Understanding Your Wife's Early-Stage Breast Cancer Biopsy Results
Inquire about the breast cancer tumor biopsy report issues? Hello Dr. Hu, my wife recently underwent a health check at her company, and an abnormality was found in her breast. A biopsy confirmed it to be stage I breast cancer, with the tumor size estimated at about 0.7 cm based o...
Dr. Hu Ziren Reply:
A Ki-67 index of 60% indicates that the tumor proliferation rate is very high, suggesting that it could have grown from 0.7 cm last year to 0.9 cm this year. A Ki-67 level greater than 20% typically signifies poorly differentiated cancer, which is associated with a rapid doubling...[Read More] Understanding Your Wife's Early-Stage Breast Cancer Biopsy Results
Understanding the Risks of a Hard Lump in the Upper Right Abdomen
There is a mass in the upper right quadrant of the abdomen? Recently, I accidentally felt a lump in the upper right part of my abdomen, near the rib cage. It is not visible on the surface and can only be detected by touch. There is a slight pain when I press on it, and it feels v...
Dr. Yan Jingheng Reply:
Hello, in this situation, it is recommended to seek an evaluation from a general surgeon. Since the description of tactile sensations can vary from person to person, the simplest diagnostic tool available at the hospital is ultrasound. Additionally, if there are any changes in si...[Read More] Understanding the Risks of a Hard Lump in the Upper Right Abdomen
Should I Consult My Doctor Again Before Upcoming Surgery for Lymph Node?
I am scheduled for surgery next week, but the lump seems to no longer be painful? From July to November, I experienced recurrent pain in the left lymph nodes. Initially, I thought it was inflammation, but after visiting the ENT department at the hospital, a CT scan in mid-Novembe...
Dr. Chen Sirong Reply:
Du Cheng / 27 years old / Male Hello A: Whether or not to undergo surgery is your own decision. 1. The tumor is still present. 2. It is uncertain whether the tumor is malignant; there is accompanying inflammation. The inflammation has improved, so there is no pain, but whethe...[Read More] Should I Consult My Doctor Again Before Upcoming Surgery for Lymph Node?
Does Cryoablation for Musculoskeletal Tumors Qualify as Surgery?
Is the procedure of cryoablation for skeletal muscle tumors considered a surgical operation? Hello Doctor, my mother recently underwent treatment for malignant bone tumors. Our claim for surgical insurance reimbursement was denied. Does this surgery meet the definition of a surgi...
Dr. Chen Sirong Reply:
Rain, 35 years old, male. Does this surgery meet the definition of surgical procedure? A: According to Dr. Huang Cai-wang from Today's News, cryoablation using micro-needles involves inserting micro-needles filled with argon gas into tumor tissue, creating an ice ball at a t...[Read More] Does Cryoablation for Musculoskeletal Tumors Qualify as Surgery?
Understanding Lymph Node Biopsy in Invasive Ductal Carcinoma Treatment
Questions about lymph node biopsy? Hello Dr. Chen, I was diagnosed with invasive ductal carcinoma in mid-December this year. The tumor is located in the lower inner quadrant of the right breast, approximately at the 3:30 position, 4 cm from the nipple. The ultrasound estimated th...
Dr. Chen Sirong Reply:
Hello, I'm 27 years old female. 1. Currently, I have undergone ultrasound-guided core needle biopsy and mammography. I will also have a bone scan and CT scan later. I would like to ask about the accuracy of these tests in determining whether there is an infection in the ly...[Read More] Understanding Lymph Node Biopsy in Invasive Ductal Carcinoma Treatment
Does Blood Transfusion Cause PSA Levels to Rise in Prostate Cancer?
The issue of elevated PSA levels after blood transfusion? Hello, due to abnormal hematopoietic function caused by stage IV prostate cancer, the patient has been experiencing anemia and received blood transfusions for three consecutive days. After three days, a blood test revealed...
Dr. Chen Sirong Reply:
Huang, 70 years old, male. 1. Will this condition continue indefinitely? A: The likelihood of this condition worsening is higher, as the PSA has nearly doubled. The reason is that the long-term hormone therapy has just become ineffective; it is less likely to be caused by a bl...[Read More] Does Blood Transfusion Cause PSA Levels to Rise in Prostate Cancer?
Understanding Lymphadenopathy: Diagnosis, Treatment, and Concerns
Lymphadenopathy Consultation Hello, Dr. Hu. This year, I discovered a lump behind my ear. Six months ago, I visited an ENT specialist, and the doctor noted that it felt soft and movable. A laryngoscopy showed no abnormalities, so I was prescribed anti-inflammatory medication for ...
