Understanding Rib Masses: When to Seek Medical Attention for Tumors
There is a mass on the rib? Three months ago, I developed a hard lump larger than an egg on my left rib cage, which seems to get bigger when I lie down. The internist only examined it by touch and said it was probably a lipoma, but there is pain when pressure is applied around th...
Dr. Lai Yicheng Reply:
Ms. Sabrina: Regarding your issue, there is a hard lump larger than an egg on your rib, and it is painful when pressure is applied to the area around the lump. You may consult a surgeon to evaluate whether a biopsy is necessary, and then determine the subsequent treatment. Changh...[Read More] Understanding Rib Masses: When to Seek Medical Attention for Tumors
Can Esophageal Tumors Fluctuate in Size Before Treatment?
Tumor issues Hello, doctor: Is it possible for a malignant tumor in the esophagus to fluctuate in size before any treatment is administered? For example, during an endoscopy, could it appear larger if there is inflammation present? Thank you.
Dr. Lai Yicheng Reply:
Ms. Chen: Has the esophageal malignancy you mentioned been confirmed by a pathological biopsy? Am I interpreting your question correctly as asking whether "during endoscopy, esophagitis can present with fluctuating severity, with swallowing symptoms improving and worsening i...[Read More] Can Esophageal Tumors Fluctuate in Size Before Treatment?
Understanding Post-Surgery Treatment Options for Breast Cancer
Post-treatment for breast cancer? Your mother is currently sixty years old and underwent a left mastectomy on December 21, 2015. The tumor measured 0.7 cm with no lymph node metastasis, and testing revealed HER2+++ which is considered positive. The physician has recommended chemo...
Dr. Lai Yicheng Reply:
Ms. Han: 1. Your mother has a left breast cancer tumor measuring 0.7 cm, with no lymph node metastasis. Her2 is 3+ (positive), estrogen receptor positive (+, 10%), and progesterone receptor positive (+, 40%). She underwent a left mastectomy on December 21, 2015. 2. According to t...[Read More] Understanding Post-Surgery Treatment Options for Breast Cancer
Understanding Stage II Breast Cancer: Diagnosis and Treatment Options
Stage II breast cancer Hello Dr. Lai: I was diagnosed with stage II breast cancer at the end of 2014 and underwent a total mastectomy. At the same time, there was another tumor about 1 cm on the opposite side, which the doctor assessed as benign through a core needle biopsy, so i...
Dr. Lai Yicheng Reply:
Hello, Miss: 1. Mammography and breast ultrasound cannot provide a definitive diagnosis; only a pathological biopsy can confirm it with 100% accuracy. 2. Since you are now 55 years old and postmenopausal, it is still recommended that you undergo a mammogram. (Premenopausal women ...[Read More] Understanding Stage II Breast Cancer: Diagnosis and Treatment Options
Understanding a Hard Lump Under Your Left Breast: What You Need to Know
There is a lump under the left breast? I recently discovered a lump under my left breast, but I'm not sure what it is. I'm very busy every day and I'm afraid, so I hesitate to see a doctor. It feels a bit hard and doesn't move much. Could it be a tumor? I'...
Dr. Chen Sirong Reply:
34567 / 20 years old / Female 1. I am also very scared and hesitant to see a doctor for confirmation to feel at ease. 2. It feels a bit hard and does not move much; could it be a tumor? I am quite worried!!! It must be a tumor, but it could be benign or malignant. The hardness a...[Read More] Understanding a Hard Lump Under Your Left Breast: What You Need to Know
Understanding Chemotherapy Options for Advanced Bile Duct Cancer
A 9 cm cholangiocarcinoma tumor? Hello Dr. Chen: My grandfather is in his seventies. When bile duct cancer was discovered, the tumor was already 9 centimeters and had metastasized to the abdominal cavity. The hospital mentioned that the family could consider chemotherapy, but my ...
Dr. Chen Yunfang Reply:
Hello: Currently, there are not many chemotherapy drugs available for cholangiocarcinoma. Generally, physicians may choose injectable options such as 5-Fluorouracil (5-FU), Gemcitabine (Gemzar), or Cisplatin (selecting one or two of these). Additionally, there is an oral chemothe...[Read More] Understanding Chemotherapy Options for Advanced Bile Duct Cancer
Understanding Cancer-Related Fatigue: Symptoms, Causes, and Concerns
Cancer-related fatigue Hello Doctor, I have recently read about cancer-related fatigue, which includes symptoms such as "physical and mental exhaustion, fatigue, lethargy, tiredness, feeling drained, listlessness, weakness in the limbs, forgetfulness, difficulty concentratin...
