Jan 06, 2013 - 11:30 am
I'm 35 years old man with nasopharyngeal carcinoma. I just finish my treatment,35 radiation and 5 chemo+5 FU. I just receive my MRI report and it is very confusing,looks like there is some cancer cell left or other part of my left side of my nose. Now i have no idea what will be next since i finish the regular treatment! there is anyone here who took any different type of treatment? or anyone can explain me in summary my mri report?? it will be a big help,,
i have an appointement next week with the surgeon,,,,to remove the the lymphnode???? i no idea....
this is my MRI report,Thanks
There has been interval improvement in disease involvement of the the nasopharyngeal mucosa with persisting signal abnormality in the basisphenoid and mild thickening of nasopharyngeal tissues. There is however,now T2
Hypointense tissue extending along the left aspect of the nasal septum and abnormal soft tissue extends interiorly along the medial wall of the nasal cavity and the inner aspect of the left nasal bone to reach the anterior aspect of the left nasolacrimal duct. There is also suspected extent of the disease along the mucosa of the middle and anterior ethmoid air cells. Findings are most suspicious for direct tumoural invasion, likely from disease spread from mucosa of the rostrum of the sphenoid bone to the posterior nasal septum.
The previously noted retropharyngeal and level 2 and 3 lymphadenopathy has significantly decreased in size. The previously enlarged retropharyngeal lymph nodes measure 1.5m on the right and 1.3 cm on the left (prior 2.5 and 2.3 cm respectively). They are T2 hypointense on today’s study. The more inferiorly situated retropharyngeal lymph nodes that measure 9 mm on the right and 11 mm on the left have remained stable in size. There is a persistently enlarged 12 mm left level 2b node (prior 19 mm)
Impression: Interval decrease in prominence of nasopharyngeal soft tissues, with interval significant decrease of bilateral level 2 and 3 and retropharyngeal lymphadenopathy.
There is suspicion for local disease spread to the nasal cavity along the nasal septum, involving the left middle and inferior turbinates extending to the anterior aspect of the left nasolacrimal duct.