Yumusakhuylu Ali Cemal, Binnetoglu Adem, Topuz Muhammet Fatih, Bozkurtlar Emine Baş, Baglam Tekin, Sari Murat
From the Departments of *Otorhinolaryngology-Head and Neck Surgery, and †Pathology, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey.
J Craniofac Surg. 2013 Nov;24(6):2189-93. doi: 10.1097/SCS.0b013e3182a41c52.
This study reports a patient having olfactory neuroblastoma complicated by syndrome of inappropriate antidiuretic hormone secretion. Olfactory neuroblastoma is a rare tumor that begins in the olfactory membrane. Only 10 cases have been reported previously. Because of having nonspecific symptoms, most patients manifest at an advanced stage at the time of diagnosis. Olfactory neuroblastoma may show local invasion and/or distant metastasis. We demonstrated preoperatively clinical and biochemical parameters consistent with antidiuretic hormone syndrome turned to normal ranges after the treatment. Surgery, chemotherapy, and radiotherapy are the choices of treatment; among these, surgery is an indispensible treatment.
本研究报告了一例患有嗅神经母细胞瘤并伴有抗利尿激素分泌异常综合征的患者。嗅神经母细胞瘤是一种起源于嗅膜的罕见肿瘤。此前仅报道过10例。由于症状不具特异性,大多数患者在诊断时已处于晚期。嗅神经母细胞瘤可能会出现局部侵袭和/或远处转移。我们证明,术前与抗利尿激素综合征相符的临床和生化参数在治疗后恢复到正常范围。手术、化疗和放疗是治疗的选择;其中,手术是必不可少的治疗方法。