Understanding Lung CT Findings: Ground-Glass Nodules and Next Steps
CT report of pulmonary issues? Imaging findings: The MDCT of the chest was performed without intravenous contrast medium enhancement and revealed the following: The lung parenchyma is well demonstrated with some ground-glass opacities in both lungs. The bilateral mainstem bronchi...
Dr. Huang Yiwen Reply:
Dear Lu: A 2.2 cm tumor that is indeed removed is a good thing; the absence of lymph node involvement is a positive sign, indicating that there has been no metastasis. To rule out distant metastasis, a PET scan can be performed for early detection, which can be managed effectivel...[Read More] Understanding Lung CT Findings: Ground-Glass Nodules and Next Steps
Understanding Rib Pain: Causes, Concerns, and When to Seek Help
Rib pain Hello Doctor: About a month ago, I started experiencing occasional pain in the upper abdomen. After taking stomach medication for a few days, the pain gradually subsided. Then, I began to feel a slight soreness near the last rib on both sides, similar to muscle soreness ...
Dr. Yang Wenda Reply:
Hello: Your pain is not localized, which is not typical for bone metastasis. If you have had a chest X-ray in the past six months that showed no nodules or tumors, then you should not consider this possibility. It is more likely related to muscle soreness after exercise or nerve ...[Read More] Understanding Rib Pain: Causes, Concerns, and When to Seek Help
Intermittent Left Chest Pain: Stress, Nerves, or Something More?
Intermittent sharp pain in the left chest? The individual has no prior medical history but recently discovered that their mother has stage IV lung adenocarcinoma. They have started researching related information and are uncertain whether their symptoms are due to excessive stres...
Dr. Zhang Youzheng Reply:
Hello: In stage IV lung adenocarcinoma, it is important to consider whether there is bone metastasis. The following situations should be taken into account regarding chest pain: (1) Cardiac issues: A cardiologist has been consulted, and relevant tests have been conducted, so it i...[Read More] Intermittent Left Chest Pain: Stress, Nerves, or Something More?
Understanding Pathology Reports for Minimally Invasive Lung Adenocarcinoma
Questions regarding the pathology report of lung adenocarcinoma? Hello Doctor: After undergoing low-dose lung cancer screening, I was diagnosed with lung adenocarcinoma. At the beginning of the month, I had a thoracoscopic resection of the tumor, and the doctor informed me that i...
Dr. Huang Yiwen Reply:
Dear Chen Ling: In terms of tumor size, it is classified as carcinoma in situ. It has been excised, and follow-up is sufficient. There is no need for excessive worry. Changhua Hospital cares about you.[Read More] Understanding Pathology Reports for Minimally Invasive Lung Adenocarcinoma
Navigating Treatment Options for Advanced Lung Cancer Patients
Cancer treatment Hello Dr. Kuo, my father is a patient with lung adenocarcinoma that has progressed to small cell lung cancer, currently with metastases to the bones and liver. He previously had to interrupt radiation therapy due to severe leukopenia. If his white blood cell coun...
Dr. Guo Hongyi Reply:
Hello, the treatment of cancer involves numerous considerations related to clinical factors, imaging, and the current physical condition of the patient. It is not possible to provide you with diagnostic and treatment recommendations in this manner. It is advisable to discuss stra...[Read More] Navigating Treatment Options for Advanced Lung Cancer Patients
Understanding Ground-Glass Nodules: Risks and Family History Insights
The retest of the ground-glass opacities is still ongoing? Seventeen years ago, my mother discovered an approximately 8mm ground-glass nodule at the age of 46. She underwent surgery at National Taiwan University Hospital, which confirmed it was stage 0 lung adenocarcinoma (she is...
Dr. Huang Yiwen Reply:
Dear Kai: Regarding your question, 1. The presence of ground-glass opacities is not a concern; however, we cannot rule out the possibility of other issues, so regular HRCT scans are necessary. 2. For the interpretation of the scans, please consult your physician. 3. If you are un...[Read More] Understanding Ground-Glass Nodules: Risks and Family History Insights
Understanding Rapid Deterioration in Lung Cancer Patients After Radiation Therapy
Cancer treatment Hello Dr. Kuo, my father has been a patient with lung adenocarcinoma that progressed to small cell lung cancer (2020-2023), with metastases to the bones and liver (from November 2022 to January 2023). During his hospitalization from November 29, 2022, to January ...
