Esthesioneuroblastoma

Case contributed by Dr Prashant Gupta

Presentation

nasal blockage on left side

Patient Data

Age: 20 years
Gender: Male
MRI

there is a large left sided nasal mass involving both ethmoid sinuses and left maxillary sinus.

there is destruction of the cribriform plate with intracranial component that displays peripheral cysts

the tumor is not seen seperately from the grey matter suggesting invasion.

Case Discussion

esthesioneuroblastoma or olfactory neuroblastoma is a tumor arising  from neural crest cells in superior nasal cavity

bimodal age distribution in second and sixth decade

detecting invasion of neuroparenhcyma is important as it decides surgical approach.

this case was biopsy proven

histopathology reveals multiple flexer wintersteiner rosettes, higher number of rosettes suggest a more well differentiated tumor.

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Case information

rID: 18146
Case created: 13th Jun 2012
Last edited: 18th Feb 2017
Inclusion in quiz mode: Included

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