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 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
Understanding Back Pain and Cough: Possible Causes and Concerns
Back pain accompanied by coughing? Hello, doctor. I've been experiencing back pain while sleeping for the past two weeks, which has affected my sleep quality. I also have a mild cough, and I feel some pain in my back when I cough. Could you please tell me what might be causi...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are nonspecific and it is difficult to determine the underlying cause. If your symptoms persist, I recommend that you visit a pulmonology clinic for further evaluation. Thank you.[Read More] Understanding Back Pain and Cough: Possible Causes and Concerns
Understanding Blood-Streaked Phlegm: Causes and When to Seek Help
Sputum with blood streaks? Hello, doctor. A few days ago, I felt some chest tightness and difficulty breathing. It has improved over the last two days, but I still occasionally experience chest tightness and feel like there is phlegm stuck in my throat and lungs, although I haven...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are non-specific and it is difficult to determine the underlying cause. If your symptoms persist, I recommend that you visit a pulmonology clinic for further evaluation. Thank you.[Read More] Understanding Blood-Streaked Phlegm: Causes and When to Seek Help
Understanding Ground-Glass Nodules: Follow-Up Recommendations and Concerns
Questions about ground-glass nodules? This year's health check-up revealed a low-dose lung CT report indicating ground-glass nodules: "Subpleural nodular ground-glass opacities with two solid small nodules located in the right upper lobe (N1: 3.4mm; N2: 2.5mm)." Ho...
Dr. Yang Wenda Reply:
Hello: It is recommended to follow up in two years; however, during this period, you can have a chest X-ray for monitoring once a year. If there is a family history of lung cancer, you may change the follow-up to a chest X-ray every six months![Read More] Understanding Ground-Glass Nodules: Follow-Up Recommendations 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 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 Low-Dose Lung Cancer Screening Results and Next Steps
The low-dose lung cancer screening report indicates mild fibrotic changes in the left lung apex and a nodule in the right lung lobe, with a maximum diameter of approximately 0.3 centimeters? The low-dose lung cancer screening report indicates slight fibrotic changes in the left a...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, there are currently no significant abnormalities in your examination report. It is recommended to continue monitoring. Quitting smoking will also help improve your health condition. Thank you.[Read More] Understanding Low-Dose Lung Cancer Screening Results and Next Steps
Understanding Nighttime Back Pain and Breathing Issues: Causes and Concerns
Nighttime deep breathing back pain? In recent days, I have been experiencing pain in a specific area of my upper left back at night. It feels better after resting, but it still hurts when I take deep breaths. At the same time, I also feel a bit of chest tightness. Recently, I...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are mostly non-specific, and it is currently not possible to clearly determine the underlying issue. If you continue to experience related symptoms, it is advisable to consult a pulmonologist. Thank you.[Read More] Understanding Nighttime Back Pain and Breathing Issues: Causes and Concerns
Understanding Lung Cancer Risk in Teens: A Guide for Parents
Lung cancer at the age of 16? Hello, doctor. I would like to ask about the likelihood of developing lung cancer at the age of 16. My father smokes, which increases my exposure to secondhand smoke. Recently, I've been experiencing some pain in my upper left back, occasional d...
Dr. Wang Lanfeng Reply:
Hello: Although you have been exposed to the risk of secondhand smoke, generally speaking, young people are not a high-risk group for lung cancer. Additionally, you have had a chest X-ray that showed no significant issues, so there should not be any major concerns. However, if yo...[Read More] Understanding Lung Cancer Risk in Teens: A Guide for Parents
Understanding Ground-Glass Nodules: Risks and Next Steps After LDCT
Low-dose computed tomography reveals ground-glass lung nodules? Hello, doctor. I have been smoke-free for over six months now, after smoking for 10 years at a rate of one pack a day. In January of this year, I had a cough and underwent a low-dose computed tomography (LDCT) scan. ...
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: Risks and Next Steps After LDCT
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
Exploring the Link Between Baking, Smoke Exposure, and Lung Cancer Risks
The relationship between the baking industry and lung cancer? Hello, doctor. I would like to ask a few questions. I know that Chinese cuisine chefs are exposed to cooking fumes daily, which increases the risk of lung cancer and other diseases (I only know about lung cancer; I am ...
Dr. Wang Lanfeng Reply:
Hello: Current evidence suggests that the oil smoke generated from cooking food may indeed increase the risk of lung cancer and could also lead to cardiovascular diseases over the long term. As for whether baking bread produces harmful substances, this is not within my area of ex...[Read More] Exploring the Link Between Baking, Smoke Exposure, and Lung Cancer Risks
Managing Pain in Advanced Lung Cancer: Treatment Options and Support
Pain caused by lung cancer? After undergoing surgery for a thoracic tumor, my family member was diagnosed with lung cancer due to severe lower back pain a week later. They have been scheduled for treatment with a linear accelerator and targeted therapy. Due to the intense pain, t...
Dr. Wang Lanfeng Reply:
Hello: Clinical physicians take a comprehensive approach to patient treatment. It is still recommended that you communicate face-to-face with your attending physician to discuss the patient's condition and needs in order to arrange the most appropriate treatment. Thank you.[Read More] Managing Pain in Advanced Lung Cancer: Treatment Options and Support
Understanding Abnormal Cell Keratin Antigen Levels in Pulmonary Health
The abnormal level of cell keratin antigen is slightly higher than normal? I would like to ask the doctor, does an abnormal level of squamous cell carcinoma antigen indicate a lot?
Dr. Lu Mingzhi Reply:
Hello: The cytokeratin antigen you are referring to is likely CYFRA 21-1. Elevated levels of cytokeratin antigen 21-1 should raise the possibility of lung cancer and esophageal cancer, and tumors in other locations may also cause an increase in this marker. Non-tumor conditions s...[Read More] Understanding Abnormal Cell Keratin Antigen Levels in Pulmonary Health