Mixed olfactory neuroblastoma and neuroendocrine carcinoma: An unusual case report and literature review

Author:

Lao Wilson P.1,Thompson Jordan M.1,Evans Lauran2,Kim Yohanan3,Denham Laura4,Lee Steve C.3

Affiliation:

1. Loma Linda University School of Medicine, Loma Linda University Medical Center, California, USA.

2. University of Nevada, Reno School of Medicine, Reno, Nevada, USA.

3. Department of Otolaryngology–Head and Neck Surgery, Loma Linda University Medical Center, California, USA.

4. Department of Pathology, Loma Linda University Medical Center, Loma Linda, California, USA.

Abstract

Background: The aim of the study was to present a case of mixed olfactory neuroblastoma (ONB) and carcinoma, an extremely rare tumor with only a few cases in the published literature. Case Description: An otherwise healthy 27-year-old male presented with sinus complaints, headache, and unilateral eye discharge. Imaging and endoscopy revealed a mass presumed to represent a juvenile nasopharyngeal angiofibroma. Unexpectedly, the final pathology report revealed high grade mixed ONB and carcinoma. This tumor is the sixth and youngest documented patient with mixed ONB and carcinoma. Conclusion: Physicians should remain vigilant for the possibility of malignancy in their approach to nasal cavity masses, even in young otherwise healthy patients. Careful review of the immunohistopathology should also be taken, as mixed olfactory tumors such as these are aggressive, rare entities that require multidisciplinary oncologic care.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

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