaluation and treatment. If needed, we can assist with a...[Read More] Could a Lump in My Shoulder Indicate a Tumor? Seeking Medical Advice
Can Hemorrhoid Wounds Cause Groin Lymph Node Swelling?
Can a hemorrhoid wound cause lymphadenopathy in the groin? Hello Doctor, on March 21, 2016, I experienced an acute episode of external hemorrhoids that resulted in thrombosis, and I went to the hospital for treatment. Later, due to the presence of a wound, the area around the hem...
Dr. Lai Yicheng Reply:
Dear Mr. Henry, Thank you for your letter. In response to your concerns regarding the lump in your right groin, which is not very hard, feels slightly elastic, is painful upon pressure, and is movable, measuring approximately 1.5 cm, I personally believe that the likelihood of l...[Read More] Can Hemorrhoid Wounds Cause Groin Lymph Node Swelling?
Understanding Neck Ultrasound Results: Is It Lymphoma or Not?
Neck ultrasound issues? Today I had an ultrasound of my neck and found a 0.2 cm mass. I asked the doctor if it was a tumor, and the doctor said it was a lymph node and advised me to return for a follow-up in six months. Could this be lymphoma? The doctor didn't prescribe any...
Dr. Lai Yicheng Reply:
Mr. Wang: I understand from your letter that you are overly worried. The 0.2 cm finding on the neck ultrasound is most likely a lymph node, and the chance of lymphoma is low. Please perform self-examinations to check for any enlargement. If there is no change, as the doctor menti...[Read More] Understanding Neck Ultrasound Results: Is It Lymphoma or Not?
Is Local Radiation Necessary After Total Mastectomy for Stage IIB Triple-Negative Breast Cancer?
The necessity of total mastectomy and adjuvant radiotherapy? My mother, who is 77 years old, underwent a right total mastectomy and axillary lymph node dissection on January 20. The postoperative pathology report indicated triple-negative breast cancer, stage IIB T3N0M0, with a t...
Dr. Lai Yicheng Reply:
Dear Ms. Jojo, Thank you for your letter. I would like to respond as follows: Your mother has been diagnosed with right-sided breast cancer, T3N0M0, with a tumor size of 10 cm, grade 3, triple-negative, and stage IIB. 1. Adjuvant chemotherapy and radiotherapy are the standard ...[Read More] Is Local Radiation Necessary After Total Mastectomy for Stage IIB Triple-Negative Breast Cancer?
Understanding Brain Tumor Treatment Options and Survival Rates
Thank you, Dr. Lai, for your continued questions? Dr. Lai: Thank you for your prompt response. My brother's brain tumor surgery was completed on March 15, and he was transferred to a regular ward on March 18. The doctor mentioned that it is not a metastatic tumor, but it is ...
Dr. Lai Yicheng Reply:
Dear Miss Ling, Thank you for your inquiry. I find it difficult to accurately answer your question regarding "survival rates," as this depends on the pathology report for precise determination. Different cancer cells have varying prognoses, and treatment methods also d...[Read More] Understanding Brain Tumor Treatment Options and Survival Rates
Understanding Pituitary Gland Calcification and Enlargement: What You Need to Know
Pituitary calcification and enlargement? Hello Dr. Chen: I would like to ask you, what is calcification? Is it caused by taking too many calcium supplements?
Dr. Chen Sirong Reply:
Patient: 20 years old, female 1. Pituitary gland calcification and enlargement A: This should have been discovered during an MRI scan at a major hospital. It is advisable to consult a neurosurgeon and conduct endocrine tests of the pituitary gland to determine if there is a tu...[Read More] Understanding Pituitary Gland Calcification and Enlargement: What You Need to Know
Hard Lump in Lower Right Abdomen: What Could It Be?
A hard lump can be felt on the right side of the abdomen (approximately below the navel)? Dr. Chen, I would like to ask you a question. Recently, I have noticed a hard lump in the lower right side of my abdomen that has persisted for about 2 to 3 weeks. It hurts when I intentiona...
Dr. Chen Sirong Reply:
Aichi / 26 years old / Male 1. Recently, I have had a hard lump in the lower right side of my abdomen that has persisted for 2 to 3 weeks. It hurts when I intentionally pull on my abdomen and disturb the lump, but it doesn't hurt when I leave it alone. I previously visited ...[Read More] Hard Lump in Lower Right Abdomen: What Could It Be?
