Flexner-Wintersteiner Rosettes

  • Homer-Wright Pseudorosettes and Flexner-Wintersteiner Rosettes are findings that are seen in olfactory neuroblastomas (esthesioneuroblastomas), and in some other tumours. 1
  • They are a component of the Hyam’s Grading System for olfactory neuroblastomas.
  • Flexner-Wintersteiner Rosettes are true rosettes (with a central lumen) surrounded by columnar cells. Flexner-Wintersteiner Rosettes are specific to Hyams Grade III esthesioneuroblastoma.
  • These differ from Homer Wright Rosettes, which can be seen in Hyams Grade I/II esthesioneuroblastoma, and are structures with a eosinophilic centre surrounded by cells but without a true lumen.

Homer Wright Pseudorosettes versus Flexner-Wintersteiner Rosettes

  1. Cardesa, Antonio, et al., eds. Pathology of the Head and Neck. Vol. 316. Berlin: Springer, 2006. 

Last updated September 29, 2022