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Esthesioneuroblastoma

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Overview

Esthesioneuroblastoma, also known as olfactory neuroblastoma, is a rare type of cancer originating in the nasal cavity's upper part. It primarily affects adults aged 50 to 60 but can occur at any age. Initially developing as a nasal tumor, it may extend into the sinuses, eyes, and even the brain, with potential metastasis to other body parts.

 

Types of Esthesioneuroblastoma

 

1.Hyams Grading System: This classification system categorizes esthesioneuroblastoma into low-grade, intermediate-grade, and high-grade based on tumor characteristics and behavior.

2.Kadish System: Classifies tumors based on their location and extent, dividing them into stages A, B, C, and D.

 

Causes of Esthesioneuroblastoma

 

  • Genetic Mutations: Mutations in certain genes may contribute to the development of esthesioneuroblastoma.
  • Environmental Factors: Exposure to certain industrial chemicals or dust particles may increase the risk of developing this cancer.

 

Risk Factors of Esthesioneuroblastoma

 

  • Age: Most commonly diagnosed in adults aged 50-60.
  • Gender: Slightly more prevalent in males than females.
  • Occupational Exposure: Working in industries with exposure to certain chemicals or dust.

 

Symptoms of Esthesioneuroblastoma

1. Nasal Obstruction: Persistent blockage or congestion in one nostril.
2. Epistaxis: Recurrent nosebleeds, often unilateral.
3. Loss of Smell: Decreased or complete loss of the sense of smell (anosmia).
4. Facial Pain and Pressure: Pain or pressure around the eyes or face.
5. Proptosis: Bulging of the eye(s) due to tumor extension.

Preventions of Esthesioneuroblastoma

 

  • Avoidance of Risk Factors: Minimize exposure to environmental pollutants or occupational hazards.
  • Regular Check-ups: Routine medical examinations may aid in early detection.

 

Diagnosis of Esthesioneuroblastoma

 

  • Imaging Studies: CT scans and MRI to visualize tumor size and extent.
  • Biopsy: Tissue sample analysis to confirm cancerous cells and grade.
  • Endoscopic Examination: Direct visualization of nasal and sinus cavities using a thin, flexible tube.

 

Treatment for Esthesioneuroblastoma

 

1.Surgery: Complete resection of the tumor to achieve disease control.

2.Radiation Therapy: Adjuvant therapy to target residual cancer cells post-surgery.

3.Chemotherapy: Systemic treatment for advanced or metastatic cases.

4.Targeted Therapy: Molecularly targeted drugs to inhibit specific cancer-related pathways.

 

When to seek medical attention ?

 

  • Persistent Symptoms: Consult a doctor if experiencing persistent nasal congestion, nosebleeds, or loss of smell.
  • Unexplained Pain: Seek medical advice for unexplained facial pain or pressure around the eyes.
  • Vision Changes: Any sudden vision changes or eye bulging should prompt immediate evaluation.

 

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