Esthesioneuroblastoma staging: Difference between revisions

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==Overview==
==Overview==
According to a staging system by Morita et al , there are four stages of esthesioneuroblastoma based upon the extent of the primary tumor and lymph node or distant metastases. In 1992, Dulguerov and Calceterra proposed a classification based on the tumor, node, metastasis (TNM) system, predicted on CT and MRI findings that can be identified before treatment.<ref name="pmid1260676">{{cite journal| author=Kadish S, Goodman M, Wang CC| title=Olfactory neuroblastoma. A clinical analysis of 17 cases. | journal=Cancer | year= 1976 | volume= 37 | issue= 3 | pages= 1571-6 | pmid=1260676 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1260676  }} </ref><ref name="pmid8492845">{{cite journal| author=Morita A, Ebersold MJ, Olsen KD, Foote RL, Lewis JE, Quast LM| title=Esthesioneuroblastoma: prognosis and management. | journal=Neurosurgery | year= 1993 | volume= 32 | issue= 5 | pages= 706-14; discussion 714-5 | pmid=8492845 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8492845  }} </ref>
<ref name="pmid1495347">{{cite journal| author=Dulguerov P, Calcaterra T| title=Esthesioneuroblastoma: the UCLA experience 1970-1990. | journal=Laryngoscope | year= 1992 | volume= 102 | issue= 8 | pages= 843-9 | pmid=1495347 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1495347  }} </ref>
==Staging==
==Staging==
{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align=center
*The most widely used approach is the Kadish clinical staging system. Kadish et al were the first to propose a staging classification for esthesioneuroblastoma (ENB). ENBs were divided into three categories: groups A, B, and C.
*Group A is limited to tumors of the nasal fossa
*Group B, extension is to the paranasal sinuses
*Group C is defined as extension beyond the paranasal sinuses and nasal cavity.<ref name="pmid1260676">{{cite journal| author=Kadish S, Goodman M, Wang CC| title=Olfactory neuroblastoma. A clinical analysis of 17 cases. | journal=Cancer | year= 1976 | volume= 37 | issue= 3 | pages= 1571-6 | pmid=1260676 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1260676  }} </ref><ref name="pmid8492845">{{cite journal| author=Morita A, Ebersold MJ, Olsen KD, Foote RL, Lewis JE, Quast LM| title=Esthesioneuroblastoma: prognosis and management. | journal=Neurosurgery | year= 1993 | volume= 32 | issue= 5 | pages= 706-14; discussion 714-5 | pmid=8492845 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8492845  }} </ref>
*In 1993, Morita et al published a revised Kadish system that redefined stage C (consisting of local disease spreading beyond the paranasal sinuses) and included a stage D (distant metastasis).<ref name="pmid8492845">{{cite journal| author=Morita A, Ebersold MJ, Olsen KD, Foote RL, Lewis JE, Quast LM| title=Esthesioneuroblastoma: prognosis and management. | journal=Neurosurgery | year= 1993 | volume= 32 | issue= 5 | pages= 706-14; discussion 714-5 | pmid=8492845 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8492845  }} </ref>
*In 1992, Dulguerov and Calceterra proposed a classification based on the tumor, node, metastasis (TNM) system, which is predicated on CT and MRI findings that can be identified before treatment.<ref name="pmid1495347">{{cite journal| author=Dulguerov P, Calcaterra T| title=Esthesioneuroblastoma: the UCLA experience 1970-1990. | journal=Laryngoscope | year= 1992 | volume= 102 | issue= 8 | pages= 843-9 | pmid=1495347 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1495347  }} </ref>{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align=center
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Revision as of 19:26, 26 January 2016

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

Overview

According to a staging system by Morita et al , there are four stages of esthesioneuroblastoma based upon the extent of the primary tumor and lymph node or distant metastases. In 1992, Dulguerov and Calceterra proposed a classification based on the tumor, node, metastasis (TNM) system, predicted on CT and MRI findings that can be identified before treatment.[1][2] [3]

Staging

  • The most widely used approach is the Kadish clinical staging system. Kadish et al were the first to propose a staging classification for esthesioneuroblastoma (ENB). ENBs were divided into three categories: groups A, B, and C.
  • Group A is limited to tumors of the nasal fossa
  • Group B, extension is to the paranasal sinuses
  • Group C is defined as extension beyond the paranasal sinuses and nasal cavity.[1][2]
  • In 1993, Morita et al published a revised Kadish system that redefined stage C (consisting of local disease spreading beyond the paranasal sinuses) and included a stage D (distant metastasis).[2]
  • In 1992, Dulguerov and Calceterra proposed a classification based on the tumor, node, metastasis (TNM) system, which is predicated on CT and MRI findings that can be identified before treatment.[3]{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align=center

|valign=top| |+ ! style="background: #4479BA; width: 200px;" | Group ! style="background: #4479BA; width: 400px;" | Features |- | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |

Group A

| style="padding: 5px 5px; background: #F5F5F5;" |

  • Tumor is limited to the nasal cavity

|- | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |

Group B

| style="padding: 5px 5px; background: #F5F5F5;" |

  • Tumor is limited to the nasal cavity and paranasal sinuses

|- | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |

Group C

| style="padding: 5px 5px; background: #F5F5F5;" |

  • Tumor extends beyond the nasal cavity and paranasal sinuses
    • Base of skull
    • Intracranial compartment
    • Orbit
    • Distant metastatic disease

|- | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |

Group D

| style="padding: 5px 5px; background: #F5F5F5;" |

  • Cervical nodal metastases

|- |}


T Classification Thickness
T1
 Tumor involvong the nasal cavity and/or paranasal sinuses (excluding sphenoid), sparing the most superior ethmoid cells
T2
 Tumor involving the nasal cavity and/or paranasal sinuses (including the sphenoid), with extention to or erosion of the cribiform plate
T3
 Tumor extending into the orbit or protruding into the anterior cranial fossa, without dural invasion
T4
 Tumor involving the brain
N Lymph Node Features
N0
 No cervical lymph node metastasis
N1
 Any form of cervical lymph node metastases
N Lymph Node Features
M0
 No metastasis
M1
 Distant Metastases

References

  1. ↑ 1.0 1.1 Kadish S, Goodman M, Wang CC (1976). "Olfactory neuroblastoma. A clinical analysis of 17 cases". Cancer. 37 (3): 1571–6. PMID 1260676.
  2. ↑ 2.0 2.1 2.2 Morita A, Ebersold MJ, Olsen KD, Foote RL, Lewis JE, Quast LM (1993). "Esthesioneuroblastoma: prognosis and management". Neurosurgery. 32 (5): 706–14, discussion 714-5. PMID 8492845.
  3. ↑ 3.0 3.1 Dulguerov P, Calcaterra T (1992). "Esthesioneuroblastoma: the UCLA experience 1970-1990". Laryngoscope. 102 (8): 843–9. PMID 1495347.

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