Managing Lung Nodules in Elderly Patients: A Case Study
Pulmonary nodular disease progression Hello, Dr. Huang. My grandmother is 83 years old and has hypertension. A CT scan revealed a 2.8 cm solid and ground-glass nodule. A follow-up CT scan three months later showed no changes or signs of metastasis. She has undergone pulmonary fun...
Dr. Huang Yiwen Reply:
Dear Mr. Lin: I apologize for the late response to your question. 1. The replication time for typical lung adenocarcinoma is approximately 1 to 3 months. Age does not significantly accelerate this process. 2. Tumors that can be surgically removed generally have a better prognosis...[Read More] Managing Lung Nodules in Elderly Patients: A Case Study
Are Three Monthly CT Scans Safe for Lung Nodules? Understanding Risks and Concerns
Is there any harm to the body from having a chest CT scan every three months? I would like to consult a doctor about ground-glass nodules in the lungs, which are said to be post-inflammatory granulomas. What is this condition? The doctor told me there is an 80% chance that it wil...
Dr. Huang Yiwen Reply:
Dear Yao Yao: I apologize for the late response regarding the ground-glass nodules and granulomas. Generally, they do not disappear, and it is important that they do not continue to enlarge. Ground-glass nodules can indeed have the potential to be associated with lung adenocarcin...[Read More] Are Three Monthly CT Scans Safe for Lung Nodules? Understanding Risks and Concerns
Understanding 5mm Ground Glass Nodules: What You Need to Know
5mm ground-glass nodule Hello Doctor, I went to a major hospital at the end of June for a lung CT scan, and the report indicated: "There is a 5mm ground-glass nodule (5mm, Se3/Im58-59) in the superior basal segment of the left lower lobe. Post-inflammatory granuloma is highl...
Dr. Huang Yiwen Reply:
Dear Miss Dou: It is correct to recommend a follow-up in 3 to 6 months for the 5 mm lesion. This recommendation is based on the tumor replication time, indicating that if there are no changes within this interval, it is relatively reassuring. There are many patterns of ground-g...[Read More] Understanding 5mm Ground Glass Nodules: What You Need to Know
Managing Back Pain and Symptoms During Lung Cancer Treatment
Lower back pain Hello Doctor: In March of this year, I was diagnosed with stage 3B lung adenocarcinoma and am currently undergoing targeted therapy with Alectinib. A CT scan in June showed a significant reduction in the tumor size, and a bone scan in April was normal. My job requ...
Dr. Yang Wenda Reply:
Hello: Currently, the tumor treatment response seems to be good, and the likelihood of metastasis is low. Weight may be slightly lower in the summer, which is acceptable. It is recommended to avoid prolonged sitting and to engage in moderate exercise daily for improvement![Read More] Managing Back Pain and Symptoms During Lung Cancer Treatment
Understanding Abdominal Muscle Pain in Lung Cancer Patients with Cough
Patients with lung cancer may experience abdominal muscle pain due to persistent coughing? Hello Doctor, my mother is 59 years old and is a stage IV lung adenocarcinoma patient. She has been diagnosed for about two years and has brain metastasis. She underwent whole brain radiati...
Dr. Wang Lanfeng Reply:
Hello: There are many conditions that could potentially trigger a cough. Based on your description, it is currently difficult to determine the specific issue. I recommend that you take your mother for a follow-up appointment and discuss the relevant treatment options with her att...[Read More] Understanding Abdominal Muscle Pain in Lung Cancer Patients with Cough
Understanding Family History of Lung Adenocarcinoma: Risks and Screening
Familial inheritance of lung adenocarcinoma? Hello, Director! My mother passed away from lung adenocarcinoma at the age of 83 in 2003. She had a habit of cooking three meals a day and rarely used the range hood. I have seven siblings, currently aged between 79 and 69, with two ha...
Dr. Yang Wenda Reply:
Hello: Since your mother has lung adenocarcinoma, even though there is a family history of lung cancer, you may consider undergoing a low-dose chest computed tomography (CT) scan.[Read More] Understanding Family History of Lung Adenocarcinoma: Risks and Screening
Understanding Ground-Glass Nodules: Are They a Sign of Lung Cancer?
Self-paid lung CT scan Hello doctor, I previously tested positive and went to a large hospital for a self-paid chest CT. The results showed a ground-glass opacity nodule in the left lower lobe, which is likely a post-inflammatory granuloma (0.5 mm). Could you please tell me if th...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest that you return to the hospital where the examination was conducted and discuss future treatment options with your attending physician. Thank you.[Read More] Understanding Ground-Glass Nodules: Are They a Sign of Lung Cancer?
