Youssef Stephanie J, Farrell Nyssa Fox
Department of Otolaryngology-Head and Neck Surgery, Washington University in St Louis, St Louis, Missouri, United States.
J Neurol Surg Rep. 2023 Aug 4;84(3):e85-e86. doi: 10.1055/s-0043-1770965. eCollection 2023 Jul.
Esthesioneuroblastoma is a rare sinonasal malignancy that arises from the olfactory epithelium. The overall incidence of lymph node metastases is 25%. However, neck disease can present in a delayed fashion. As such, management of the clinically negative neck is controversial, with some advocating for elective neck treatment and others recommending observation with salvage treatment if necessary. At this time, no prospective head-to-head comparisons of elective versus salvage treatment have been performed.
嗅神经母细胞瘤是一种罕见的鼻窦恶性肿瘤，起源于嗅上皮。淋巴结转移的总体发生率为25%。然而，颈部疾病可能会延迟出现。因此，对于临床上颈部阴性的处理存在争议，一些人主张进行选择性颈部治疗，而另一些人则建议必要时进行观察并采取挽救性治疗。目前，尚未对选择性治疗与挽救性治疗进行前瞻性的直接比较。
