“Read” and ‘Tailor’ Your Treatment | ||
| Iranian Journal of Otorhinolaryngology | ||
| مقاله 7، دوره 31، شماره 6 - شماره پیاپی 107، بهمن و اسفند 2019، صفحه 377-381 اصل مقاله (901.73 K) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.22038/ijorl.2019.29914.1972 | ||
| نویسندگان | ||
| Kausalya Sahu1؛ Deviprasad Dosemane* 2؛ Meera Khadilkar2؛ Deeksha Shetty2؛ Madhurya Ramineni1 | ||
| 1Department of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Mangalore, India. | ||
| 2Department of Otorhinolaryngology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Mangalore, India. | ||
| چکیده | ||
| Introduction: Thesinonasal tract is an area that may be affected by various types of neoplastic lesions with more variety than what is encountered in other parts of the upper airway and food passage. Case Report: An elderly gentleman of 65 years complained of nose block on both sides for 3 months. On examination, he had firm polypoidal masses arising from the middle meatus and septum on both sides. Computed tomography scan of the sinuses revealed polypoidal mucosal thickening in bilateral sinuses with bilateral concha bullosa. The patient underwent functional endoscopic sinus surgery with the complete excision of the masses from the lateral wall and septum under general anesthesia. The results of the histopathological examination showed inflammatory changes in polypoidal tissues from the right maxillary, bilateral ethmoidal sinuses, and bilateral septal masses. The lesion in the left middle meatus showed the features of respiratory epithelial adenomatoid hamartoma (READ). The case had no evidence of residual or recurrent lesion during 6 months after the surgery. Conclusion: The READ is a rare lesion observed in the sinonasal tract. It is a diagnostic dilemma for clinicians as it can be misdiagnosed as neoplastic lesions, such as inverted papilloma or adenocarcinoma, which would warrant radical surgery or sinonasal polyposis and be treated inadequately. | ||
| کلیدواژهها | ||
| Ethmoidal polyps؛ Hamartoma؛ Nasal mass؛ Nasal polyps؛ Respiratory epithelial adenomatoid hamartoma (READ)؛ Sinonasal tract | ||
| مراجع | ||
|
1. Endo R, Matsuda H, Takahashi M, Hara M, Inaba H TM. Respiratory epithelial adenomatoid hamartoma in the nasal cavity. Acta Otolaryngol. 2002; (122):398–400.
2. Kaneko C, Inokuchi A, Kimitsuki T, Kumamoto Y, Shinokuma A, Natori Y, et al. Huge hamartoma with inverted papilloma in the nasal cavity. Eur Arch Otorhinolaryngol. 1999 ;256 Suppl 1:S33-7.
3. Graeme-Cook F, Pilch BZ. Hamartomas of the nose and nasopharynx. Head Neck. 1992; 14(4): 321–7.
4. Albrecht E UH. Uber Hamartome. Verh Dtsch Ges Pathol. 1904;(7):153–7.
5. Wenig BM, Heffner DK. Respiratory epithelial adenomatoid hamartomas of the sinonasal tract and nasopharynx: A clinicopathologic study of 31 cases. Ann Otol Rhinol Laryngol. 1995; 104(8): 639–45.
6. Stelow EB, Bishop JA. Update from the 4th Edition of the World Health Organization Classification of Head and Neck Tumours : Tumors of the Nasal Cavity , Paranasal Sinuses and Skull Base. Head Neck Pathol. 2017; doi 10.1007/s 12105-017-0791-4.
7. Starska K, Lukomski M, Ratyńska M. Rare case of a respiratory epithelial adenomatoid hamartoma of the nasal cavity, maxillary sinus et ethmoid sinuses: a clinicopathologic study. Otolaryngol Pol= Polish Otolaryngol. 2005;59(3):421–4.
8. Braun H, Beham A, Stammberger H. Respiratorisches epitheliales adenomatoides Hamartom der Nasenhaupthöhle. Laryngo-Rhino-Otologie. 2003 Jun;82(6):416–20.
9. Himi Y, Yoshizaki T, Sato K, Furukawa M. Respiratory epithelial adenomatoid hamartoma of the maxillary sinus. J Laryngol Otol. 2002 Apr 8; 116(4):317–8.
10. Delbrouck C, Fernandez Aguilar S, Choufani G, Hassid S. Respiratory epithelial adenomatoid hamartoma associated with nasal polyposis. Am J Otolaryngol. 2004 Jul-Aug; 25(4):282–4.
11. Cao Z, Gu Z, Yang J, Jin M. Respiratory epithelial adenomatoid hamartoma of bilateral olfactory clefts associated with nasal polyposis: Three cases report and literature review. Auris Nasus Larynx. 2010 Jun;37(3):352–6.
12. Bruce M Wenig.Non Neoplastic lesions of the Sinonasal tract In: Atlas of Head and Neck Pathology. 2nd ed. Philadelphia: Elsevier; 2008. p. 28–30. | ||
|
آمار تعداد مشاهده مقاله: 609 تعداد دریافت فایل اصل مقاله: 353 |
||