Understanding Chest Pain and Shoulder Discomfort: Possible Causes and Concerns
Chest pain and shoulder pain? Hello doctor, I have recently been experiencing chest tightness, sharp pain along the edges of my ribs, and pain in my back and right shoulder. I had an X-ray in May of this year which showed: No active lung lesions, normal heart size, symmetry of bo...
Dr. Jian Shuntian Reply:
Hello: Early-stage lung cancer typically does not show rapid changes on a chest X-ray, but there are many blind spots that may not be visible. A chest computed tomography (CT) scan can be performed; however, since the chest X-ray appears normal, health insurance may not cover the...[Read More] Understanding Chest Pain and Shoulder Discomfort: Possible Causes and Concerns
Understanding Lung Health: Addressing Concerns About Smoking and LDCT Results
Chest issues Hello Dr. Shen, I am 29 years old and have no family history of lung cancer. I have been wanting to quit smoking for many years but have not been able to. I have been smoking for less than 9 years and tend to feel anxious about my health. On June 2, 2022, and Decembe...
Dr. Shen Bochan Reply:
Hello: Yes, please take care of yourself and live well. Life is tough, and I can empathize with your struggles. Let go of your burdens and try to enjoy life.[Read More] Understanding Lung Health: Addressing Concerns About Smoking and LDCT Results
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 the Progression of Lung Cancer Metastasis: Key Insights
The progression of lung cancer metastasis occurs through several stages. Initially, cancer cells may invade nearby lung tissue. From there, they can enter the bloodstream or lymphatic system, allowing them to spread to other parts of the body. Common Hello, Doctor. Currently, the...
Dr. Shen Bochan Reply:
Hello: It is recommended to seek consultation for diagnosis. The progression of cancer varies significantly among individuals. The size of a nodule is not a definitive indicator of metastasis; there are cases where small malignant lung tumors have already metastasized. I understa...[Read More] Understanding the Progression of Lung Cancer Metastasis: Key Insights
Understanding Rapidly Growing Lung Nodules: What You Need to Know
Pulmonary mass of unknown origin? Hello doctor, my mother is 66 years old and has been monitored for pulmonary nodules. We have been doing low-dose computed tomography (CT) scans every six months for the past five years, and there haven't been significant changes. However, d...
Dr. Shen Bochan Reply:
Hello: Imaging is necessary for an initial assessment of the likelihood of malignancy or benignity. A short-term follow-up can be chosen initially, and administering antibiotics and expectorants for a period of time may allow for spontaneous resolution. Additionally, among benign...[Read More] Understanding Rapidly Growing Lung Nodules: What You Need to Know
Do You Need an Air Purifier for Your 8th Floor Apartment?
Regarding air purifiers? Hello, doctor. I would like to ask if we need an air purifier in our home. We live on the 8th floor, right next to a busy street with heavy traffic. We recently purchased an air purifier, but I started to wonder if exhaust fumes from vehicles would reach ...
Dr. Zhang Ziyan Reply:
Hello, among air pollutants, PM2.5 is particularly associated with lung cancer. If indoor PM2.5 levels are high, you may consider using an air purifier. If you are already using one, check if the filters need to be replaced regularly and ensure proper ventilation. The Department ...[Read More] Do You Need an Air Purifier for Your 8th Floor Apartment?
How Often Should You Get Low-Dose Lung CT Scans? A Patient's Inquiry
Please consult the doctor again? Hello, doctor. Last time I asked you a question, you advised me to let go and live peacefully. I understand your intention. I believe that my mental health issues require psychological treatment. I have informed my psychiatrist about these matters...
Dr. Shen Bochan Reply:
Hello, it can be done in 2 years.[Read More] How Often Should You Get Low-Dose Lung CT Scans? A Patient's Inquiry
Understanding CEA Levels and Ground-Glass Nodules in Lung Health
Abnormal CEA and Ground-Glass Opacity (GGO) Nodules? Recently, the CEA index from a health check was 7.1. A low-dose computed tomography (CT) scan of the lungs was performed for the first time, revealing two scattered ground-glass nodules in the right lung measuring approximately...
Dr. Shen Bochan Reply:
Hello: A follow-up CT scan should be performed in 4 to 6 months. If there are no changes, the follow-up interval can be extended. There should be no direct correlation with radiation therapy.[Read More] Understanding CEA Levels and Ground-Glass Nodules in Lung Health
Understanding Lung Health Concerns: Anxiety, Fatigue, and Cancer Risks
Concerns about lung health Hello Doctor, I am a 41-year-old male, 172 cm tall and weighing 80 kg. I have been suffering from anxiety disorder, obsessive-compulsive disorder, and hypochondria for over a decade. I have long-term issues with fatigue and poor sleep quality. My diet i...
Dr. Shen Bochan Reply:
Hello, Amitabha. Let go, and live peacefully.[Read More] Understanding Lung Health Concerns: Anxiety, Fatigue, and Cancer Risks
Delivery Riders and Lung Cancer Risk: What You Need to Know
Delivery workers and lung cancer? Hello, Doctor! I would like to ask the following questions: 1. Due to financial reasons, I have to spend a lot of time riding a scooter for food delivery (Foodpanda). If I continue this for 20 years, will my risk of developing lung cancer be si...
