Sinonasal neuroendocrine carcinoma in association with SIADH

Head Neck. 2004 Jan;26(1):89-93. doi: 10.1002/hed.10345.

Abstract

Background: Neuroendocrine carcinoma (NEC) is a rare malignancy of the nasal cavity or paranasal sinuses. The syndrome of inappropriate ADH secretion (SIADH) has not been previously reported in association with this cancer.

Methods: We report a 30-year-old woman with histologically confirmed neuroendocrine carcinoma who also demonstrated SIADH. After successful chemotherapy and radiotherapy treatment for the neoplasm, her SIADH resolved. A literature search found eight cases of olfactory neuroblastoma (ONB) associated with SIADH, four of which resolved after treatment of the malignancy.

Results: Treatment of the underlying malignancy resulted in the immediate resolution of the SIADH.

Conclusions: We report the first case of SIADH associated with NEC, which resolved after treatment of the cancer. A direct cause and effect between ONB/nasal NEC and SIADH has been established in previous reports.

MeSH terms

  • Adult
  • Carcinoma, Neuroendocrine / complications*
  • Carcinoma, Neuroendocrine / therapy
  • Female
  • Humans
  • Inappropriate ADH Syndrome / complications*
  • Inappropriate ADH Syndrome / therapy
  • Nasal Cavity*
  • Nose Neoplasms / complications*
  • Nose Neoplasms / therapy