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Esthesioneuroblastoma presenting as tooth pain
Parvathi Devi1, Radhika Bhavle2, Avanti Aggarwal3
1Department of Oral Medicine and Radiology, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India.
Journal of Oral and Maxillofacial Pathology : JOMFP
|November 4, 2014
Summary
Esthesioneuroblastoma, a rare nasal tumor, can spread to the brain. This case highlights an unusual presentation of tooth pain as the primary symptom of olfactory neuroblastoma.
Area of Science:
- Oncology
- Otorhinolaryngology
- Neurology
Background:
- Esthesioneuroblastoma (olfactory neuroblastoma) is a rare malignancy arising from the olfactory epithelium in the nasal cavity.
- It can extend intracranially and is associated with secondary sinus diseases.
- Potential lethal outcomes include distant metastasis or invasion leading to meningitis.
Observation:
- The tumor typically presents with nasal obstruction and epistaxis.
- Less common symptoms include anosmia, headache, and facial pain.
- A 50-year-old female patient presented with tooth pain as the initial symptom.
Findings:
- This case demonstrates an atypical initial presentation of esthesioneuroblastoma.
- Tooth pain, not a typical symptom, was the chief complaint.
- The diagnosis of olfactory neuroblastoma was established despite the unusual symptom.
Implications:
- Highlights the importance of considering rare diagnoses in atypical presentations.
- Emphasizes the need for thorough evaluation of seemingly unrelated symptoms.
- Broadens the understanding of esthesioneuroblastoma's varied clinical manifestations.
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