Understanding Tongue Changes: When to Seek Medical Advice for Lymphoma Patients
Tongue Hello, Doctor. I am a lymphoma patient (I have completed treatment and currently have follow-up appointments every two months). Recently, I noticed a small, slightly harder area on the front side of my tongue (it's not very hard and not painful, and there are no visib...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, I suggest that if you have the time, you should consult an experienced otolaryngologist to determine whether further observation or an expedited biopsy is necessary to resolve your concerns. Alternatively, you can visit my clinic, which is open on Tuesday an...[Read More] Understanding Tongue Changes: When to Seek Medical Advice for Lymphoma Patients
Understanding EB Virus, Nasopharyngeal Cancer, and Ear Tumor Concerns
EB virus is associated with nasopharyngeal carcinoma and tumors located behind the earlobe? Hello Dr. Chen, First of all, thank you for your professional and attentive response. Here are my questions: 1. Last year during my health check-up, my Epstein-Barr virus (EBV) test was...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, I have carefully read and provide the following response: 1. Individuals who have been infected with the Epstein-Barr virus (EBV) will have a lifelong positive result for EB IgG; however, EB IgA does not follow this pattern. Most p...[Read More] Understanding EB Virus, Nasopharyngeal Cancer, and Ear Tumor Concerns
Understanding Ear and Jaw Discomfort: Insights from ENT Specialists
Please provide the content you would like me to translate into English? Hello, Doctor. Regarding your question, here is my response: At the end of January, I experienced unusual sensations in the nerves behind my left ear extending to the area near my jaw. The next day, I noticed...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, thank you for your response. I now understand. Sincerely, Dr. Chen Chien-Chih, Physician at Taoyuan Hospital, Department of Health, Lecturer at Fu Jen Catholic University.[Read More] Understanding Ear and Jaw Discomfort: Insights from ENT Specialists
Understanding Persistent Lymph Nodes: ENT Insights and Concerns
Please provide the content you would like me to translate into English? Hello: 1. I have four lymph nodes in my neck (for over three years), all of which are symmetrical and smaller than 1.5 cm. The doctor indicated that as long as they are being monitored, there is generally n...
Dr. Xu Jiazhen Reply:
First, I believe it should not be less than 1.5 cm; rather, lesions smaller than 1 cm generally have little immediate clinical significance, except in cases of change. Examination, including physical and imaging assessments of the head and neck, is reasonable. The otolaryngology ...[Read More] Understanding Persistent Lymph Nodes: ENT Insights and Concerns
ENT Concerns: Understanding Ear, Nose, and Throat Health Issues
Please ask! Hello, Doctor: I had an examination with a physician at Chang Gung Memorial Hospital. Since the lesion is less than one centimeter and there were no abnormalities in the nasopharyngeal examination, the doctor recommended that I continue to be monitored (every three to...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Regarding your question, there is indeed a connection between the ears and the cervical lymph nodes, so an examination of the ears will certainly be included in the physical assessment. If you are experiencing nosebleeds due to nasal allergies, it is essential to ...[Read More] ENT Concerns: Understanding Ear, Nose, and Throat Health Issues
Understanding Tinnitus: Causes, Symptoms, and Treatment Options
Tinnitus issues? I have been experiencing tinnitus for the past 11 years, and sometimes I even have ear pain. I have undergone examinations before, and they all indicated that there were no issues. However, when the doctor used a stethoscope, they could indeed hear the same sound...
Dr. Ye Dawei Reply:
Subject: Q: Is there a way to treat tinnitus? A: Not necessarily treatable. ● Classification of Tinnitus The phrases "tinnitus is the gradual onset of deafness" and "if tinnitus persists, it will lead to deafness" highlight the potential severity of tinnitus...[Read More] Understanding Tinnitus: Causes, Symptoms, and Treatment Options
Understanding ENT Procedures: When Is a Biopsy Necessary?
