Respiratory epithelial adenomatoid hamartoma of the nasal cavity: A case report of a rare lesion of the sinonasal region

Czech version

Authors: V. Bartoš ¹; P. Rác ²; A. Skálová ³
Authors‘ workplace: Martinské bioptické centrum, s. r. o., Martin Odborný garant: prof. MUDr. Lukáš Plank, CSc. ¹; Nemocnica s poliklinikou, Považská Bystrica Otorinolaryngologická ambulancia Lékař: MUDr. Peter Rác ²; Bioptická laboratoř, s. r. o., Plzeň Odborná vedoucí lékařka: prof. MUDr. Alena Skálová, CSc. ³
Published in: Prakt. Lék. 2024; 104(4): 207-211
Category: Case Report

Overview

Respiratory epithelial adenomatoid hamartoma (REAH) is a rare benign lesion originating from the mucosal epithelium of the nasal cavity and paranasal sinuses. We describe a 51-year-old man with a history of persistent difficulty breathing and feeling of stuffy nose. He was diagnosed to have a large polypoid mass in the right nasal cavity with a stalk arising from the olfactory cleft. Grossly, it was a compact polyp measuring 40 × 32 × 10 mm with a smooth surface. The histology confirmed the diagnosis of REAH with predominance of glandular structures with a transition to seromucinous hamartoma. After the operation, the clinical problems had disappeared and the patient was free of recurrence. Despite rare occurrence, REAH should be included in the differential diagnosis of sinonasal polypoid masses, especially of those which originate from the posterior part of the nasal septum or olfactory cleft. Early recognition and correct diagnosis prevent unnecessary aggressive surgery and other burdensome examinations.

Keywords:

nasal polyps – respiratory epithelial adenomatoid hamartoma – sinonasal masses

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adresa pre korešpondenciu:
MUDr. PhDr. Vladimír Bartoš, PhD., MPH
Martinské bioptické centrum, s.r.o.
Prieložtek 1, 036 01 Martin, SR
e-mail: vladim.bartos@gmail.com

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Article was published in

General Practitioner

2024 Issue 4