A systematic review of sinonasal oncocytomas and oncocytic carcinomas: Diagnosis, management, and technical considerations

Zerina Hodzic, Nicholas Rowan, Ryota Kashiwazaki, Thomas J. Willson, Eric W. Wang, Stella E. Lee

Research output: Contribution to journalReview article

Abstract

Background: Oncocytomas and oncocytic carcinomas are rare tumors of the sinonasal cavity with the propensity for local invasion. This report and systematic review details a case of a nasal oncocytoma involving the lacrimal sac and provides an update of the current literature. Methods: A systematic literature review was performed using PubMed and Ovid databases. The data obtained from published articles with sinonasal oncocytoma/oncocytic carcinoma as the primary diagnosis included patient demographics, presentation, radiographic and histologic findings, management, and recurrence rates. Results: Twenty cases were identified. The most common symptoms were epistaxis (n = 11) and nasal obstruction (n = 11). Involvement of the nasal cavity was most common (n = 17), followed by the paranasal sinuses (n = 13) and nasolacrimal apparatus (n = 4). Recurrence occurred in 55% of cases. Recurrence was associated with invasion or infiltration found on histology or the presence of both invasion/infiltration and mitotic figures/pleomorphism (p < 0.05), with no significant relationship between recurrence and age at diagnosis (p = 0.42), sex (p = 0.65), and location of tumor (p = 0.14). The authors present the case of a 73-year-old woman with a 5-month history of worsening epistaxis and biopsy-proven oncocytoma. Complete surgical resection of the tumor using combined endonasal endoscopic and anterior orbitotomy approach is described. Conclusion: Oncocytomas and oncocytic carcinomas are rare tumors of the sinonasal cavity with a high rate of local recurrence and orbital involvement. Surgical resection is the treatment of choice and complete resection can be achieved with an endoscopic endonasal approach.

Original languageEnglish (US)
Pages (from-to)514-524
Number of pages11
JournalInternational Forum of Allergy and Rhinology
Volume7
Issue number5
DOIs
Publication statusPublished - May 1 2017
Externally publishedYes

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Keywords

  • nasal oncocytic carcinoma
  • nasal oncocytoma
  • oncocytoma
  • paranasal sinuses

ASJC Scopus subject areas

  • Immunology and Allergy
  • Otorhinolaryngology

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