Dr. Zhang Ziyan Reply:
1. The International Agency for Research on Cancer (IARC) currently classifies PM2.5 from air pollution as a Group 1 carcinogen (sufficient evidence), but the levels do not matter for individuals; it is simply a matter of presence or absence. 2. To state the conclusion directly...[Read More] Delivery Riders and Lung Cancer Risk: What You Need to Know
Does Fluoroquinolone Use Affect Tuberculosis Diagnosis?
Does the use of fluoroquinolones affect the diagnosis of pulmonary tuberculosis? Hello Dr. Yang, I am a pharmacist. My boyfriend (who is the same age as me) previously went to the emergency room due to a fever, and an X-ray revealed lesions in his lungs. The doctor prescribed flu...
Dr. Yang Wenda Reply:
Hello: Based on your description, I will prioritize considering a fungal infection. If the culture results from the second hospital show no tuberculosis, I will be less concerned about tuberculosis. Since the sputum smear is negative, there is no need to wear a mask continuously,...[Read More] Does Fluoroquinolone Use Affect Tuberculosis Diagnosis?
Understanding Fungal Infections and Tuberculosis: A Patient's Journey
Fungal infection and tuberculosis? On February 17 of this year, I had a fever of 39 degrees Celsius and went to the emergency room. An X-ray revealed a lesion in my right upper lung, and a subsequent CT scan showed a cavity in the right upper lung. The doctor informed me that it ...
Dr. Shen Bochan Reply:
Hello: It is recommended to visit our outpatient clinic and bring relevant imaging studies. While it does increase the risk of cancer, there is no need to be overly anxious.[Read More] Understanding Fungal Infections and Tuberculosis: A Patient's Journey
Frequency of Follow-Up for Lung Nodules: What You Need to Know
Frequency of follow-up for pulmonary nodules? Hello Doctor, I had a health check-up at the end of last year, and the LDCT imaging revealed a "0.3 cm non-specific nodule in the right upper lobe" and a "0.7 cm subpleural nodule in the right lower lobe." I would ...
Dr. Cai Zongwei Reply:
Hello: In principle, please follow the recommended timeline for follow-up examinations based on the original health check report. Family history is for reference only; particular attention should be paid to those who are closer relatives or share the same living environment. The ...[Read More] Frequency of Follow-Up for Lung Nodules: What You Need to Know
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 Sudden Chest Pain: Causes and Concerns for Smokers
My father suddenly experienced sharp pain in his left chest? Hello Dr. Kuo, I would like to ask you two questions. 1. I am inquiring on behalf of my father. Last night, while he was using his phone, he suddenly felt a cramping sensation above his left chest, near his heart, whi...
Dr. Guo Hongyi Reply:
Hello: Dear public, chest pain can have many factors, including the heart, lungs, and musculoskeletal system, and the presentation can vary among individuals. It is advisable for your father to consult a pulmonologist or cardiologist for an examination. Thank you for your inquiry...[Read More] Understanding Sudden Chest Pain: Causes and Concerns for Smokers
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
Understanding Blood-Streaked Sputum in Long-Term Smokers: What to Know
Long-term smoking with a small amount of blood in the sputum? Hello Dr. Kuo, I am asking on behalf of my father. He is currently 59 years old and has been a long-term smoker, smoking two packs every three days. About a year ago, he began experiencing chronic cough and sputum prod...
Dr. Guo Hongyi Reply:
Hello: Dear public, coughing after smoking is a common occurrence. It is recommended to quit smoking. Quitting smoking may involve medication assistance, but it also requires personal willingness and willpower; others can only offer advice. There are many causes for coughing up b...[Read More] Understanding Blood-Streaked Sputum in Long-Term Smokers: What to Know
Concerns About Blood in Sputum: A Long-Term Smoker's Health Risks
My father is a long-term smoker and has issues with phlegm? Good morning, Director Huang. I apologize for disturbing you during your busy schedule, but I have a question I hope you can answer quickly. My father is a long-time smoker and has been experiencing chronic coughing and ...
Dr. Huang Yiwen Reply:
Dear Ah Wei, I hope this message finds you well. As a long-time smoker, regardless of whether you have any symptoms, it is advisable to undergo a low-dose computed tomography (CT) scan since lung cancer is currently the leading type of cancer. The government offers subsidies fo...[Read More] Concerns About Blood in Sputum: A Long-Term Smoker's Health Risks
The Impact of Secondhand and Thirdhand Smoke on Family Health
The impact of secondhand and thirdhand smoke from neighbors on family members? Hello Doctor, due to the old wiring in our home, secondhand smoke from our neighbor often circulates into our bathroom through the ducts, and the smell is quite strong. This situation has persisted for...
Dr. Shen Bochan Reply:
Hello, sir. Research indicates a strong correlation between smoking and the incidence of lung cancer. Clinically, it is also challenging to determine whether lung cancer patients are related to secondhand smoke exposure, considering that air pollution, occupational dust and chemi...[Read More] The Impact of Secondhand and Thirdhand Smoke on Family Health
Understanding Chest Pain When Breathing: Causes and Concerns
Chest pain when breathing? Hello Doctor, I have been experiencing some health issues that started a few years ago, but I didn't pay much attention to them until now. After watching some health-related programs, I have become quite concerned. Sometimes, I suddenly feel a tear...
Dr. Huang Yiwen Reply:
Dear Student Li: Based on your age, the likelihood of malignancy is very low. The symptoms you described are more indicative of respiratory pain caused by airway allergic reactions. As for the arrhythmia, you can visit a cardiologist for an electrocardiogram to assess your condit...[Read More] Understanding Chest Pain When Breathing: Causes and Concerns