Radiation-induced olfactory neuroblastoma: a new etiology is possible

Oral Maxillofac Surg. 2011 Jun;15(2):71-7. doi: 10.1007/s10006-010-0234-9. Epub 2010 May 29.

Abstract

Purpose: Radiation-induced olfactory neuroblastoma (ONB) is an uncommon neoplasm that is generally associated with a poor prognosis. We describe a new case of olfactory neuroblastoma in a patient previously treated for astrocytoma with holocranial radiotherapy 9 years ago.

Materials and methods: We reviewed the medical records of four patients with radiation-induced olfactory neuroblastoma between 2001 and 2009.

Results: This work supports the idea that ONB can be induced by radiation.

Conclusions: As radiotherapy is a standard treatment in other tumors, clinicians must be aware of the possibility of a second tumor induced by radiation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Astrocytoma / radiotherapy*
  • Brain Neoplasms / radiotherapy*
  • Cobalt Radioisotopes / adverse effects*
  • Combined Modality Therapy
  • Cranial Irradiation / adverse effects*
  • Esthesioneuroblastoma, Olfactory / diagnosis
  • Esthesioneuroblastoma, Olfactory / etiology*
  • Esthesioneuroblastoma, Olfactory / radiotherapy
  • Esthesioneuroblastoma, Olfactory / surgery
  • Female
  • Frontal Lobe*
  • Humans
  • Image Processing, Computer-Assisted
  • Magnetic Resonance Imaging
  • Nasal Cavity*
  • Neoplasms, Second Primary / diagnosis
  • Neoplasms, Second Primary / etiology*
  • Neoplasms, Second Primary / radiotherapy
  • Neoplasms, Second Primary / surgery
  • Nose Neoplasms / diagnosis
  • Nose Neoplasms / etiology*
  • Nose Neoplasms / radiotherapy
  • Nose Neoplasms / surgery
  • Paranasal Sinus Neoplasms / diagnosis
  • Paranasal Sinus Neoplasms / etiology*
  • Paranasal Sinus Neoplasms / radiotherapy
  • Paranasal Sinus Neoplasms / surgery
  • Radioisotope Teletherapy / adverse effects*
  • Radiotherapy Planning, Computer-Assisted
  • Radiotherapy, Adjuvant

Substances

  • Cobalt Radioisotopes