Dr. Lai Yicheng Reply:
Hello, Sir: Fatigue is a common symptom in various chronic diseases and is characterized as a subjective feeling or objective decline in physical capacity. Out of respect for cancer patients, cancer-related fatigue (CRF) has traditionally been defined as a self-perceived symptom ...[Read More] Understanding Cancer-Related Fatigue: Symptoms, Causes, and Concerns
Understanding Hard Lumps on the Face: Possible Tumor Types and Concerns
Hard lump on the face? Hello Dr. Chen: I am asking on behalf of my mother. She mentioned that there is a hard lump on the right side of her face, near her ear, which has been present for 7-8 months. It is painless and does not itch, and there has been no sign of growth in the pas...
Dr. Chen Sirong Reply:
Daughter / 55 years old / Female 1. The doctor has initially determined that it is a tumor and that a biopsy at a major hospital is necessary for a definitive diagnosis. Therefore, it is advised to arrange for a hospital examination as soon as possible. Without seeing the patien...[Read More] Understanding Hard Lumps on the Face: Possible Tumor Types and Concerns
Understanding Symptoms of Head and Neck Cancer: What to Watch For
Head and neck cancer Hello Doctor: Recently, my father (63 years old) has developed some lumps in his head and neck area. I have researched some information about head and neck cancers online and would like to inquire whether the following symptoms are related to head and neck ca...
Dr. Lai Yicheng Reply:
Ms. Chen: I received your letter regarding your father's neck area having some lumps. 1. I researched head and neck diseases online, and I found that the symptoms observed in clinical practice are often quite advanced. It is advisable to visit an oncology specialist for ea...[Read More] Understanding Symptoms of Head and Neck Cancer: What to Watch For
Understanding Ewing's Sarcoma: Recurrence and Survival Rates Explained
Primary bone cancer Hello, doctor. Is Ewing's sarcoma a type of tumor that is likely to recur or be fatal? The information available online is quite disorganized and scarce.
Dr. Chen Yunfang Reply:
Hello: Ewing's sarcoma is the third most common type of bone cancer, primarily affecting children and adolescents, and is characterized by rapid tumor growth. Regarding prognosis, if there is no distant organ metastasis at the time of diagnosis and only localized tumors are ...[Read More] Understanding Ewing's Sarcoma: Recurrence and Survival Rates Explained
Understanding Bone Metastasis in Stage 4 Breast Cancer: Treatment Options
Breast cancer metastasis to bone? Hello, Doctor Lai! My mother was diagnosed with stage 4 breast cancer earlier this year, which has metastasized to her bones. In March, she underwent surgery on her spine (from the neck to the upper body) because a tumor was pressing on her nerve...
Dr. Lai Yicheng Reply:
Dear Ms. Ying-Chi, In response to your inquiry regarding your mother's condition, she has a history of breast cancer with bone metastasis following surgery and radiation therapy. 1. She is experiencing neck pain and pain behind the left ear, which may indicate new bone me...[Read More] Understanding Bone Metastasis in Stage 4 Breast Cancer: Treatment Options
Understanding Bone Metastasis and Treatment Options for Cancer Patients
Bone metastasis 1. There is neck pain and pain behind the left ear after the head. This may indicate new bone metastases; please arrange for a whole-body bone scan. If new lesions are found, palliative radiation therapy can be considered. 2. There is left facial paralysis. Is t...
Dr. Lai Yicheng Reply:
Side Effects of Brain Radiation Therapy: (Acute Side Effects) 1. During the treatment process, increased intracranial pressure may occur, leading to symptoms such as headaches, nausea, and vomiting. Additionally, localized edema from the tumor may exacerbate these symptoms. In...[Read More] Understanding Bone Metastasis and Treatment Options for Cancer Patients
Understanding Breast Cancer Treatment and Recurrence Risks
What is the treatment duration for breast cancer? Hello Doctor, my mother is 58 years old and has just undergone a lumpectomy for breast cancer this year. The tumor was 1.3 cm in size, and there was no lymph node metastasis. She is currently receiving chemotherapy with a regimen ...
Dr. Chen Yunfang Reply:
Hello: Based on your description, your mother's postoperative pathological staging should be stage I, which is considered early stage. In my experience, it is very rare to encounter or hear of someone who relapses during postoperative chemotherapy; it is truly uncommon! Once...[Read More] Understanding Breast Cancer Treatment and Recurrence Risks
Understanding Enlarged Lumps in the Armpit: Cancer or Lymph Node Issues?
