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Is Increased Numbness In The Cheek Area After Treating Squamous Carcinoma With Perineural Invasion Indicative Of Recurrence Of Cancer?

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Posted on Wed, 21 Jun 2023
Question: head & neck squamous cell carcinoma with perineural invasion...6 weeks combined chemo & radiation after 2 mohs, left infraorbital nerve resection and tumor removal from tissue & bone on left cheek 2015-2018...nasal passages full of dark crusty mucous...c & r treatments ended mid-february...end of march heart attack/open heart quadruple bypass...

now noticing intense!y increased numbness over left cheek and cannot close left eye...do not feel hard tumor...more like a wave of nerves gone wrong...is spread of numbness indicative of cancer spread?
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Answered by Dr. Indranil Ghosh (33 minutes later)
Brief Answer:
Yes, the spread of numbness can signify the recurrence of cancer.

Detailed Answer:

Hi,

If cancer recurrence involves nerves, it can lead to numbness. Moreover, you can't close the left eye, which also indicates a nerve problem.

Hence, I would recommend a clinical examination by your oncologist followed by appropriate scanning like CT/MRI to detect if there is any recurrence or not.

Hope I have answered your query.

Regards,
Dr. Indranil Ghosh, Oncologist
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Above answer was peer-reviewed by : Dr. Prasad
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Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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Is Increased Numbness In The Cheek Area After Treating Squamous Carcinoma With Perineural Invasion Indicative Of Recurrence Of Cancer?

Brief Answer: Yes, the spread of numbness can signify the recurrence of cancer. Detailed Answer: Hi, If cancer recurrence involves nerves, it can lead to numbness. Moreover, you can't close the left eye, which also indicates a nerve problem. Hence, I would recommend a clinical examination by your oncologist followed by appropriate scanning like CT/MRI to detect if there is any recurrence or not. Hope I have answered your query. Regards, Dr. Indranil Ghosh, Oncologist