Understanding White Spots on X-rays: What They Mean for Lung Health
Lower lung bones Hello Doctor, I have a question. I have a history of missed diagnoses, so I had a chest X-ray done. The results showed that my lungs are normal, but there is a white spot on the bone below the lungs. The doctor couldn't determine what it was and advised me t...
Dr. Huang Yiwen Reply:
Dear Yao Yao: Most confirmed cases show no significant changes on X-rays. Lung adenocarcinoma typically does not present in this manner. Based on your description, the white spots may be calcifications (it is possible they are cross-sections of blood vessels), but X-ray descripti...[Read More] Understanding White Spots on X-rays: What They Mean for Lung Health
Understanding a White Spot on Bone After Clear Lung X-Ray Results
The chest X-ray shows no issues with the lungs, but there is a white spot on the bone beneath the lung? Hello Doctor, today I went to the municipal hospital for an X-ray (since I have been diagnosed before). The report came out today, and my lungs are very healthy. However, the d...
Dr. Huang Yiwen Reply:
Dear Ms. Dou: Lung adenocarcinoma would not present in this manner. If you are truly concerned, a 64-slice computed tomography (CT) scan would suffice. The hospital should be able to handle this; Changhua Hospital cares about you.[Read More] Understanding a White Spot on Bone After Clear Lung X-Ray Results
Understanding Cough and Shortness of Breath in Lung Cancer Patients
Coughing and wheezing associated with lung cancer? Hello Doctor: Initially, I was diagnosed with stage 3B lung adenocarcinoma due to coughing and hemoptysis. I have been taking Anlotinib for about three weeks. Recently, I occasionally experience coughing with white frothy sputum,...
Dr. Wang Lanfeng Reply:
Hello: Since we cannot access your treatment and examination data here, it is advisable for you to discuss your treatment status with your attending physician. Thank you.[Read More] Understanding Cough and Shortness of Breath in Lung Cancer Patients
Understanding Drug Resistance in Lung Adenocarcinoma Treatment
Drug resistance in lung adenocarcinoma? Hello Doctor: I am diagnosed with stage 3B lung adenocarcinoma and currently undergoing treatment with Osimertinib. What are the reasons for developing drug resistance? Does a higher dosage of the medication increase the likelihood of devel...
Dr. Yang Wenda Reply:
Hello: 1. Your prescribing physician will administer medication based on tumor treatment guidelines. Drug resistance arises from mutations in tumor cells and is unrelated to the dosage of standard treatment medications. 2. Cancer patients belong to a population with compromised i...[Read More] Understanding Drug Resistance in Lung Adenocarcinoma Treatment
Understanding Alectinib Dosage for Lung Adenocarcinoma Treatment
Anlidipine dosage I have stage 3B lung adenocarcinoma with an ALK gene mutation. Initially, my doctor prescribed Alectinib, 2 capsules in the morning and 2 capsules in the evening (using the hospital's public medication). After two weeks, I returned for a follow-up, and the ...
Dr. Wang Lanfeng Reply:
Hello: The initial recommended dosage of Anlistat is indeed 600 mg, taken twice daily. Perhaps your attending physician has other considerations. It is advisable to discuss your treatment situation with your attending physician. Thank you.[Read More] Understanding Alectinib Dosage for Lung Adenocarcinoma Treatment
Managing ALK-Positive Lung Adenocarcinoma: Dosage and Symptoms Explained
Issues with medication for lung adenocarcinoma? Hello Doctor: I was recently diagnosed with stage 3B lung adenocarcinoma with an ALK gene mutation. I am currently undergoing treatment with Alectinib. Initially, while waiting for the health insurance approval for the medication, t...
Dr. Wang Lanfeng Reply:
Hello: The initial recommended dosage of Anlisat is indeed 600 mg, taken in the morning and evening. Perhaps your attending physician has other considerations. It is advisable to discuss your treatment situation with your attending physician. Thank you.[Read More] Managing ALK-Positive Lung Adenocarcinoma: Dosage and Symptoms Explained
Should We Take My Father to the ER for Worsening COPD and Lung Cancer?
My father has been getting worse after his recent follow-up visit and hospitalization. Should we go to the emergency room? My father was diagnosed with COPD five years ago, and his lung function has been declining since then. Last year, he was also diagnosed with lung adenocarcin...