Enlarged hard lump in the axilla? A hard lump was found in the right axilla, which is sometimes painful. It is not palpable when the arm is hanging down but becomes visible when the arm is raised, and is even more prominent when lying down and holding the head. There is no notice...
Dr. Chen Yunfang Reply:
Hello: Regarding the lump in your armpit, I believe it is best to see it in person; a visual and physical examination is necessary to determine the cause. You may want to consult with an "oncologist" or a "breast surgeon," which would be more appropriate. Than...[Read More] Understanding Enlarged Lumps in the Armpit: Cancer or Lymph Node Issues?
Understanding Painless Oral Masses: When to Seek Medical Advice
A lump has developed in the oral cavity? Yesterday, I discovered a lump deep in my mouth, but it is not painful. Aside from this issue, there are no other abnormalities in my oral cavity.
Dr. Chen Sirong Reply:
Hello, I am 13 years old and I have a lump deep in my mouth, but it doesn't hurt. At 13, I shouldn't be in a high-risk group for oral cancer since I don't smoke or drink alcohol. However, some benign tumors or rare cancers still need to be evaluated by an ENT speci...[Read More] Understanding Painless Oral Masses: When to Seek Medical Advice
Understanding Long-Term Low White Blood Cell Counts: Causes and Solutions
Chronic leukopenia? Last December, a blood test showed a white blood cell count of 3,270 (with other blood parameters normal). In September of this year, the white blood cell count was 3,390 (with other blood counts normal). In November, a first blood test showed a white blood ce...
Dr. Chen Yunfang Reply:
Hello: Based on your description, it seems that your white blood cell count has been slightly low for a long time (almost a year). To be honest, if you really had a blood-related cancer, it would have manifested by now, and you would likely be aware of it. Therefore, I don't...[Read More] Understanding Long-Term Low White Blood Cell Counts: Causes and Solutions
Understanding Groin and Pubic Symphysis Masses: Possible Lymphoma?
Inguinal and pubic symphysis mass? I felt a 0.5x0.5 cm mass in my right groin that moves when pressed and is painful. Additionally, there is a 2x1 cm mass in the perineal area above the pubic symphysis that is also painful when pressed. Could this be a lymphatic tumor?
Dr. Chen Yunfang Reply:
Hello: Your concern requires a physical examination for proper assessment, and it is difficult to address this issue online. If there are any suspicions, a biopsy will be performed for further evaluation. Thank you![Read More] Understanding Groin and Pubic Symphysis Masses: Possible Lymphoma?
Unexplained Fatigue and Headaches: Seeking Answers for Persistent Symptoms
Unexplained fatigue and headaches? Hello Doctor, I have very troubling symptoms and would like to seek different suggestions. When I wake up in the morning (while lying down) or after a nap (whether lying face down or sitting), I experience dull headaches. I have a feeling of pre...
Dr. Chen Yunfang Reply:
Hello: Regarding your symptoms, I would like to perform a blood test (including a complete blood count and endocrine system evaluation). Thyroid dysfunction, anemia, or polycythemia are all possibilities, and we can investigate these areas further. Thank you![Read More] Unexplained Fatigue and Headaches: Seeking Answers for Persistent Symptoms
Understanding Laryngeal Cancer: Treatment Options and Risks of Inaction
Laryngeal cancer: Risks of treatment and non-treatment? Hello, Doctor! My father is 63 years old. He was diagnosed with laryngeal cancer in September 2014, classified as glottic type, with the tumor located on the vocal cords. There was no metastasis, but the doctor did not speci...
Dr. Lai Yicheng Reply:
Dear Ms. Chen: First, we need to know your father's treatment schedule, the radiation dosage, the locations of the two recurrences, and the intervals between them in order to provide you with accurate advice. Generally, the recommendations are as follows: Laryngeal cancer ty...[Read More] Understanding Laryngeal Cancer: Treatment Options and Risks of Inaction
Understanding Papillary Thyroid Cancer Treatment Options and Concerns
Treatment of Papillary Thyroid Carcinoma Hello, doctor! A few years ago, during a health check-up, I discovered that I had a thyroid tumor on the right side, measuring over 2 centimeters. All the examinations indicated it was benign, so I was treated with medication. Later, not w...
Dr. Lai Yicheng Reply:
Dear Ms. Olivia, 1. Papillary thyroid carcinoma is a malignant tumor with a relatively good prognosis. Near-total thyroidectomy (with preservation of the parathyroid glands) is the primary treatment approach. If the postoperative pathology reveals well-differentiated papillary c...[Read More] Understanding Papillary Thyroid Cancer Treatment Options and Concerns