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Esthesioneuroblastoma: endonasal endoscopic treatment
Paolo G Castelnuovo1, Giovanni Delù, Federica Sberze
1Department of Otorhinolaryngology, University of Insubria, Azienda Ospedaliera-Universitaria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.
Objectives:
To illustrate endoscopic techniques used in the treatment of esthesioneuroblastoma and to advocate this method of management followed by radiation therapy in selected cases.
Methods:
A retrospective case series of 10 patients with esthesioneuroblastomas treated between 1999 and 2004 at a tertiary referral center using endonasal techniques.
Results:
Mean age of patients at presentation was 56.2 years (median 57 years). Seven patients were female and 3 patients were male. Kadish staging at presentation was: A - 3 patients, B - 5 patients, C - 2 patients. Dulguerov stage at presentation was: T1 - 4 patients, T2 - 4 patients, T3 - 2 patients. The period of follow-up ranged from 11 months to 74 months (mean 38.1 months, median 39 months). To date no recurrence has developed in any patient.
Conclusions:
Our experience suggests that endoscopic surgery can be an effective method of management. Strict attention to selection criteria, careful surgical techniques, and regular follow-up are key elements for success.
