Lateral Nasal Wall Respiratory Epithelial Adenomatoid Hamartoma (REAH): A Diagnostic Conundrum

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Goh Liang Chye; Wan Ming Hui; Shashi Gopalan; Elangkumaran Krishnan

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Journal Paper

Paper Information

Journal: Iranian Journal of Otorhinolaryngology Year:2018 | Volume:30 | Issue:4 (99) Page(s): 225-229

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Title

Lateral Nasal Wall Respiratory Epithelial Adenomatoid Hamartoma (REAH): A Diagnostic Conundrum

Author(s)

Goh Liang Chye | Wan Ming Hui | Shashi Gopalan | Elangkumaran Krishnan | Issue Writer Certificate

Keywords

Electrocautery

Endoscope

Hamartoma

Nasal cavity

Abstract

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.

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APA: Copy

Goh, Liang Chye, Wan, Ming Hui, Shashi, Gopalan, & Elangkumaran, Krishnan. (2018). Lateral Nasal Wall Respiratory Epithelial Adenomatoid Hamartoma (REAH): A Diagnostic Conundrum. IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY, 30(4 (99)), 225-229. SID. https://sid.ir/paper/750623/en

Vancouver: Copy

Goh Liang Chye, Wan Ming Hui, Shashi Gopalan, Elangkumaran Krishnan. Lateral Nasal Wall Respiratory Epithelial Adenomatoid Hamartoma (REAH): A Diagnostic Conundrum. IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY[Internet]. 2018;30(4 (99)):225-229. Available from: https://sid.ir/paper/750623/en

IEEE: Copy

Liang Chye Goh, Ming Hui Wan, Gopalan Shashi, and Krishnan Elangkumaran, “Lateral Nasal Wall Respiratory Epithelial Adenomatoid Hamartoma (REAH): A Diagnostic Conundrum,” IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY, vol. 30, no. 4 (99), pp. 225–229, 2018, [Online]. Available: https://sid.ir/paper/750623/en

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