Article
Endoscopic surgery as treatment modality for olfactory neuroblastoma
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Published: | April 4, 2012 |
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Outline
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Objective: To explore feasibility and therapeutic efficacy of transnasal endoscopic resection and craniofacial resection through an external approach for olfactory neuroblastoma(ONB).
Methods: Thirty patients (twenty men and ten women) ranging in age from 12–77 years with ONB treated between 1994 and 2008 were reviewed retrospectively. All thirty cases was determined by the Kadish clinical stage, three cases with stage A, ten cases with stage B and seventeen with stage C.
Results: The patients were followed up for 3–97 months, the median follow-up time was 31 month. Sixteen patients underwent endoscopic surgery,three patients treated by combined endoscope and transcranial surgery and eleven patients treated by craniofacial resection through an external approach. The 5-year overall survival rate and the 5-year disease free survival rate of patients with transnasal endoscopic resection were 70.1% and 54.9%; for patients with craniofacial resection through an external approach, rates were 61.4% and 30.3% respectively.
Conclusion: The endoscopic approach surgery appears to be the method of choice for removing Olfactory neuroblastoma tissue as with external approaches.