Dr. Zhang Ziyan Reply:
Hello Mr. Tsai, regarding your question about whether to go to the emergency room for hospitalization, let me start with the conclusion: it depends on what you expect the emergency hospitalization to accomplish. During the Lunar New Year period, examinations, medications, and oxy...[Read More] Should We Take My Father to the ER for Worsening COPD and Lung Cancer?
Post-Surgery Treatment Options for Stage IIB Lung Adenocarcinoma
Postoperative treatment for lung adenocarcinoma? Hello, doctor. My relative, aged 64, has been diagnosed with stage II B lung adenocarcinoma. They have completed tumor resection surgery, and genetic testing shows an EGFR mutation. The doctor is currently recommending adjuvant che...
Dr. Zhang Ziyan Reply:
Hello ALEX, assuming that there are no cancer cells in the mediastinal lymph nodes and the tumor resection is clean, currently, Taiwan's National Health Insurance covers adjuvant chemotherapy without issue. According to American guidelines, tumors with EGFR mutations are fur...[Read More] Post-Surgery Treatment Options for Stage IIB Lung Adenocarcinoma
Post-Surgery Concerns for Stage I Lung Adenocarcinoma Patients
Postoperative issues in lung adenocarcinoma? Hello Dr. Huang, I would like to ask you a question. Last month in June, I was diagnosed with a 2.5 cm tumor in my right lung through an X-ray. I decided to have it surgically removed a week later. The doctor said it was stage I lung ...
Dr. Huang Yiwen Reply:
Dear Ms. Wang: After surgery for stage I lung adenocarcinoma, no further treatment is necessary; follow-up every 3 to 6 months is sufficient. Changhua Hospital cares about you.[Read More] Post-Surgery Concerns for Stage I Lung Adenocarcinoma Patients
Why Did the Lung Adenocarcinoma Nodule Disappear Before Surgery?
The surgical localization of the pulmonary adenocarcinoma nodule is not visible? The left lower lung has a 0.37 cm ground-glass opacity (GGO) nodule that has been monitored for 2 years with no change in size. This year, however, the shape changed. On April 28, a percutaneous fine...
Dr. Huang Yiwen Reply:
Dear Ms. Lu: The GGO measuring 0.37 cm is indeed very small. It was quite challenging to perform a percutaneous biopsy initially, as the nodule could not be located during the surgery. We can follow up with a CT scan with 64 slices or more to monitor the situation and decide on t...[Read More] Why Did the Lung Adenocarcinoma Nodule Disappear Before Surgery?
Understanding Post-Cold Cough: Is It Related to Lung Nodules?
Coughing after a cold? Hello, Doctor! My wife caught a cold during the Lunar New Year this year, and the doctor diagnosed it as a cold leading to sinusitis, prescribing antibiotics. During the course of treatment, her cold symptoms improved, but she then developed a mild cough. S...
Dr. Huang Yiwen Reply:
Dear Anxious Husband: If there was a 0.8 cm early-stage lung adenocarcinoma a year ago, the 0.7 cm ground-glass nodule should not be taken lightly. It is best to return to the original surgeon for a detailed examination of the small lung nodule, as it may not cause a chronic coug...[Read More] Understanding Post-Cold Cough: Is It Related to Lung Nodules?
How Long for Strong Antibiotics to Work on Lung Infections?
The effectiveness of the strongest antibiotics for treating severe pneumonia caused by abdominal bacterial infections can vary depending on several factors, including the specific bacteria involved, the patient's overall health, and the presence of any underlying conditions....
Dr. Huang Yiwen Reply:
Dear Lin: Postoperative lung adenocarcinoma complicated by pulmonary infection and pleural effusion is indeed challenging to manage. Generally, we assess the effectiveness of medications, taking into account not only the types of drugs selected but also the patient's immune ...[Read More] How Long for Strong Antibiotics to Work on Lung Infections?
Understanding Family History and Lung Adenocarcinoma Risk Factors
Questions about lung adenocarcinoma? I have several questions for the doctor. 1. What is the definition of family medical history? If there is only one case of a relative having a condition and no one else in the family has it, does this still fall under the medical definition ...
Dr. Yang Wenda Reply:
1. The cause of cancer remains unclear, but the primary culprit is carcinogens, especially smoking. If a second-degree relative has lung cancer, there has been exposure to secondhand smoke, or there has been long-term exposure to other carcinogens in the workplace, and the indivi...[Read More] Understanding Family History and Lung Adenocarcinoma Risk Factors