the RESPIRATORY EPITHELIAL ADENOMATOID HAMARTOMA (REAH), a case report
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Abstract
Respiratory epithelial adenomatoid hamartoma (REAH) is a benign tumor of the nasosinusal tract originating at the level of the posterior and superior nasal septum, located in the olfactory cleft, where it causes widening of the lateral plate.
The correct recognition of this diagnosis must be made before taking the patient to surgical management in order to avoid aggressive and unnecessary surgeries and complications (1).
There are two forms of presentation: isolated REAH or REAH + nasal polyposis. 35-48% of patients with nasal polyposis have REAH, which leads to underdiagnosis of the disease.
Clinical case: elderly patient with symptoms similar to chronic inflammatory nasal diseases, in whom a nasosinuscopy is performed and a polypoid/cerebriform lesion of the olfactory cleft and right middle turbinate is evident. The patient underwent functional endoscopic surgery, with a histopathological diagnosis of REAH from a pathology sample.
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eISSN: 2539-0856
ISSN: 0120-8411
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References
1. Nguyen DT, Gauchotte G, Arous F, Vignaud JM, Jankowski R. Respiratory epithelial adenomatoid hamartoma of the nose: an updated review. Am J Rhinol Allergy. 2014;28(5):187-92. https://doi.org/10.2500/ajra.2014.28.4085
2. Rom D, Lee M, Chandraratnam E, Chin R, Sritharan N. Respiratory epithelial adenomatoid hamartoma: an important differential of sinonasal masses. Cureus. 2018;10(4):e2495. https://doi.org/10.7759/cureus.2495
3. Kumar D, Handa KK, Handa A, Gautam P. Recurrent respiratory epithelial adenomatoid hamartoma of the nasal cavity. Proc (Bayl Univ Med Cent). 2022;35(5):668-9. https://doi.org/10.1080/08998280.2022.2086783
4. Issa MJA, de Oliveira VRR, Nunes FB, Vasconcelos LOG, Souza LFB, Cherobin GB, et al. Prevalence of respiratory epithelial adenomatoid hamartomas (REAH) associated with nasal polyposis: an epidemiological study - how to diagnose. Braz J Otorhinolaryngol. 2022;88(Suppl 5):S57-62. https://doi.org/10.1016/j.bjorl.2021.09.009
5. Davison WL, Pearlman AN, Donatelli LA, Conley LM. Respiratory epithelial adenomatoid hamartomas: an increasingly common diagnosis in the setting of nasal polyps. Am J Rhinol Allergy. 2016;30(4):139-46. https://doi.org/10.2500/ajra.2016.30.4338
6. Lacroix JS, Landis BN. Fisiología de la mucosa respiratoria rinosinusal y trastornos funcionales. EMC Otorrinolaringología.
2009;38(2):1-11. https://doi.org/10.1016/S1632-3475(09)70290-5