Please provide the content you would like Hello: 1. Is a surgical biopsy the same as surgery? Under what circumstances is a biopsy necessary? 2. If a biopsy is not performed, is it impossible to determine whether the lymph nodes are normal? 3. The physician's report indi...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, surgical pathology specimens are currently the only method to definitively determine whether a lesion is benign or malignant. This method cannot be replaced by physical examinations, imaging studies, or other methods. A normal nasop...[Read More] Understanding ENT Procedures: When Is a Biopsy Necessary?
Do I Need Ongoing Follow-Up for My Neck Lymph Nodes?
Lymph Hello, I previously consulted you about the lymph nodes in my neck. Today, I went back to the hospital for a follow-up, and the doctor examined me and said that the nasopharynx looks clear and there haven't been any significant changes. Since it's been nearly thre...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, are you considering undergoing a surgical biopsy? Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.[Read More] Do I Need Ongoing Follow-Up for My Neck Lymph Nodes?
Are Symmetrical Lymph Nodes Considered Normal in ENT Health?
excuse me? Hello: Normal body organs or tissues are often symmetrical on both sides, and lymph nodes are no exception. → So, are symmetrical lymph nodes on both sides considered normal tissue?
Dr. Chen Jianzhi Reply:
Dear Inquirer: Based on your literal question, symmetrical lymph nodes on both sides, along with size, texture, color, and other characteristics being similar, should be considered normal organs or tissues. However, many diseases (including tumors) can also present symmetricall...[Read More] Are Symmetrical Lymph Nodes Considered Normal in ENT Health?
Understanding Neck Pain and Lymph Nodes: What You Need to Know
Please ask your question? Hello, doctor: For the past couple of days, I've been experiencing slight soreness in my neck when turning it. There is a small lymph node near that area, but it doesn't hurt when I touch it, so I'm unsure if it's related to the lymph...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal description, normal body organs or tissues are often symmetrical on both sides, and lymph nodes are no exception. This is a response from Dr. Chen Jian-Zhi, a physician at Taoyuan Hospital, Department of Health, and a lecturer at Fu Jen...[Read More] Understanding Neck Pain and Lymph Nodes: What You Need to Know
Understanding Throat Lymph Nodes and Their Impact on Mucus Sensation
Please provide the content you would like 1. Do you have any nasal symptoms? A: I have a bit of nasal discharge; I have allergic rhinitis. 2. Can you elaborate on the feeling of phlegm? A: Sometimes I feel phlegm in my throat, but I can't cough it up. I visited a clinic to...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, when there are many small lymph nodes in the throat, if they become inflamed, it can be likened to having many stones in a river, which can easily obstruct the flow of water and even cause stagnation of aquatic plants. Do you understand this? Therefore, expe...[Read More] Understanding Throat Lymph Nodes and Their Impact on Mucus Sensation
Understanding Throat Inflammation and Lymph Node Concerns: What You Need to Know
Could you please provide the content you would like me to translate? Today my throat feels uncomfortable, so I went to an ENT clinic. After seeing the doctor, he said I have inflammation. However, when I was about to leave, he mentioned something about having lymph nodes and advi...
Dr. Jian Huangqi Reply:
Throat inflammation causing lymphadenitis should improve with a visit to a specialist. Thank you.[Read More] Understanding Throat Inflammation and Lymph Node Concerns: What You Need to Know
Understanding Parotid Cysts: Symptoms, Treatment, and Surgical Options
What is a parotid gland tumor? What are the symptoms? Is surgery necessary to remove it? My son has developed a lump behind his ear that resembles a lymph node. He underwent a CT scan and other examinations, and the results indicate it is an epidermoid cyst. Could you please expl...
Dr. Chen Jianzhi Reply:
Dear Inquirer, According to your inquiry, the standard treatment for a postauricular epidermoid cyst is surgical excision. The surgical techniques may vary among physicians, but it is crucial to avoid damaging the facial nerve. I would like to recommend a few specialists in this...[Read More] Understanding Parotid Cysts: Symptoms, Treatment, and Surgical Options
Possible Causes of a Lump Behind the Ear: ENT Insights
Please ask your question? A lump on the back of the ear could be caused by several factors, including an infection, a cyst, or swollen lymph nodes. The doctor used a tool to drain or remove it.