Understanding Neck Masses: A Patient's Journey Through Diagnosis and Treatment
Neck mass Hello doctor, about 13 years ago, when I was around 16 or 17 years old, I discovered a lump under my right ear on my neck. At first, it was a small bump that felt like a mosquito bite, which was itchy and painful. After about two weeks, it developed into a larger lump, ...
Dr. Chen Sirong Reply:
Yuan Yuan / 30 years old / Female 1. The tissue that was removed 13 years ago should not be a concern now. 2. It is advisable to return for follow-up appointments; regular monitoring is beneficial, ideally every 1-2 years. 3. You can visit an ENT specialist when you have a ...[Read More] Understanding Neck Masses: A Patient's Journey Through Diagnosis and Treatment
Understanding a Hard Lump on the Back of the Neck: Is It a Tumor?
There is a hard lump in the back of the neck? Hello, I discovered a hard lump about 1 centimeter in size near the right side of my nape, just below the hairline, last night. It does not move and I do not have any symptoms such as fever or illness. Could this possibly be a tumor?
Dr. Lai Yicheng Reply:
Dear Orange, In response to your inquiry, I would like to address the hard lump approximately 1 cm in size located on the right side of your posterior neck, near the hairline. It is non-mobile and you do not exhibit any symptoms such as fever or illness. I personally believe it ...[Read More] Understanding a Hard Lump on the Back of the Neck: Is It a Tumor?
Exploring Torisel Coverage for Metastatic Kidney Cancer Treatment Options
Hello, doctor. Regarding the application for reimbursement of Torisel for metastatic renal cell carcinoma? Hello, doctor. My mother was diagnosed with kidney cancer, which has already metastasized to the lungs, bones, adrenal glands, neck, and multiple lymph nodes. The biopsy fro...
Dr. Lai Yicheng Reply:
Dear Pharmacist, Thank you for your letter. Here is my response: 1. Regarding the diagnosis - The biopsy was taken from the L3 vertebra and the adrenal metastasis. The pathology report shows positive results for AMACR and PAX8. Both of these immunohistochemical tests are non-sp...[Read More] Exploring Torisel Coverage for Metastatic Kidney Cancer Treatment Options
Understanding Brain Tumors: Concerns and Survival Rates for Patients
Please help me? Hello, Doctor. My brother is 32 years old and went to the emergency room due to dizziness and discomfort, where he was diagnosed with a brain tumor. He is scheduled for surgery to remove the tumor tomorrow. There are three small tumors and one large tumor measurin...
Dr. Lai Yicheng Reply:
Dear Ms. Ling, I acknowledge your letter and would like to respond as follows: 1. Your brother has three small and one large tumor in the left hemisphere of the brain, with the largest measuring 4.5 cm. This is associated with a high likelihood of metastasis, as primary brain t...[Read More] Understanding Brain Tumors: Concerns and Survival Rates for Patients
Understanding Enlarged Supraclavicular Lymph Nodes: When to Seek Help
Supraclavicular lymphadenopathy Hello Doctor: I recently visited an otolaryngologist who diagnosed me with sinusitis and a cold. While self-examining, I found about 1 or 2 movable, non-tender lymph nodes above my clavicle, approximately 1 centimeter in size, and they are not very...
Dr. Chen Sirong Reply:
Xiao Xi / 20 years old / Male 1. Did you not mention this to an ENT specialist? 2. It doesn't hurt, is movable, and isn't very hard. A: These are characteristics that tend to indicate a benign tumor. It may be lymphadenopathy caused by a cold or sinusitis. 3. Is...[Read More] Understanding Enlarged Supraclavicular Lymph Nodes: When to Seek Help
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
Understanding Pain Near the Navel: Could It Be a Tumor?
There is a small lump to the left of the navel? Sometimes it hurts when I press on it, and it can be quite painful when I stretch. I also experience occasional constipation, but the symptoms haven't significantly affected my daily life, so I didn't pay much attention un...
Dr. Chen Sirong Reply:
Swimming / 11 years old / Female: There is a small lump to the left of the navel. A: It is recommended to have a physician evaluate it in person. You can first schedule an appointment with a general surgeon, and if necessary, they can refer you to another specialist. Thank you, T...[Read More] Understanding Pain Near the Navel: Could It Be a Tumor?