PMID- 27857871 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240326 IS - 2193-6331 (Print) IS - 2193-634X (Electronic) IS - 2193-634X (Linking) VI - 77 IP - 6 DP - 2016 Dec TI - Sinonasal Carcinomas with Neuroendocrine Features: Histopathological Differentiation and Treatment Outcomes. PG - 456-465 AB - Objectives Sinonasal cancers with neuroendocrine features share similar clinical, radiological, and histopathological features; however, these tumors often exhibit varying degrees of aggressive behavior presenting significant treatment challenges. The objective of this study was to report our experience with these rare malignancies and to present a review of current literature. Methods Following institutional review board approval, the records of all patients with biopsy-proven sinonasal malignancies over a 5-year period were reviewed. Results The study included 14 patients with olfactory neuroblastomas (ONBs), 7 patients with sinonasal undifferentiated carcinomas (SNUC), and 2 patients with sinonasal neuroendocrine carcinomas (SNEC). Histopathologic markers aided in final diagnosis, but showed variable specificity. In patients with sufficient follow-up, the 2-year disease-free survival rate was 81% (9/11) for ONB and 75% (3/4) for SNUC. Three patients developed a regional or distant recurrence (two with ONBs and one with SNUC). Two patients, one with SNEC and one with ONB, succumbed to brain radionecrosis related to proton radiation therapy. Conclusions Overlapping clinical and histopathological features in poorly differentiated sinonasal cancers with neuroendocrine features continue to present a diagnostic challenge. Individualized assessment and treatment strategies can improve the accuracy of the initial assessment and the treatment outcomes. FAU - Soldatova, Liuba AU - Soldatova L AD - Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States. FAU - Campbell, Raewyn G AU - Campbell RG AD - Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States. FAU - Carrau, Ricardo L AU - Carrau RL AD - Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States; Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States. FAU - Prevedello, Daniel M AU - Prevedello DM AD - Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States; Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States. FAU - Wakely, Paul Jr AU - Wakely P Jr AD - Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States. FAU - Otto, Bradley A AU - Otto BA AD - Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States; Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States. FAU - Filho, Leo F Ditzel AU - Filho LF AD - Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States. LA - eng PT - Journal Article DEP - 20160426 PL - Germany TA - J Neurol Surg B Skull Base JT - Journal of neurological surgery. Part B, Skull base JID - 101580780 PMC - PMC5112165 OTO - NOTNLM OT - esthesioneuroblastoma OT - olfactory neuroblastoma OT - sinonasal cancers of neuroectodermal origin OT - sinonasal cancers with neuroendocrine features OT - sinonasal carcinoid OT - sinonasal large cell cancer OT - sinonasal neuroendocrine carcinoma OT - sinonasal small cell cancer OT - sinonasal undifferentiated carcinoma EDAT- 2016/11/20 06:00 MHDA- 2016/11/20 06:01 PMCR- 2017/12/01 CRDT- 2016/11/19 06:00 PHST- 2016/01/29 00:00 [received] PHST- 2016/02/26 00:00 [accepted] PHST- 2016/11/19 06:00 [entrez] PHST- 2016/11/20 06:00 [pubmed] PHST- 2016/11/20 06:01 [medline] PHST- 2017/12/01 00:00 [pmc-release] AID - 160018 [pii] AID - 10.1055/s-0036-1582432 [doi] PST - ppublish SO - J Neurol Surg B Skull Base. 2016 Dec;77(6):456-465. doi: 10.1055/s-0036-1582432. Epub 2016 Apr 26.