Skip to main content
Top
Published in: Head & Neck Oncology 1/2011

Open Access 01-12-2011 | Research

Sinonasal neuroendocrine carcinoma: impact of differentiation status on response and outcome

Authors: Anna Likhacheva, David I Rosenthal, Ehab Hanna, Michael Kupferman, Franco DeMonte, Adel K El-Naggar

Published in: Head & Neck Oncology | Issue 1/2011

Login to get access

Abstract

Background

The impact of tumor differentiation on the behavior and response of sinonasal neuroendocrine carcinoma is unknown.

Methods

We performed a retrospective review of the patients treated for neuroendocrine carcinoma (NEC) of the nasal cavity or paranasal sinuses from 1992 to 2008 at MDACC.

Results

The results of our study suggest that pathologic differentiation may not be a critical factor in the clinical management of patients with NEC of the sinonasal tract. This is in contrast to laryngeal and lung NEC for which pathological differentiation has traditionally guided clinical management.

Conclusion

Mutlimodality approach should be the cornerstone of treating sinonasal NEC regardless of their differentiation. Specifically, RT may provide durable local control for patients with moderately differentiated NEC if resection is not feasible or desirable, while surgical resection can benefit patients with chemo-resistant or radio-resistant disease.
Appendix
Available only for authorised users
Literature
1.
go back to reference Barker JL, Glisson BS, Garden AS, El-Naggar AK, Morrison WH, Ang KK, Chao KS, Clayman G, Rosenthal DI: Management of nonsinonasal neuroendocrine carcinomas of the head and neck. Cancer. 2003, 98: 2322-2328. 10.1002/cncr.11795.CrossRefPubMed Barker JL, Glisson BS, Garden AS, El-Naggar AK, Morrison WH, Ang KK, Chao KS, Clayman G, Rosenthal DI: Management of nonsinonasal neuroendocrine carcinomas of the head and neck. Cancer. 2003, 98: 2322-2328. 10.1002/cncr.11795.CrossRefPubMed
2.
go back to reference Ferlito A, Silver CE, Bradford CR, Rinaldo A: Neuroendocrine neoplasms of the larynx: An overview. Head Neck. 2009, 31: 1634-1646. 10.1002/hed.21162.CrossRefPubMed Ferlito A, Silver CE, Bradford CR, Rinaldo A: Neuroendocrine neoplasms of the larynx: An overview. Head Neck. 2009, 31: 1634-1646. 10.1002/hed.21162.CrossRefPubMed
3.
go back to reference Moran CA, Suster S: Neuroendocrine carcinomas (carcinoid, atypical carcinoid, small cell carcinoma, and large cell neuroendocrine carcinoma): current concepts. Hematol Oncol Clin North Am. 2007, 21: 395-407. 10.1016/j.hoc.2007.04.011.CrossRefPubMed Moran CA, Suster S: Neuroendocrine carcinomas (carcinoid, atypical carcinoid, small cell carcinoma, and large cell neuroendocrine carcinoma): current concepts. Hematol Oncol Clin North Am. 2007, 21: 395-407. 10.1016/j.hoc.2007.04.011.CrossRefPubMed
4.
go back to reference Travis WD, Rush W, Flieder DB, Falk R, Fleming MV, Gal AA, Koss MN: Survival analysis of 200 pulmonary neuroendocrine tumors with clarification of criteria for atypical carcinoid and its separation from typical carcinoid. Am J Surg Pathol. 1998, 22: 934-944. 10.1097/00000478-199808000-00003.CrossRefPubMed Travis WD, Rush W, Flieder DB, Falk R, Fleming MV, Gal AA, Koss MN: Survival analysis of 200 pulmonary neuroendocrine tumors with clarification of criteria for atypical carcinoid and its separation from typical carcinoid. Am J Surg Pathol. 1998, 22: 934-944. 10.1097/00000478-199808000-00003.CrossRefPubMed
5.
go back to reference Mills SE: Neuroectodermal neoplasms of the head and neck with emphasis on neuroendocrine carcinomas. Mod Pathol. 2002, 15: 264-278. 10.1038/modpathol.3880522.CrossRefPubMed Mills SE: Neuroectodermal neoplasms of the head and neck with emphasis on neuroendocrine carcinomas. Mod Pathol. 2002, 15: 264-278. 10.1038/modpathol.3880522.CrossRefPubMed