Dr. Guo Hongyi Reply:
Hello, Miss. I have received your inquiry and I am deeply sorry to hear about your father's illness. Based on your description, your father has been diagnosed with lung adenocarcinoma that has progressed to small cell lung cancer (2020-2023), with metastases to the bones and...[Read More] Understanding Rapid Deterioration in Lung Cancer Patients After Radiation Therapy
How to Confirm Bone Metastasis in Lung Adenocarcinoma?
How to confirm if it is bone metastasis from lung adenocarcinoma? Hello Doctor: My mother is 58 years old and has type 2 diabetes (controlled with medication, no insulin required). She was hospitalized for examination from June 24 to July 6. A tumor was found on her thyroid, whic...
Dr. Tao Ruiming Reply:
Hello: There is a type of Bone Scan in nuclear medicine that can help.[Read More] How to Confirm Bone Metastasis in Lung Adenocarcinoma?
Post-Surgery Chemotherapy Consultation for Stage 2A Lung Adenocarcinoma
Consultation for Chemotherapy Medications After Surgery for Stage 2A Lung Adenocarcinoma? Regarding the topic, there are two questions: 1. After surgery, starting oral UFUR capsules for two years, will such a long treatment duration potentially lead to drug resistance in the futu...
Dr. Huang Yiwen Reply:
Dear wfchen: If you have concerns about UFUR after the 2A surgery, you can discuss with your attending physician whether it is necessary to take it, as clinical practice can indeed involve just monitoring. There is no need to worry about antibiotic resistance. The effect of Silym...[Read More] Post-Surgery Chemotherapy Consultation for Stage 2A Lung Adenocarcinoma
Targeted Therapy Options for Advanced Lung Cancer with Brain Metastasis
Regarding targeted therapies? Hello, my mother was diagnosed with stage IV lung adenocarcinoma in May 2022, with ALK gene mutation detected. Initially, she was treated with Lorbrena (lorlatinib), which controlled the disease fairly well. However, in February 2023, she began exper...
Dr. Jian Shuntian Reply:
Hello: 1. The effectiveness of Lurbinectedin is not very good; can I switch to Anlotinib? A: Lurbinectedin is a third-generation drug, while Anlotinib is a second-generation drug, and there are no direct comparative studies between the two. If you have previously taken another se...[Read More] Targeted Therapy Options for Advanced Lung Cancer with Brain Metastasis
Post-Surgery Follow-Up for Lung Adenocarcinoma: Key Considerations
Follow-up for Lung Adenocarcinoma Hello Dr. Huang, I underwent a thoracoscopic surgery this month to remove a 0.6 cm ground-glass nodule, which was diagnosed as lung adenocarcinoma (Acinar type). The doctor recommended some follow-up: 1. Schedule an MRI with contrast for the brai...
Dr. Huang Yiwen Reply:
Dear Jay: After undergoing a PET scan, if the findings are limited to the lungs, there is no need for frequent follow-up chest X-rays. For the first two years, a CT scan should be performed every six months, and thereafter, further imaging will be based on necessity. Changhua Hos...[Read More] Post-Surgery Follow-Up for Lung Adenocarcinoma: Key Considerations
Understanding Back Pain in Lung Cancer Patients: Causes and Management
Lower back pain? Hello, I am diagnosed with stage 3B lung adenocarcinoma and currently undergoing treatment with Alectinib. Recently, I have been experiencing lower back pain and discomfort around my buttocks. The pain is not severe, but it can be uncomfortable during movement, a...
Dr. Huang Yiwen Reply:
Dear Xiao Ke: Pain is not necessarily indicative of metastasis; neuromuscular strains can also cause pain. If short-term use of pain relievers does not lead to improvement, a bone scan may be recommended. For now, it is advisable to consult an orthopedic specialist to rule out ot...[Read More] Understanding Back Pain in Lung Cancer Patients: Causes and Management
Understanding Hemoptysis After Lung Adenocarcinoma Surgery: What to Know
Pulmonary adenocarcinoma with hemoptysis? Your question: Hello, I am a stage 3B lung adenocarcinoma patient currently undergoing treatment with Anlotinib. I had surgery on November 3rd, and it has been almost two months since the operation. Recently, I have noticed a small amount...
Dr. Huang Yiwen Reply:
Dear Xiao Ke: Taking Alectinib is appropriate for cases of ALK-positive lung adenocarcinoma. After surgery, having just completed a CT scan with no signs of deterioration suggests that it is likely not a progression of the disease. It could be caused by a cough leading to minor p...[Read More] Understanding Hemoptysis After Lung Adenocarcinoma Surgery: What to Know
Understanding Hemoptysis in Lung Adenocarcinoma Patients Post-Surgery
Pulmonary adenocarcinoma with hemoptysis? Hello, I am diagnosed with stage 3B lung adenocarcinoma and currently undergoing treatment with Alectinib. I had surgery on November 3rd, and it has been almost two months since the operation. Recently, I have noticed a small amount of bl...
