Olfactory Neuroblastoma: Past, Present, and Future?

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<jats:title>Abstract</jats:title><jats:p><jats:bold>Objective</jats:bold> To consider the long‐term survival and outcomes in patients with olfactory neuroblastoma undergoing craniofacial resection.</jats:p><jats:p><jats:bold>Study Design</jats:bold> A single‐center prospective cohort study.</jats:p><jats:p><jats:bold>Methods</jats:bold> All patients with olfactory neuroblastoma treated in a 23‐year period with craniofacial resection (with or without radiotherapy) were analyzed; a multivariate analysis was included.</jats:p><jats:p><jats:bold>Results</jats:bold> Forty‐two patients aged 12 to 70 years were assessed, 83% of whom had received no preceding treatment. Craniofacial resection was used in all cases, combined with radiotherapy in 24 patients (57%). Duration of follow‐up ranged from 2 to 206 months (mean follow‐up period, 57 mo). The disease‐free actuarial survival and overall survival were 77% and 61% at 5 years and 53% and 42% at 10 years, respectively. A Cox regression analysis identified intracranial extension and orbital involvement as independent factors affecting outcome.</jats:p><jats:p><jats:bold>Conclusion</jats:bold> Craniofacial resection combined with radiotherapy offers the gold standard of care against which other approaches such as endoscopic resection must be judged.</jats:p>

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