Dr. Hu Ziren Reply:
If there are concerns or suspicions of a malignant tumor, one may consider undergoing a surgical lymph node biopsy at a general surgery or otolaryngology department. Non-surgical options include computed tomography (CT) scans or self-paid whole-body positron emission tomography (...[Read More] Understanding Lymphadenopathy: Diagnosis, Treatment, and Concerns
Understanding Armpit Lumps: When to Seek Medical Advice and Next Steps
Axillary lump In July, I discovered a lump in my armpit. It is painless, not visible externally, and I feel no discomfort, but it can be slightly moved. An ultrasound examination by a breast surgeon revealed a breast cyst, with no lymph node enlargement. The doctor advised monito...
Dr. Chen Sirong Reply:
1. Which department should I consult? A: General Surgery or Breast Surgery. 2. Why did the breast surgeon not detect the lump, only stating that the lymph nodes are not enlarged? A: Just because the breast surgeon did not see it in July does not mean it won't be visible fr...[Read More] Understanding Armpit Lumps: When to Seek Medical Advice and Next Steps
Understanding Triple-Negative Breast Cancer: Risks, Treatments, and Prognosis
Breast cancer inquiry? Hello Doctor, I would like to ask you a question regarding my mother, who is currently 61 years old. She was recently diagnosed with breast cancer (Luminal B type, grade 2) and has just undergone a partial mastectomy and sentinel lymph node biopsy (4 nodes)...
Dr. Chen Sirong Reply:
Hello, 1. I would like to ask the doctor if the risk of recurrence for my mother is high. Using this algorithm, IHC4 = 32 > 30 indicates high risk, with ER = 90, PR = 90, Her2 = 1, and Ki67 = 30 for calculating the IHC4 score. 2. Since the doctor recommends both chemotherap...[Read More] Understanding Triple-Negative Breast Cancer: Risks, Treatments, and Prognosis
Post-Breast Cancer Treatment: The Role of Menopause-Inducing Injections
Post-breast cancer treatment - menopausal injection? Hello Doctor: ER: 95% PR: 95% HER2: 0 Ki-67: 5% Tumor size: 1.4 cm, sentinel lymph nodes negative. Surgery was completed in mid-September, and radiation therapy started in mid-October, with no chemotherapy. When the breast surg...
Dr. Chen Yunfang Reply:
Hello: First of all, taking only Tamoxifen is not enough! Secondly, it is quite unusual not to undergo adjuvant chemotherapy after surgery; theoretically, it should be done. However, this may be your personal choice, which I respect. That's all. Thank you.[Read More] Post-Breast Cancer Treatment: The Role of Menopause-Inducing Injections
Understanding Right Upper Abdomen Mass: Causes, Diagnosis, and Next Steps
Right upper quadrant mass? Hello, doctor. Recently, I have noticed a lump in my right upper abdomen and have undergone X-rays, ultrasound, CT scans, and some blood tests at the hospital. The report results indicated only a small amount of ascites and enlarged ovaries due to polyc...
Dr. Chen Sirong Reply:
Nana, 22 years old, female. 1. The CT images you provided are not abdominal; only the first image is an abdominal X-ray, while the second two are data, and the rest are primarily chest and breast images. Is it possible that the contrast agent was insufficiently injected or dilut...[Read More] Understanding Right Upper Abdomen Mass: Causes, Diagnosis, and Next Steps
How to Differentiate Between Tumors and Other Facial Bumps
How to distinguish protrusions? I usually don't press on the area of my cheeks near my ears, but today I took a good look at my body to check for any issues. I noticed a significant difference between the left and right sides of my face near the ears. Pressing on the left si...
Dr. Chen Sirong Reply:
Hsinchu resident / 24 years old / female. Is this oncology? A: I suggest you first see a dentist and an otolaryngologist. If it's not urgent, you can wait until you have a cold to see the otolaryngologist, and you can also ask the doctor during your dental check-up every six...[Read More] How to Differentiate Between Tumors and Other Facial Bumps
Understanding Early Nasopharyngeal Cancer Treatment Options
Treatment-related Hello Doctor, my father had a blood test two weeks ago which showed abnormal EBV levels, and he underwent a CT scan at the hospital, followed by a biopsy (the doctor mentioned it was very small, so it was completely removed). The report confirmed a diagnosis of ...
Dr. Chen Sirong Reply:
Yang / 25 years old / Female Hello, 1. If the pathology results indicate nasopharyngeal carcinoma cells, is radiation therapy necessary? A: 1.1 Yes, 1.2 Surgery is not an option for nasopharyngeal tumors; radiation therapy is the only treatment available. 1.3 Generally, fo...[Read More] Understanding Early Nasopharyngeal Cancer Treatment Options
Post-Treatment Side Effects of Tumor Therapy: A Comprehensive Overview
Late effects related to tumor treatment? Is it possible to experience the following side effects from using lactation induction therapy for breast cancer? Bilateral myopia, bilateral dry eye syndrome, and bilateral vitreous degeneration. Prior to treatment, myopia was between 150...
