Understanding Retroperitoneal Tumors: Diagnosis and Management Insights
Retroperitoneal tumor Hello! In early October, during a physical examination, an abdominal ultrasound revealed left hydronephrosis. I was hospitalized in the urology department for an intravenous pyelogram (IVP), abdominal CT, and MRI (all with contrast injection), as well as ure...
Dr. Lai Yicheng Reply:
1. Can MRI determine whether a lesion is benign, malignant, or inflammatory? Answer: No, MRI cannot determine this. The indications for MRI include: head, cerebrovascular conditions, various spinal nerve disorders, tumors, abdominal, liver, spleen, pancreas, kidney lesions, pelvi...[Read More] Understanding Retroperitoneal Tumors: Diagnosis and Management Insights
Understanding Elevated Ca-125 Levels in Endometrial and Ovarian Cancer
Elevated Ca-125 levels? Hello, doctor. My mother (57, postmenopausal) experienced bleeding a few months ago and underwent a dilation and curettage (D&C). Afterward, she was diagnosed with endometrial cancer and underwent surgery to remove her uterus, ovaries, and lymph nodes....
Dr. Lai Yicheng Reply:
Hello Miss Joan: Could you please discuss your concerns (including medications and examinations) with your mother's attending physician, and inquire whether a PET scan is necessary? If you are still unable to clarify your doubts, you are welcome to prepare the necessary docu...[Read More] Understanding Elevated Ca-125 Levels in Endometrial and Ovarian Cancer
Understanding Radiation and Chemotherapy for Stage II B Endometrial Cancer
Radiation Therapy and Chemotherapy for Cancer Hello, my mother has been diagnosed with stage II B endometrial adenocarcinoma and will undergo radiation therapy. The side effects of radiation therapy seem quite significant. With the current linear accelerator technology, will ther...
Dr. Lai Yicheng Reply:
1. Regarding radiation therapy: The uterus and bladder are adjacent organs, so part of the bladder may fall within the radiation field, which can lead to difficulties in urination during treatment. These symptoms are temporary and reversible, and will gradually improve after trea...[Read More] Understanding Radiation and Chemotherapy for Stage II B Endometrial Cancer
Concerns About Ovarian and Uterine Tumor Recurrence: What to Know
Concern about the recurrence of ovarian tumors and uterine tumors? Hello. My mother has been experiencing bloating in her lower left abdomen for the past month, and she can feel a hard mass when pressed. The bloating is particularly noticeable after meals, even though she doesn...
Dr. Chen Yunfang Reply:
Hello: If your mother has been regularly following up at the outpatient clinic, please go back and schedule an appointment for her. We need to determine if any tests are necessary (abdominal X-ray, blood tests for cancer markers, colonoscopy, or CT scan...). All your concerns are...[Read More] Concerns About Ovarian and Uterine Tumor Recurrence: What to Know
Understanding Groin Pain: When to Seek Help and What to Expect
Pubic symphysis pain Hello Dr. Chen: I have been experiencing pain near my pubic bone for almost a year. The location is approximately at the front right side near the edge of my bikini swimwear. I have already consulted a gynecologist, as the pain seems to be more pronounced dur...
Dr. Chen Sirong Reply:
Ms. Chang / 42 / 1 Hello, which department should I register for? I still recommend obstetrics and gynecology or general surgery, so that the second physician can take a look at (2) the muscles. There isn't much ultrasound that can be done... Are there any other instruments ...[Read More] Understanding Groin Pain: When to Seek Help and What to Expect
Post-Surgery Diet Tips for Colorectal Cancer Patients
Postoperative Diet for Colorectal Cancer I would like to ask about my mother, who is 52 years old and recently underwent colorectal cancer resection surgery. What dietary considerations should be taken into account post-surgery? Should she follow a completely raw food diet, or is...
Dr. Chen Sirong Reply:
1. The Western medical perspective on diet is that as long as a patient maintains their weight, it is acceptable. 2. Can patients tolerate a completely raw or low-residue diet? It's important to consider whether the patient can mentally and physically accept it. 3. For e...[Read More] Post-Surgery Diet Tips for Colorectal Cancer Patients
Can Keloid Prone Individuals Develop Internal Tumors or Cancer?
Does keloid predisposition affect internal organs and lead to cancer? Dear Dr. Fan, My sister was diagnosed with malignant uterine leiomyosarcoma around this time last year. She underwent surgery to remove her uterus and one ovary, followed by six months of chemotherapy. After c...
Dr. Fan Sheng Reply:
Frank: Is it possible for keloids to develop in internal tissues? There hasn't been much research on that. However, wasn't the sarcoma in the pelvic cavity removed? Any specimen that is surgically excised is sent for pathological examination. If you request a pathology ...[Read More] Can Keloid Prone Individuals Develop Internal Tumors or Cancer?
