A common symptom of COVID-19 and this wave of influenza is “non-stop coughing”! A 30-year-old man had a persistent cough. Since he had no other symptoms, he thought it was a minor cold and had been seeking medical treatment at a general clinic. After two months of continuous coughing, he went to a major hospital for a check-up. The doctor found a lump in his lower neck. The biopsy revealed that it was lymphoma. After a whole-body cross-sectional examination, it was discovered that he had a fist-sized tumor in his mediastinal cavity. It’s stage 3 lymphoma.
A 30-year-old man was busy working and mistook his cough for a cold without getting checked, but it turned out to be cancer
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Hou Siren, an otolaryngologist and convener of the Head and Neck Cancer Center at Dalin Tzu Chi Hospital in Chiayi, said that the man’s family members became friends with him in private because they were regular patients of his. He had mentioned to Hou Siren before that he had been coughing. During the conversation, he said that the main symptom of “this wave of cold” might be coughing, but because he was busy with official duties and had many activities, even though Dr. Hou had always advised him to arrive as soon as possible. The hospital came for a check-up, but he always refused to come because he had “only a small cough and no other symptoms.”
Recently, the patient said to Hou Siren on the communication software, “I have been coughing for almost two months and want to come to see a doctor.” Dr. Hou said, “I have a clinic in the afternoon, please come and get checked quickly.” Originally, the patient arrived in the afternoon and said, “I might not be able to come because I have something to do. I might as well go to a nearby clinic to prescribe cough medicine!” Because Hou Siren felt that having a cough for two consecutive months was a bit abnormal, and urged him to come for a check-up.
As a result, when he arrived at the clinic in the afternoon, Hou Siren palpated him and found no abnormalities on his neck. However, when he felt a hard lump in his lower neck near the chest, he was advised to undergo a biopsy. The patient originally said, “I have a trip coming up and I am afraid that the biopsy may affect my activities.” However, Hou Siren insisted that he must get it checked. As a result, the biopsy revealed that it was lymphoma tissue. Next, a whole-body tomography scan was arranged, and it was discovered that he had a fist-sized tumor in his mediastinal cavity. The small hard lump in the lower neck that Hou Siren felt was actually just the tip of the iceberg of this mediastinal lymphoma.
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▲A 30-year-old man had been coughing for two months. An examination revealed a lymphoma as big as a fist in the mediastinal cavity. (Photo/Provided by Dr. Hou Siren)
Hou Siren said that because the previous waves of COVID-19 were characterized by coughing, and among the main symptoms of “long COVID-19”, coughing was also ranked high. Many patients will continue to cough for several months to a year after recovery. Long. In addition, many of the flu symptoms that have continued to spread since last year also have cough as the main symptom, which has made many people lose their vigilance to chronic coughs.
Coughing for more than 2 weeks is a warning sign. Coughing for 2 months is more dangerous and may be a serious disease or cancer.
He reminded that coughing for more than 2 weeks is a sign of danger. Coughing for 2 months has a higher risk index. You may need to check whether you have tuberculosis, asthma, chronic obstructive pneumonia, reflux pharyngitis, or even lung cancer and Dangers of lymphoma.
And this patient, although young, got stage 3 lymphoma when his life was about to take off. Fortunately, the analysis of his cancer cells showed that they were mainly composed of relatively mild B cells, with only a very small amount of more malignant T cells. Moreover, he underwent 8 sessions of chemotherapy in a 12-session chemotherapy plan, and the tumor shrank significantly by 9 If successful, the expected prognosis should be good. With continued treatment and follow-up, there is still a chance of cure. Hou Siren also reminded everyone not to ignore it. Even if you only have cough symptoms and do not have fever, weight loss and other six major symptoms of lymphoma (burning, swelling, itching, sweating, coughing and weight loss), you should still be vigilant.
◎ Picture source/Dr. Hou Siren.Provided by Dazhi Image/shutterstock
◎ Consulting experts/Dr. Hou Siren
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2024-03-11 17:17:17
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