Dr. Hu Ziren Reply:
Taking Fluoxetine can indeed cause blurred vision and cataracts. It is recommended to consult a pharmacist or read the medication insert thoroughly. For more information, you can refer to the following link: https://www1.ndmctsgh.edu.tw/pharm/pic/medinsert/005FEM01.pdf or search ...[Read More] Post-Treatment Side Effects of Tumor Therapy: A Comprehensive Overview
Understanding Tumors Near the Anus: Signs, Risks, and Treatment Options
There is a tumor near the anus? Recently, I visited a cosmetic medical clinic to address a hemorrhoid issue. On the day of the surgery, the physician performed a digital examination and discovered a hard mass near the anus, which he believed was not hemorrhoids. Additionally, the...
Dr. Chen Sirong Reply:
Ms. Chen / 47 years old / Male (?) 1. Is the likelihood of colon cancer high? A: It is advisable to consult a physician for a biopsy to confirm whether it is cancer. 2. If it is indeed stage III colon cancer, is the survival rate high? A: The cure rate for stage 0 colon ca...[Read More] Understanding Tumors Near the Anus: Signs, Risks, and Treatment Options
Understanding Groin Lumps: When to Seek Medical Advice
There is a lump in the groin area? Hello Dr. Chen: At the end of last year, I discovered a small hard lump above the inner thigh on the right side. It was painless and resembled a pus-filled cyst, but I couldn't squeeze anything out. There was a small wound that turned black...
Dr. Chen Sirong Reply:
Zhen / 50 years old / Female 1. Could it be lymph nodes? Lymphoma? A: Redness, swelling, heat, and pain are signs of an inflammatory response, but it's uncertain whether it's a tumor, lymph nodes, or a sebaceous cyst. 2. Should I self-monitor first? A: It is rec...[Read More] Understanding Groin Lumps: When to Seek Medical Advice
Is Genetic Testing Necessary for Stage 1 Breast Cancer Patients?
Is genetic testing necessary for stage I breast cancer? Hello Doctor: I have questions regarding the follow-up treatment for breast cancer. The pathology report shows Ki-67: 5%, ER: positive 95%, PR: positive 95%, HER-2: negative. I have undergone a partial mastectomy and sentine...
Dr. Chen Yunfang Reply:
Hello: The standard treatment for breast cancer is fully covered by health insurance. For T1CN0M0 stage I, after surgery, six cycles of FEC (a second-generation chemotherapy regimen) are administered, which is free of charge. Following that, radiation therapy and hormonal therapy...[Read More] Is Genetic Testing Necessary for Stage 1 Breast Cancer Patients?
Lump Near Groin: Understanding Possible Causes and Concerns
A mass was found in the groin area near the reproductive organs? Hello, doctor. Last night, I suddenly felt pain in the groin area near the genital region. Upon examination, I found two soft, movable lumps. The one closer to the inside is painful when pressed and is approximately...
Dr. Chen Sirong Reply:
Mr. Yao / 21 years old / Male Hello, could you please tell me what this could be: Is it a tumor or an inflammatory infection? A: 1. You have already asked and answered your own question. 2. If it is soft and movable, it could potentially be benign. 3. Currently, you can: ...[Read More] Lump Near Groin: Understanding Possible Causes and Concerns
Understanding Lumps in Lymph Nodes: Could It Be a Tumor?
Lymphadenopathy with a mass? About two weeks ago, I developed a hard lump on the inner thigh. Initially, it was small and soft, but now it has grown larger and harder, causing pain when walking or pressing on it. I consulted a general surgeon, and they diagnosed it as lymphadenit...
Dr. Chen Sirong Reply:
Yuri / 19 years old / Female, is it possible that this is a tumor? A: 1. Of course, it is impossible to completely rule out the possibility of malignancy through online consultation. 2. Diagnosing cancer may require a period of observation, so continuous monitoring is importan...[Read More] Understanding Lumps in Lymph Nodes: Could It Be a Tumor?
Understanding Oral Cancer: Risks, Recurrence, and Survival Rates
Oral cancer issues? Hello Doctor, my sister has had a mucosal tear in her left cheek since the beginning of this year that hasn't healed. By July, it formed a protruding hard lump that continued to grow towards her lip. In August, she visited an oral surgeon for a biopsy, wh...
Dr. Chen Sirong Reply:
Anonymous / 45 years old / Female 1. Will there be a recurrence after the doctor performs surgery? A: Yes, there is a possibility of recurrence. The likelihood of recurrence is related to whether the surgeon was able to achieve clear margins and the safety distance. If the exci...[Read More] Understanding Oral Cancer: Risks, Recurrence, and Survival Rates