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Olfactory Neuroblastoma Is Not Always Located at the Roof of the Nasal Cavity Cover

Olfactory Neuroblastoma Is Not Always Located at the Roof of the Nasal Cavity

Open Access
|Apr 2024

Figures & Tables

Table 1

Demographic data and presenting symptoms of patients with olfactory neuroblastoma

NO. (%)
Number of patients58 (100)
Age range
Mean age (SD) (yr)
23–84
50.61 (±15.6)
Sex
 Male
 Female

35 (60.3)
23 (39.7)
Imaging studies
 CT
 MRI

50
36
Presenting symptoms
Nasal obstruction
Epistaxis
Anosmia
Rhinorrhea
Proptosis
Eye pain

25 (43.1)
19 (32.8)
   5 (8.6)
   4 (6.9)
   2 (3.4)
   3 (5.2)
Table 2

Location, epicenter, and extension of olfactory neuroblastoma

LOCATION AND EXTENSIONNO. (%)
Side (nasal cavity)
Right
Left
Both
Midline

27 (46.6)
27 (46.6)
   3 (5.2)
   1 (1.7)
Epicenter
 Superior
 Other
 – Middle
 – Sphenoid sinus invade sella turcica

50 (86.2)
   8 (13.8)
   7 (12.1)
   1 (1.7)
Extension
Frontal sinus
Ethmoid sinus
Maxillary sinus
Sphenoid sinus
Intra-orbit
Intra-cranium

34 (58.6)
50 (86.2)
24 (41.4)
30 (51.7)
26 (44.8)
44 (75.9)
jbsr-108-1-3562-g1.jpg
Figure 1

Typical location of olfactory neuroblastoma (ONB), shown in a 70-year-old woman presenting with anosmia. Contrast-enhanced computed tomography (CT) images showed ONB at the superior part of both nasal cavities with bilateral ethmoid sinuses and intracranial extension (A-B). Brain CT performed 4 years prior due to headache (C-D) showed soft tissue in the slightly expanded left olfactory recess, most likely representing a small ONB that went unrecognized at that time.

jbsr-108-1-3562-g2.jpg
Figure 2

Atypical location of olfactory neuroblastoma in a 36-year-old woman presenting with nasal obstruction for 6 months. Contrast-enhanced T1-weighted imaging with fat suppression (A-B) and contrast-enhanced computed tomography (C-D) showed an enhanced mass with an epicenter at the middle part of left nasal cavity.

jbsr-108-1-3562-g3.jpg
Figure 3

Atypical location of olfactory neuroblastoma in a 63-year-old woman presenting with epistaxis for 5 days. Contrast-enhanced T1-weighted imaging with fat suppression (A-C) and contrast-enhanced computed tomography (D-F) showed an enhanced mass within both sphenoid sinuses, slightly invading the sellar turcica.

DOI: https://doi.org/10.5334/jbsr.3562 | Journal eISSN: 2514-8281
Language: English
Submitted on: Mar 1, 2024
Accepted on: Mar 22, 2024
Published on: Apr 12, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Pornrujee Hirunpat, Theeraphol Panyaping, Siriporn Hirunpat, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.