Skip to main content

Advertisement

Log in

Olfactory Neuroblastoma

  • Head and Neck Pre-Meeting of the 22nd European Congress of Pathology
  • Published:
Head and Neck Pathology Aims and scope Submit manuscript

Abstract

Few neoplasms are unique to the sinonasal tract, but sinonasal undifferentiated carcinoma and olfactory neuroblastoma are malignant tumors which require unique management. Due to the rarity of these tumors, practicing pathologists are not always aware of their distinctive clinical, radiographic, histologic, immunohistochemical, and molecular features. These cases are frequently submitted for consultation, further suggesting the diagnostic difficulties inherent to these tumors. Specifically, olfactory neuroblastoma is a neoplasm that can histologically mimic many tumors within the sinonasal tract, making recognition of this tumor important, as the management frequently requires a bicranial-facial surgical approach, a trephination procedure which can be quite technically difficult and challenging to achieve a good result. The management is therefore quite unique in comparison to other sinonasal tract malignancies, setting it apart diagnostically and managerially from other lesions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

References

  1. Agani P, Perez-Ordonez Xiao H, Caruana SM, Huvos AG, Landanyi M. Olfactory neuroblastoma is not related to the Ewing family of tumors. Absence of EWS/FLI1 gene fusion and MIC2 expression. Am J Surg Pathol. 1998;22:391–8.

    Article  Google Scholar 

  2. Arnasen MA, Scheithauer BW, Freeman S. Cushing’s syndrome secondary to olfactory neuroblastoma. Ultrastruct Pathol. 1994;18:61–8.

    Article  Google Scholar 

  3. Broich G, Pagliari A, Ottaviani F. Esthesioneuroblastoma: A general review of the cases published since the discovery of the tumour in 1924. Anticanc Res. 1997;17:2683–706.

    CAS  Google Scholar 

  4. Casiano RR, Numa WA, Falquez AM. Endoscopic resection of esthesioneuroblastoma. Am J Rhinol. 2001;15:271–9.

    PubMed  CAS  Google Scholar 

  5. Chamberlain MC. Treatment of intracranial metastatic esthesioneuroblastoma. Cancer. 2002;95:243–8.

    Article  PubMed  Google Scholar 

  6. Devaney K, Wenig BM, Abbondanzo SL. Olfactory neuroblastoma and other round cell lesions of the sinonasal tract. Mod Pathol. 1996;9:658–63.

    PubMed  CAS  Google Scholar 

  7. Devoe K, Weidner N. Immunohistochemistry of small round-cell tumors. Semin Diagn Pathol. 2000;17:216–24.

    PubMed  CAS  Google Scholar 

  8. Dulguerov P, Allal AS, Calcaterra TC. Esthesioneuroblastoma: a metaanalysis and review. Lancet Oncol. 2001;2:683–90.

    Article  PubMed  CAS  Google Scholar 

  9. Dulguerov P, Calcterra T. Esthesioneuroblastoma: The UCLA experience 1970–1990. Laryngoscope. 1992;102:843–9.

    Article  PubMed  CAS  Google Scholar 

  10. Frierson HF Jr, Ross GW, Mills SE, Frankfurter A. Olfactory neuroblastoma. Additional immunohistochemical characterization. Am J Clin Pathol. 1990;94:547–53.

    Google Scholar 

  11. Hirose T, Scheithauer BW, Lopes BS, et al. Olfactory neuroblastoma. An immunohistochemical, ultrastructural, and flow cytometric study. Cancer. 1995;76:4–19.

    CAS  Google Scholar 

  12. Hyams VJ, Batsakis JG, Michaels L. Tumors of the upper respiratory tract and ear. Armed Forces Institute of Pathology Fascicles, 2nd series. Washington: American Registry of Pathology Press; 1988.

    Google Scholar 

  13. Hyams VJ. Olfactory neuroblastoma (case 6). In: Batsakis JG, Hyams VJ, Morales AR, editors. Special tumors of the head and neck. Chicago: ASCP Press; 1982. p. 24–9.

    Google Scholar 

  14. Ingeholm P, Theilgaard SA, Buchwald C, Hansen HS, Francis D. Esthesioneuroblastoma: a Danish clinicopathological study of 40 consecutive cases. APMIS. 2002;110(9):639–45.