6.
go back to reference Ferlito A, Devaney KO, Rinaldo A: Neuroendocrine neoplasms of the larynx: advances in identification, understanding, and management. Oral Oncol. 2006, 42: 770-788. 10.1016/j.oraloncology.2006.01.002.CrossRefPubMed Ferlito A, Devaney KO, Rinaldo A: Neuroendocrine neoplasms of the larynx: advances in identification, understanding, and management. Oral Oncol. 2006, 42: 770-788. 10.1016/j.oraloncology.2006.01.002.CrossRefPubMed
7.
go back to reference Ebihara Y, Watanabe K, Fujishiro Y, Nakao K, Yoshimoto S, Kawabata K, Asakage T: Carcinoid tumor of the larynx: clinical analysis of 33 cases in Japan. Acta Otolaryngol Suppl. 2007, 559: 145-150.CrossRefPubMed Ebihara Y, Watanabe K, Fujishiro Y, Nakao K, Yoshimoto S, Kawabata K, Asakage T: Carcinoid tumor of the larynx: clinical analysis of 33 cases in Japan. Acta Otolaryngol Suppl. 2007, 559: 145-150.CrossRefPubMed
8.
go back to reference Chung EJ, Baek SK, Kwon SY, Woo JS, Jung KY: Moderately differentiated neuroendocrine carcinoma of the larynx. Clin Exp Otorhinolaryngol. 2008, 1: 217-220. 10.3342/ceo.2008.1.4.217.PubMedCentralCrossRefPubMed Chung EJ, Baek SK, Kwon SY, Woo JS, Jung KY: Moderately differentiated neuroendocrine carcinoma of the larynx. Clin Exp Otorhinolaryngol. 2008, 1: 217-220. 10.3342/ceo.2008.1.4.217.PubMedCentralCrossRefPubMed
9.
go back to reference Arroyo SV, Rosel P, Palacios E: Poorly differentiated neuroendocrine tumor of the larynx: challenging and highly aggressive. Ear Nose Throat J. 2006, 85: 706-708.PubMed Arroyo SV, Rosel P, Palacios E: Poorly differentiated neuroendocrine tumor of the larynx: challenging and highly aggressive. Ear Nose Throat J. 2006, 85: 706-708.PubMed
10.
go back to reference Rosenthal DI, Barker JL, El-Naggar AK, Glisson BS, Kies MS, Diaz EM, Clayman GL, Demonte F, Selek U, Morrison WH, Ang KK, Chao KS, Garden AS: Sinonasal malignancies with neuroendocrine differentiation: patterns of failure according to histologic phenotype. Cancer. 2004, 101: 2567-2573. 10.1002/cncr.20693.CrossRefPubMed Rosenthal DI, Barker JL, El-Naggar AK, Glisson BS, Kies MS, Diaz EM, Clayman GL, Demonte F, Selek U, Morrison WH, Ang KK, Chao KS, Garden AS: Sinonasal malignancies with neuroendocrine differentiation: patterns of failure according to histologic phenotype. Cancer. 2004, 101: 2567-2573. 10.1002/cncr.20693.CrossRefPubMed
11.
go back to reference Rischin D, Coleman A: Sinonasal malignancies of neuroendocrine origin. Hematol Oncol Clin North Am. 2008, 22: 1297-1316. 10.1016/j.hoc.2008.08.008.CrossRefPubMed Rischin D, Coleman A: Sinonasal malignancies of neuroendocrine origin. Hematol Oncol Clin North Am. 2008, 22: 1297-1316. 10.1016/j.hoc.2008.08.008.CrossRefPubMed
12.
go back to reference Silva EG, Butler JJ, Mackay B, Goepfert H: Neuroblastomas and neuroendocrine carcinomas of the nasal cavity: a proposed new classification. Cancer. 1982, 50: 2388-2405. 10.1002/1097-0142(19821201)50:11<2388::AID-CNCR2820501126>3.0.CO;2-K.CrossRefPubMed Silva EG, Butler JJ, Mackay B, Goepfert H: Neuroblastomas and neuroendocrine carcinomas of the nasal cavity: a proposed new classification. Cancer. 1982, 50: 2388-2405. 10.1002/1097-0142(19821201)50:11<2388::AID-CNCR2820501126>3.0.CO;2-K.CrossRefPubMed
13.
go back to reference Wenig BM: Undifferentiated malignant neoplasms of the sinonasal tract. Arch Pathol Lab Med. 2009, 133: 699-712.PubMed Wenig BM: Undifferentiated malignant neoplasms of the sinonasal tract. Arch Pathol Lab Med. 2009, 133: 699-712.PubMed
14.