Dr. Zhou Ziguang Reply:
Hello: If there are no signs of deterioration on the CT scan, it is still possible that the microvascular structures near the trachea may be more prone to bleeding. Please discuss this with your physician and seek medical attention for evaluation and treatment.[Read More] Understanding Hemoptysis in Lung Adenocarcinoma Patients Post-Surgery
Understanding Your ALK Gene Test Results in Lung Adenocarcinoma
Genetic Testing Report Hello, I am diagnosed with stage 3B lung adenocarcinoma with an ALK gene mutation. I am currently undergoing treatment with Alectinib. A PET scan showed bright spots in the hilar region of the lungs; the thoracic oncologist indicated that these are old canc...
Dr. Yang Wenda Reply:
Hello: It should still be the original mutation. For other questions, I suggest you consult your attending physician![Read More] Understanding Your ALK Gene Test Results in Lung Adenocarcinoma
Understanding CT and PET Scan Results in Stage IIIB Lung Adenocarcinoma
CT Scan Report I was diagnosed with stage IIIB lung adenocarcinoma in March of this year and am currently undergoing treatment with Anlotinib. I have a few questions regarding my condition: 1. This is my first PET scan, and the report shows increased uptake in the hilar region o...
Dr. Huang Yiwen Reply:
Dear Xiao Ke: The hilar mediastinal lymph nodes were noted in the CT scan from March. Therefore, the subsequent PET scan likely shows the previously identified areas lighting up, which may be interpreted differently due to their locations. Essentially, this indicates the presence...[Read More] Understanding CT and PET Scan Results in Stage IIIB Lung Adenocarcinoma
Understanding PET and CT Reports for Lung Cancer Management
Positron Emission Tomography (PET) and Computed Tomography (CT) Report Here is the translation of the provided medical content: The following is the chest computed tomography report from September: **Computed Tomography of Chest With and Without Enhancement Shows:** **Techniqu...
Dr. Huang Yiwen Reply:
Dear Koko: 1. According to the attached report, there is no deterioration, and we cannot determine the drug resistance issue based on the absence of deterioration; continuous observation is necessary. 2. The current report is indeed accurate. 3. An MRI of the brain is more pr...[Read More] Understanding PET and CT Reports for Lung Cancer Management
Monitoring Lung Nodules: When to Worry and Treatment Options
Lung nodule follow-up Hello Doctor: Eight years ago, my mother was found to have three pulmonary nodules during a chest X-ray screening. One of them increased from 0.4 cm to 0.8 cm during a follow-up CT scan six months later. Due to the rapid growth, the physician recommended sur...
Dr. Wang Lanfeng Reply:
Hello: Since your mother has already undergone surgery for early-stage lung cancer, and there are currently signs of proliferation in other lung nodules, it is recommended that you return to her original treating physician for a follow-up consultation to discuss the most appropri...[Read More] Monitoring Lung Nodules: When to Worry and Treatment Options
Understanding Rising CEA Levels in Lung Adenocarcinoma Treatment
Elevated CEA levels? Hello doctor, I am diagnosed with stage 3B lung adenocarcinoma and currently undergoing treatment with targeted therapy using Alectinib. On August 17, my CEA level was 1.2, and on September 8, it rose to 2.26, an increase of 1.06 in just half a month. What do...
Dr. Yang Wenda Reply:
Hello: The presence of drug resistance is assessed by whether there are significant increases or metastases observed in the CT scan. CEA testing cannot confirm deterioration or metastasis; as long as the CEA levels remain within the normal range, it is not considered deterioratio...[Read More] Understanding Rising CEA Levels in Lung Adenocarcinoma Treatment
Understanding Your Chest CT Report: Key Insights for Lung Cancer Patients
Chest Computed Tomography Report Hello Doctor, I am a stage 3B lung adenocarcinoma patient currently undergoing treatment with targeted therapy using anlotinib. Below are the findings from my three-month follow-up chest CT report, which was ordered by the thoracic surgeon to asse...
Dr. Yang Wenda Reply:
Hello: The report appears to show no deterioration. As for further treatment plans, it is advisable to refer to the explanation provided by the original attending physician, as I am unable to offer any recommendations.[Read More] Understanding Your Chest CT Report: Key Insights for Lung Cancer Patients