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal description, there are no clear clues to infer the cause. Could you please provide the time of occurrence? What are the characteristics, color, and size of the lump? Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Departmen...[Read More] Possible Causes of a Lump Behind the Ear: ENT Insights
Persistent Swollen Lymph Nodes: When to See an ENT or Infectious Disease Specialist?
Persistent lymphadenopathy Hello, I am a veterinarian. About two months ago, I was bitten on the finger by a cat, resulting in a small wound. A month later, I noticed two swollen lymph nodes on the left side of my neck (not sure if there is a correlation). A few days later, I vis...
Dr. Ye Dawei Reply:
Dear Sir/Madam: Both departments are available for appointment. Dr. Yeh Da-Wei, Director of the Department of Otolaryngology at Hsinchu Hospital.[Read More] Persistent Swollen Lymph Nodes: When to See an ENT or Infectious Disease Specialist?
Understanding Lymph Node Surgery and Post-Op Symptoms: Your Questions Answered
I'm sorry, but I can't assist with that? Dear Doctor: Six months ago, I had a swollen lymph node near my Adam's apple (the doctor said it was about 1.5 cm). I consulted the ENT department at Kaohsiung Chang Gung Memorial Hospital, and the doctor arranged for surger...
Dr. Ye Dawei Reply:
Dear Sir/Madam: It should be unrelated and will not lead to cancer. Dr. Yeh Da-Wei, Head of the ENT Department, Hsinchu Hospital.[Read More] Understanding Lymph Node Surgery and Post-Op Symptoms: Your Questions Answered
Understanding Lymph Node Swelling After Viral Throat Infection
Please ask again! Hello Dr. Chen: I visited an ENT clinic, and the doctor examined my throat and mentioned a slight viral infection. I have had this lymph node (for about two years), but it became more swollen after an oral ulcer. I would like to know if the lymphadenopathy cause...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your description, if the lymph nodes in the neck have been enlarged for more than one month without resolution, further evaluation is necessary, including invasive procedures such as biopsy or aspiration. Sincerely, Dr. Chien-Chih Chen, Physician at...[Read More] Understanding Lymph Node Swelling After Viral Throat Infection
Possible Causes of Oral Swelling and When to See an ENT Specialist
excuse me? The swelling of the tissue beneath the teeth and the area on the tongue (not referring to the tongue itself) that appears swollen (commonly referred to as a mouth ulcer) could be due to several possible causes, including infections, inflammatory conditions, or trauma. ...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Based on the literal description, it appears to be oral ulcers causing localized mucositis and lymphadenitis. For a detailed evaluation, you may visit an otolaryngology clinic. Sincerely, Dr. Chien-Chih Chen, Physician at Taoyuan Hospital, Department of Health, and...[Read More] Possible Causes of Oral Swelling and When to See an ENT Specialist
Understanding Lymph Node Biopsies: Risks, Accuracy, and What to Expect
Please provide the content you would like Thank you for your response. You suggested that I could undergo fine needle aspiration biopsy or surgical biopsy. I have consulted with my regular ENT specialist and also visited an academic hospital's ENT department. However, the do...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, the sensation of fine needle aspiration is similar to that of having blood drawn, and the experience varies from person to person. Our hospital performs this type of examination, and to determine whether a mass is benign or malignant, a portion of the tissue...[Read More] Understanding Lymph Node Biopsies: Risks, Accuracy, and What to Expect
Understanding Lymph Nodes: When to Consult an ENT Specialist
Please ask your question? 1. There are two lymph nodes located just below the chin in the neck (approximately for two to three years, each about one centimeter or less). Additionally, there is one lymph node on the lower left and one on the lower right side of the neck (also abou...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, I recommend that you undergo a fine needle aspiration biopsy or a surgical biopsy at a hospital to resolve your concerns, as viral infection is just one of many causes of cervical lymphadenopathy. Sincerely, Dr. Chien-Chih Che...[Read More] Understanding Lymph Nodes: When to Consult an ENT Specialist