Understanding Rib Bone Tumors: When to Consult an Oncologist or Surgeon
Rib bone tumor Due to the rib X-ray showing a nodule on the anterior side of the third rib and a previous CT scan that revealed a small bony protrusion resembling an osteophyte, the doctor determined it to be benign. It has not been monitored for over a decade. However, a recent ...
Dr. Chen Yongxue Reply:
Hello, rib bone tumors can be either benign or malignant. If it has been present for 10 years, the likelihood of it being benign is higher. However, for safety reasons, it is still advisable to perform a biopsy to determine the type of tumor before deciding whether to proceed wit...[Read More] Understanding Rib Bone Tumors: When to Consult an Oncologist or Surgeon
Post-Surgery Insights on Jaw Bone Tumor: Recurrence and Recovery
Postoperative care for bone tumors? Hello, doctor. I underwent a mandible osteoma resection in early January this year, and the pathology report states: "The section shows skeletal muscle and sclerotic bony trabeculi." Can you tell me if this indicates that the tumor is...
Dr. Chen Yongxue Reply:
Hello, the pathology report mentioned in your letter is incomplete. It only states that there are muscle and bone trabeculae in the specimen. To determine whether it is benign, please consult your attending physician. After the surgery, please monitor for any pain and temporary f...[Read More] Post-Surgery Insights on Jaw Bone Tumor: Recurrence and Recovery
Understanding Inner Knee Swelling: Degeneration or Malignancy?
Swelling on the inner side of both knees? Hello, doctor. My left knee has approximately grade 2 degeneration, while my right knee is around grade 3 to 4. There is a protruding mass on the inner side of both knees; the swelling on the left knee is smaller, and the right knee is la...
Dr. Wang Shouji Reply:
Hello, based on your statement, the likelihood of knee arthritis is higher and has been present for several years, while the chance of a malignant bone tumor is low. If you have any questions, please consult the orthopedic outpatient clinic. Changhua Hospital cares about your hea...[Read More] Understanding Inner Knee Swelling: Degeneration or Malignancy?
Understanding Bumps on the Shin: Is It a Bone Tumor or Normal?
The tibia has some irregularities? If I press along one end of my shinbone to the other, I can feel some protrusions on the shinbone, making it feel uneven, although it is not visibly apparent. Could this be a bone tumor, or is it a normal phenomenon?
Dr. Zhan Xian Reply:
Please go to the orthopedic outpatient clinic.[Read More] Understanding Bumps on the Shin: Is It a Bone Tumor or Normal?
Managing Giant Cell Tumor of Bone: Denosumab Treatment and Side Effects
Giant Cell Tumor of Bone Hello Doctor, in 2018, my father was diagnosed with a giant cell tumor of bone. After the first surgery, it recurred, and a few months after the second surgery, we discovered that it had metastasized to the lungs. He then started receiving denosumab, one ...
Dr. Chen Yongxue Reply:
Giant cell tumor of bone is essentially a benign bone tumor, but it can cause significant local bone destruction, has a tendency to recur, and in some cases may lead to pulmonary metastasis or transform into a malignant form. When located near the sacrum, the presence of importan...[Read More] Managing Giant Cell Tumor of Bone: Denosumab Treatment and Side Effects
Hard Bump on Head: Should You Worry About a Possible Bone Tumor?
There is a raised bump on the top of the head that feels hard and is not painful when pressed? Hello, doctor. About two years ago, I experienced dizziness upon waking up, accompanied by pain on the top of my head (I suspected it was due to hitting my head against the nightstand w...
Dr. Chen Yongxue Reply:
Hello, primary bone tumors are rarely found on the top of the head, and 25 years old is not a common age for them. Any protrusions on the top of the head may have naturally existed and often go unnoticed by most people, usually coming to attention only after an injury. If you are...[Read More] Hard Bump on Head: Should You Worry About a Possible Bone Tumor?
Understanding a Painful Lump on Your Thigh: What to Do Next
There is a hard lump with a diameter of 4 centimeters on the right thigh? Hello Dr. Chen, I recently noticed a hard lump with a diameter of four centimeters on my right thigh (it is not raised), and its appearance is not due to a bruise from a collision (it has the normal skin co...
Dr. Chen Yongxue Reply:
Hello, 1. Should I go to an orthopedic clinic? Yes, please visit the orthopedic department at a medical center. 2. Should I get an MRI, X-ray, or ultrasound? The physician will decide. 3. Are these examinations covered by health insurance or are they out-of-pocket? If necessary, ...[Read More] Understanding a Painful Lump on Your Thigh: What to Do Next
Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options
Giant cell tumor located on the lumbar vertebrae? After undergoing an MRI and biopsy, I was diagnosed with a giant cell tumor at the lumbar spine L3. Currently, my symptoms include occasional weakness in my legs, along with soreness in my lower back, thighs, and near the anal are...
Dr. Chen Bochen Reply:
First, an incision will be made on the side to remove the tumor and perform spinal reconstruction, followed by another incision in the back to insert screws. This is the standard procedure. The surgeons who operate on the spine and those who specialize in bone tumors are usually ...[Read More] Understanding Giant Cell Tumors on the Spine: Risks, Treatments, and Surgical Options
Understanding Giant Cell Tumors of the Tibia: Treatment Options and Recurrence Risks
Tibial tumor Dr. Shih: Hello, Dr. Shih! I have developed a tumor on my proximal tibia. In October, I underwent surgery with Professor Yang Rong-Sen at National Taiwan University Hospital. My tumor is a benign giant cell tumor of bone. Dr. Yang recommended that I start treatment w...
Dr. Shi Guozheng Reply:
Dr. Yang is an expert in bone tumors in Taiwan, so it is advisable to consider his opinion. He has extensive experience in treating this type of tumor. It is important to have a thorough discussion with him before deciding on the treatment approach.[Read More] Understanding Giant Cell Tumors of the Tibia: Treatment Options and Recurrence Risks
Assessing Disability Certification After Total Knee Replacement Surgery
Total knee arthroplasty in disability assessment? Please consult a physician regarding your condition. After undergoing a custom total knee arthroplasty due to a bone tumor, are any of the following items applicable for disability assessment? Lower limb structure S750.1: □1. A...
Dr. Shi Guozheng Reply:
None of what you mentioned meets the criteria, but you can still consult a physician for evaluation. Additionally, it's important to assess whether the functional status aligns with the requirements.[Read More] Assessing Disability Certification After Total Knee Replacement Surgery
Understanding Painful Upper Back Lumps: Causes and When to Seek Help
A painful lump in the upper back? Waking up in the middle of the night with sudden back pain, I found a small hard lump on my upper back that is painful to touch. After researching online, I came across information suggesting it could be a posterior protrusion of the thoracic ver...
Dr. Chen Yongxue Reply:
Hello, you should first see an orthopedic specialist for further examination. Thank you.[Read More] Understanding Painful Upper Back Lumps: Causes and When to Seek Help
Understanding Neck Bone Tumors and Their Potential Symptoms
Occipital bone tumor and cervical spine issues? I have a genetic predisposition to multiple osteomas, with various sizes of bone tumors throughout my body. I previously had a large osteoma on my foot examined, but since it does not compress any nerves, the doctor advised against ...
Dr. Chen Yongxue Reply:
You have multiple osteomas, which are generally more common in the limbs. If, as you mentioned, there are occurrences in the cervical spine, it would be advisable to conduct further imaging studies to determine if there is indeed any compression. Otherwise, relying on subjective ...[Read More] Understanding Neck Bone Tumors and Their Potential Symptoms
Understanding Fibrous Dysplasia of Ribs: What You Need to Know
Health check-up issues Hello, doctor. I had a physical examination at school on October 2nd, and today the report came back indicating an abnormal chest X-ray, stating "suspected fibrous dysplasia of the left third and fourth ribs." What does this mean? Is it bone cance...
Dr. Li Yongheng Reply:
Hello: Fibrous dysplasia is a relatively common benign bone tumor. The main issue with the tumor is that normal bone is replaced by abnormal fibrous tissue and immature bone tissue, resulting in a "softer" bone structure. Fibrous dysplasia is often discovered incidental...[Read More] Understanding Fibrous Dysplasia of Ribs: What You Need to Know
Managing Complications After Humerus Fracture Surgery: What You Need to Know
Surgical management of humeral fracture debridement? Previously, I had a sports accident that resulted in a humeral fracture. After examination at the hospital, it was discovered to be a pathological fracture. The doctor recommended surgery to remove the damaged area and to use a...