go back to reference Gillenwater A, Lewin J, Roberts D, El-Naggar A: Moderately differentiated neuroendocrine carcinoma (atypical carcinoid) of the larynx: a clinically aggressive tumor. Laryngoscope. 2005, 115: 1191-1195. 10.1097/01.MLG.0000166179.40750.1B.CrossRefPubMed Gillenwater A, Lewin J, Roberts D, El-Naggar A: Moderately differentiated neuroendocrine carcinoma (atypical carcinoid) of the larynx: a clinically aggressive tumor. Laryngoscope. 2005, 115: 1191-1195. 10.1097/01.MLG.0000166179.40750.1B.CrossRefPubMed
15.
go back to reference Ferlito A, Rinaldo A: Primary and secondary small cell neuroendocrine carcinoma of the larynx: a review. Head Neck. 2008, 30: 518-524. 10.1002/hed.20797.CrossRefPubMed Ferlito A, Rinaldo A: Primary and secondary small cell neuroendocrine carcinoma of the larynx: a review. Head Neck. 2008, 30: 518-524. 10.1002/hed.20797.CrossRefPubMed
16.
go back to reference Gripp FM, Risse EK, Leverstein H, Snow GB, Meijer CJ: Neuroendocrine neoplasms of the larynx. Importance of the correct diagnosis and differences between atypical carcinoid tumors and small-cell neuroendocrine carcinoma. Eur Arch Otorhinolaryngol. 1995, 252: 280-286.CrossRefPubMed Gripp FM, Risse EK, Leverstein H, Snow GB, Meijer CJ: Neuroendocrine neoplasms of the larynx. Importance of the correct diagnosis and differences between atypical carcinoid tumors and small-cell neuroendocrine carcinoma. Eur Arch Otorhinolaryngol. 1995, 252: 280-286.CrossRefPubMed
17.
go back to reference Mendis D, Malik N: Sinonasal neuroendocrine carcinoma: a case report. Ear Nose Throat J. 2008, 87: 280-282. 293PubMed Mendis D, Malik N: Sinonasal neuroendocrine carcinoma: a case report. Ear Nose Throat J. 2008, 87: 280-282. 293PubMed
18.
go back to reference Capelli M, Bertino G, Morbini P, Villa C, Zorzi S, Benazzo M: Neuroendocrine carcinomas of the upper airways: a small case series with histopathological considerations. Tumori. 2007, 93: 499-503.PubMed Capelli M, Bertino G, Morbini P, Villa C, Zorzi S, Benazzo M: Neuroendocrine carcinomas of the upper airways: a small case series with histopathological considerations. Tumori. 2007, 93: 499-503.PubMed
19.
go back to reference Fitzek MM, Thornton AF, Varvares M, Ancukiewicz M, McIntyre J, Adams J, Rosenthal S, Joseph M, Amrein P: Neuroendocrine tumors of the sinonasal tract. Results of a prospective study incorporating chemotherapy, surgery, and combined proton-photon radiotherapy. Cancer. 2002, 94: 2623-2634. 10.1002/cncr.10537.CrossRefPubMed Fitzek MM, Thornton AF, Varvares M, Ancukiewicz M, McIntyre J, Adams J, Rosenthal S, Joseph M, Amrein P: Neuroendocrine tumors of the sinonasal tract. Results of a prospective study incorporating chemotherapy, surgery, and combined proton-photon radiotherapy. Cancer. 2002, 94: 2623-2634. 10.1002/cncr.10537.CrossRefPubMed
20.
go back to reference Bhattacharyya N, Thornton AF, Joseph MP, Goodman ML, Amrein PC: Successful treatment of esthesioneuroblastoma and neuroendocrine carcinoma with combined chemotherapy and proton radiation. Results in 9 cases. Arch Otolaryngol Nead Neck Surg. 1997, 123: 34-40.CrossRef Bhattacharyya N, Thornton AF, Joseph MP, Goodman ML, Amrein PC: Successful treatment of esthesioneuroblastoma and neuroendocrine carcinoma with combined chemotherapy and proton radiation. Results in 9 cases. Arch Otolaryngol Nead Neck Surg. 1997, 123: 34-40.CrossRef
Metadata
Title
Sinonasal neuroendocrine carcinoma: impact of differentiation status on response and outcome
Authors
Anna Likhacheva
David I Rosenthal
Ehab Hanna
Michael Kupferman
Franco DeMonte
Adel K El-Naggar
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Head & Neck Oncology / Issue 1/2011
Electronic ISSN: 1758-3284
DOI
https://doi.org/10.1186/1758-3284-3-32

Other articles of this Issue 1/2011

Head & Neck Oncology 1/2011 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine