Esthesioneuroblastoma history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

Symptoms of esthesioneuroblastoma include nasal obstruction, epistaxis, ear pain, otitis media, hyposmia, nasal discharge, facial pain, changes in vision, lacrimation, facial numbness, and anosmia.^[1]^[2]^[3]^[4]^[5]

The presenting symptoms of esthesioneuroblastoma depend on the location and extent of the tumor.
The most common symptoms are nasal bleeding, unilateral nasal obstruction, headaches, decreased sense of smell, and facial pain.


Location	Features

Nasal	Epistaxis Unilateral nasal obstruction Headaches Hyposmia Facial pain
Orbital extention	Proptosis Diplopia Decreased visual acuity
Intracranial extention	Altered mental status Nausea Vomiting Headaches Seizures Coma and death
Obstruction of the eustachian tube	Ear pain Serous otitis media
Oral	Mobile tooth Non-healing tooth extraction site Ill-fitting dental prosthesis Ulceration

↑ Ward PD, Heth JA, Thompson BG, Marentette LJ (2009). “Esthesioneuroblastoma: Results and Outcomes of a Single Institution’s Experience”. Skull Base. 19 (2): 133–40. doi:10.1055/s-0028-1096195. PMC 2671304. PMID 19721769.
↑ Koo BK, An JH, Jeon KH, Choi SH, Cho YM, Jang HC; et al. (2008). “Two cases of ectopic adrenocorticotropic hormone syndrome with olfactory neuroblastoma and literature review”. Endocr J. 55 (3): 469–75. PMID 18469486.
↑ Sharma S, Lasheen W, Walsh D (2008). “Paraneoplastic refractory hypercalcemia due to advanced metastatic esthesioneuroblastoma”. Rhinology. 46 (2): 153–5. PMID 18575019.
↑ Gabbay U, Leider-Trejo L, Marshak G, Gabbay M, Fliss DM (2013). “A case and a series of published cases of esthesioneuroblastoma (ENB) in which long-standing paraneoplastic SIADH had preceded ENB diagnosis”. Ear Nose Throat J. 92 (10–11): E6. PMID 24170477.
↑ Kunc M, Gabrych A, Czapiewski P, Sworczak K (2015). “Paraneoplastic syndromes in olfactory neuroblastoma”. Contemp Oncol (Pozn). 19 (1): 6–16. doi:10.5114/wo.2015.46283. PMC 4507891. PMID 26199564.