Dr. Li Yongheng Reply:
1. Pathological fractures in young individuals are uncommon, so it is essential to rule out the possibility of malignant bone tumors first. 2. If a wound suddenly opens and continues to exude tissue fluid, it could indicate an infection or a rejection of the artificial bone. Th...[Read More] Managing Complications After Humerus Fracture Surgery: What You Need to Know
Elbow Pain: Could It Be Bone Cancer or Something Else?
Elbow pain: Bone cancer? In the past two days, I've been experiencing pain in the area of the ulnar bone at my elbow. I'm not sure if it's the bone or the muscle that hurts. There are no external injuries, bruising, or swelling. When I press on that area, it hurts....
Dr. Shi Guozheng Reply:
Bone tumors typically grow larger, cause swelling, and can be extremely painful. To confirm a diagnosis, an X-ray can be taken.[Read More] Elbow Pain: Could It Be Bone Cancer or Something Else?
Understanding Benign Bone Tumors: Impact on Dance and Surgery Costs
Osteochondroma of the right knee? In my first year of high school, I went to the hospital for an X-ray, and the doctor said I have a benign bone tumor. I researched online and found that it might be due to an injury to the growth plate, so the doctor told me not to worry. However...
Dr. Li Yongheng Reply:
1. You should return to the orthopedic outpatient clinic for follow-up evaluation of the current status of the bone tumor. 2. Unless the tumor is very large, dancing and stretching exercises should not have any impact. 3. The cost of the surgical removal is covered by health insu...[Read More] Understanding Benign Bone Tumors: Impact on Dance and Surgery Costs
Understanding Thumb Ligament Tears: Recovery, Surgery, and Treatment Options
Tear of the ligament in the right thumb? Hello! Doctor, in late March, I sustained an injury to my right thumb due to external force, resulting in swelling. At that time, I underwent X-rays and an MRI, which diagnosed no bone damage but indicated a partial ligament tear, classifi...
Dr. Li Yongheng Reply:
Hello, thank you for your inquiry. Here are the responses: Q1: How long does it take for a general thumb ligament tear to heal? 2-3 months. Q2: The joint protrusion is due to periosteal or soft tissue proliferation. MRI indicates that there is no damage to the bone, so it is ...[Read More] Understanding Thumb Ligament Tears: Recovery, Surgery, and Treatment Options
Persistent Pain After Surgery for Bone Tumor in Teens: What to Do?
The child is in high school and has a bone tumor. After surgery, the pain persists? The child, who is in high school, has been experiencing persistent pain after undergoing surgery for a bone tumor in April. Despite consultations at a large hospital in Kaohsiung, the cause of the...
Dr. Chen Yongxue Reply:
Hello, there are many reasons for bone pain, and it may not be possible to provide an accurate diagnosis without an examination. Please visit an orthopedic clinic for evaluation. Thank you.[Read More] Persistent Pain After Surgery for Bone Tumor in Teens: What to Do?
Understanding Shin Pain: Causes, Treatment, and Recovery Tips
Pain in the tibia? If you experience significant pain in your tibia during exercise, which sometimes improves with rest but at other times worsens, it may indicate a condition such as shin splints or a stress fracture. You mentioned that you had an X-ray and the doctor diagnosed ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, you are experiencing significant pain in the tibia during exercise. You have had an X-ray, and the doctor mentioned that there is damage to the periosteum. However, I recommend that you return to the orthopedic clinic for further evaluation and to r...[Read More] Understanding Shin Pain: Causes, Treatment, and Recovery Tips
Understanding Shin Pain: Causes, Treatment, and Recovery Tips
Pain in the tibia? If you experience significant pain in your tibia during exercise, which sometimes improves with rest but at other times worsens, it may indicate a condition such as shin splints or a stress fracture. You mentioned that you had an X-ray and the doctor diagnosed ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, you are experiencing significant pain in your tibia during exercise. You have had an X-ray, and the doctor mentioned that there is damage to the periosteum. However, I recommend that you return to the orthopedic clinic for further evaluation and to ...[Read More] Understanding Shin Pain: Causes, Treatment, and Recovery Tips