What is the chance of recurrence of myoepithelial carcinoma?

Question

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.

Answer 1

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.

Answer 2

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.