Effective Treatments for Vaginal Melanoma: A Patient's Journey
Melanoma Hello Dr. Chen: My mother was diagnosed with a melanoma growing in her vagina after experiencing vaginal bleeding in October 2004. She underwent surgery to remove her uterus and ovaries, followed by approximately five months of interferon therapy with regular follow-ups....
Dr. Chen Sirong Reply:
Hello: 1. When you refer to the treatment for this condition, are you talking about melanoma or sepsis? 2. Sepsis is diagnosed by the infectious disease and gynecology departments, which identify the pathogen and administer antibiotics for treatment. If the condition is currently...[Read More] Effective Treatments for Vaginal Melanoma: A Patient's Journey
Understanding CEA Levels: Do You Need Colon Cancer Screening?
Carcinoembryonic Antigen (CEA) Recently, I underwent a physical examination due to constipation and hemorrhoids. The results showed a carcinoembryonic antigen (CEA) level of 3.1 µg/L. My stool is hard but there is no occult blood. I do not smoke. Should I be screened for colorect...
Dr. Chen Sirong Reply:
Hello: The normal value for CEA is <4, which can be monitored every three to six months or during a general health check-up. (A) Alternatively, a colonoscopy or barium enema can be performed. (B) CEA levels can be elevated due to (1) malignant tumors such as those in the gastr...[Read More] Understanding CEA Levels: Do You Need Colon Cancer Screening?
How to Obtain Medical Records from Abroad for Tumor Diagnosis?
How to obtain medical records from abroad? During the summer two years ago, while studying abroad in the United States, I unexpectedly discovered that I had a tumor in my uterus. At that time, I did not pursue further treatment since I was overseas. Because I did not experience a...
Dr. Fan Sheng Reply:
Miss Travel Abroad: The only plan for now is to go abroad once more, to visit the original hospital and consult the original doctor for the necessary tests and reports. In fact, it would be great if there are no tumors at all; why create unnecessary worries? The general standard ...[Read More] How to Obtain Medical Records from Abroad for Tumor Diagnosis?
Understanding Ovarian Tumors: Concerns and Dietary Tips for Your Partner
I would like to ask a question? Hello Dr. Chen, My girlfriend has been experiencing reduced menstrual flow for the past four months, and sometimes she even has two periods in one month. Therefore, she visited a gynecologist, and after an ultrasound examination, the doctor said t...
Dr. Chen Sirong Reply:
The response is as follows: Your girlfriend has experienced reduced menstrual flow over the past four months, and sometimes even has two periods in one month. This is likely due to menstrual irregularities combined with anovulation, which can lead to ovarian enlargement. Typicall...[Read More] Understanding Ovarian Tumors: Concerns and Dietary Tips for Your Partner
Understanding Leg Swelling After Cervical Cancer Surgery: Causes and Solutions
After cervical cancer removal, one leg has become swollen and hardened? Dear Dr. Fan, My mother-in-law was diagnosed with stage 1 cervical cancer in August of this year and subsequently underwent surgery, during which her uterus, ovaries, and lymph nodes were removed. She is cur...
Dr. Fan Sheng Reply:
Johnson: The situation you described is most likely lymphedema, which is caused by obstruction of the lymphatic vessels. The obstruction can result from surgical removal, radiation-induced fibrosis, or cancer invasion. Treatment options are limited. Lymph nodes serve as fortresse...[Read More] Understanding Leg Swelling After Cervical Cancer Surgery: Causes and Solutions
Understanding Cervical Cancer Treatment: Insights and Questions
Cervical cancer treatment Dear Dr. Yang, I would like to ask you about my mother. In February 1999, she was diagnosed with stage 1 cervical cancer and subsequently underwent surgery, during which her uterus, ovaries, and pelvic lymph nodes were removed. After her discharge, she ...
Dr. Yang Youhua Reply:
In terms of radiation therapy, the aforementioned management is sufficient. Regular follow-ups are necessary to monitor for any recurrence or late effects. Generally, early-stage cancer has a higher cure rate, but no physician can guarantee that there will be no recurrence or met...[Read More] Understanding Cervical Cancer Treatment: Insights and Questions
Understanding Choriocarcinoma: Causes, Treatment, and Surgery Options
What is a teratoma? I have a classmate who has small red bumps on her chest, and she mentioned that they are called "xie zu xing zhong liu" (not sure if that's the correct spelling). What is this condition? Are people with this type of tumor always hereditary? Can ...
Dr. Yang Youhua Reply:
"Keloid" is what you might have meant to write. A keloid is a benign overgrowth of fibrous tissue that occurs during wound healing. If concerns about aesthetics arise or if the keloid becomes larger and causes itching or pain, surgical excision followed by electron beam...[Read More] Understanding Choriocarcinoma: Causes, Treatment, and Surgery Options