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What is the chance of recurrence of myoepithelial carcinoma?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had an extraction of two tumors of epithelial-myoepithelial carcinoma with a prominent dedifferentiated (high-grade transformation) myoepithelial component extracted from my nasal cavity before three years. MRI scans were performed to look for recurrences. In my previous MRI, I had a perfusion curve showing ascending plateau.

I have significant weight loss for the past seven months. I have occasional nosebleeds with pain. I also have fever, sensitivity, and bleeding in the mouth palate occasionally. Currently, I am taking Iscador P series II injections three times a week, painkillers, and supplements. Please advice.
Answered by Dr. Chitrangada Jitendra

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

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Hi,

Welcome to icliniq.com.

Please give your queries and concerns on pointwise. So that, I can answer them for you. I will point out the abnormalities present in the scan soon.

Patient's Query

Thank you doctor,

I would like to know whether there is anything abnormal or any signs of new potential lesions or tumors. This type of cancer is rare and unpredictable, hence recurrence can occur anywhere. Also, I am concerned about the perfusion curve showing descending plateau. On my previous MRI, perfusion curve showed ascending plateau. Is it a sign of malignancy? Could you please tell me what is called washout and what is ADC mean in this scan?

Answered by Dr. Chitrangada Jitendra

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I have gone through the attachment (attachment removed to protect patient identity).

The present MRI (magnetic resonance imaging) shows polypoidal mucosal thickening involving the bilateral maxillary sinuses, suggesting sinusitis. Left inferior turbinate hypertrophy is noted. Postoperative changes are seen in the anterior nasopharynx (probably post right uncinectomy). There is no mass lesion noted along with the operative bed to suggest recurrent or residual disease. There is no cervical lymphadenopathy or intracranial abnormality seen. The orbital structures appear normal bilaterally.

The imaging signs do not show a recurrence. Areas of restricted diffusion indicate solid tumors on MRI, and these lesions show a corresponding signal drop on ADC (apparent diffusion coefficient) maps or images. There is no such area seen along the operative bed in the MRI scan. Acutely ascending dynamic contrast curves indicate malignancy on MRI. However, the plateau or shouldering of the curves favors benign pathology.

I hope this helps.

Medically reviewed by iCliniq medical review team
Published At November 24, 2018
Reviewed At March 3, 2026

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Chitrangada Jitendra
Dr. Chitrangada Jitendra

Radiology

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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