Lateral Nasal Wall Respiratory Epithelial Adenomatoid Hamartoma (REAH): A Diagnostic Conundrum
سال انتشار: 1397
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 257
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شناسه ملی سند علمی:
JR_IJOTO-30-4_007
تاریخ نمایه سازی: 12 تیر 1398
چکیده مقاله:
Introduction: This study aims to report a rare case of a respiratory epithelial adenomatoid hamartoma (REAH) of the lateral nasal wall that had initially presented as a fungating mass, similar to that of a sinonasal malignancy, and its complete removal from the lateral nasal wall. Case Report: We report the case of a 58-year-old woman who presented to us with a chief complaint of recurrent right-sided epistaxis and nasal blockage for the past 4 months, which was progressively worsening. Histopathological examination confirmed the presence of a REAH instead of a sinonasal malignancy. The tumor was surgically excised from the lateral nasal wall using electrocautery under endoscopic guidance. The patient was then carefully followed-up after surgery, and the wound was successfully healed 3 months after the initial surgery. There was no evidence of recurrence 6 months after the initial surgery Conclusion: This case demonstrates the rare presentation of a REAH, which had arisen from the lateral nasal wall. Clinically, it is difficult to distinguish a REAH from a more notorious mass such as a sinonasal malignancy. Therefore, biopsy is mandatory in all cases of lateral nasal mass in order to rule out malignancy before confirming nasal REAH. Fortunately, as seen in this case, a lateral nasal REAH, once diagnosed, can be safely and easily removed from the lateral nasal wall using electrocautery with good surgical outcomes and a low rate of recurrence.
کلیدواژه ها:
نویسندگان
Liang-Chye Goh
Department of Otorhinolaryngology, University of Malaya Medical Center, Kuala Lumpur, Malaysia.
Ming-Hui Wan
Department of Otorhinolaryngology, Hospital Tengku Ampuan Rahimah, Klang, Selangor, Malaysia.
Gopalan Shashi
Department of Otorhinolaryngology, Hospital Tengku Ampuan Rahimah, Klang, Selangor, Malaysia.
Krishnan Elangkumaran
Department of Otorhinolaryngology, Hospital Tengku Ampuan Rahimah, Klang, Selangor, Malaysia.
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