    Article  PubMed  Google Scholar 

  15. Kadish S, Goodman M, Wang CC. Olfactory neuroblastoma. A clinical analysis of 17 cases. Cancer. 1976;37:1571–6.

    Article  PubMed  CAS  Google Scholar 

  16. Levine PA, Gallagher R, Cantrell RW. Esthesioneuroblastoma: Reflections of a 21-year experience. Laryngoscope. 1999;109:1539–43.

    Article  PubMed  CAS  Google Scholar 

  17. Lund VJ, Howard D, Wei W, Spittle M. Olfactory neuroblastoma: past, present, and future? Laryngoscope. 2003;113:502–7.

    Article  PubMed  Google Scholar 

  18. McElroy EA Jr, Buckner JC, Lewis JE. Chemotherapy for advanced esthesioneuroblastoma: The Mayo Clinic experience. Neurosurgery. 1998;42:1023–8.

    Article  PubMed  Google Scholar 

  19. Meis-Kindblom JM, Stenman G, Kindblom L-G. Differential diagnosis of small round cell tumors. Semin Diagn Pathol. 1996;13:213–41.

    PubMed  CAS  Google Scholar 

  20. Mills SE, Fechner RE. “Undifferentiated” neoplasms of the sinonasal region: Differential diagnosis based on clinical, light microscopic, immunohistochemical, and ultrastructural features. Semin Diagn Pathol. 1989;6:316–28.

    PubMed  CAS  Google Scholar 

  21. Myers SL, Hardy DA, Wiebe CB, Shiffman J. Olfactory neuroblastoma invading the oral cavity in a patient with inappropriate antidiuretic hormone secretion. Oral Surg Oral Med Oral Pathol. 1994;77:645–50.

    Article  PubMed  CAS  Google Scholar 

  22. Papadaki H, Kounelis S, Kapadia SB, Bakker A, Swalsky PA, Finkelstein SD. Relationship of p53 gene alterations with tumor progression and recurrence in olfactory neuroblastoma. Am J Surg Pathol. 1996;20:715–21.

    Article  PubMed  CAS  Google Scholar 

  23. Riazimand SH, Brieger J, Jacob R, Welkobarsky H-J, Mann WJ. Analysis of cytogenetic aberrations in esthesioneuroblastomas by comparative genomic hybridization. Cancer Genet Cytogenet. 2002;136:53–7.

    Article  PubMed  CAS  Google Scholar 

  24. Rinaldo A, Ferlito A, Shaha AR, Wei WI, Lund VJ. Esthesioneuroblastoma and cervical lymph node metastases: Clinical and therapeutic implications. Acta Otolaryngol. 2002;122:215–21.

    Article  PubMed  Google Scholar 

  25. Simon JH, Zhen W, McCulloch TM, et al. Esthesioneuroblastoma: The University of Iowa experience 1978–1998. Laryngoscope. 2001;111:488–93.

    Article  PubMed  CAS  Google Scholar 

  26. Szymos J, Wolf G, Kowalczyk D, Nowak S, Petersen I. Olfactory neuroblastoma: detection of genomic imbalances by comparative genomic hybridization. Acta Neurochir. 1997;139:839–44.

    Article  Google Scholar 

  27. Taxy JB, Hidvegi DF. Olfactory neuroblastoma. An ultrastructural study. Cancer. 1977;39:131–8.

    CAS  Google Scholar 

  28. Wenig BM, Dulguerov P, Kapadia SB, Prasad ML, Fanburg-Smith JC, Thompson LDR. Tumours of the nasal cavity and paranasal sinuses: Neuroectodermal tumours. In: Barnes EL, Eveson JW, Reichart P, Sidransky D, editors. Pathology and genetics of head and neck tumours. Kleihues P, Sobin LH, series editors. World Health Organization Classification of Tumours. IARC Press: Lyon, France; 2005. p. 65–75.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lester D. R. Thompson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Thompson, L.D.R. Olfactory Neuroblastoma. Head and Neck Pathol 3, 252–259 (2009). https://doi.org/10.1007/s12105-009-0125-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12105-009-0125-2

Keywords

Navigation