Respiratory Epithelial Adenomatoid Hamartoma: An Uncommon Differential of Nasopharyngeal Tumor

Respiratory epithelial adenomatoid hamartoma (REAH) is an uncommon tumor-like lesion that has been reported within the nose, paranasal sinuses, and less frequently in the nasopharynx. While it is believed to be benign, its clinical presentation, radiological characteristics, and microscopic features...

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Main Authors: Taiwo Olufemi Solaja, Kenechukwu Chinemelum Uche-Okonkwo, Moses Ayodele Akinola, John Ifeanyi Nwadiokwu
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2023/9942293
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author Taiwo Olufemi Solaja
Kenechukwu Chinemelum Uche-Okonkwo
Moses Ayodele Akinola
John Ifeanyi Nwadiokwu
author_facet Taiwo Olufemi Solaja
Kenechukwu Chinemelum Uche-Okonkwo
Moses Ayodele Akinola
John Ifeanyi Nwadiokwu
author_sort Taiwo Olufemi Solaja
collection DOAJ
description Respiratory epithelial adenomatoid hamartoma (REAH) is an uncommon tumor-like lesion that has been reported within the nose, paranasal sinuses, and less frequently in the nasopharynx. While it is believed to be benign, its clinical presentation, radiological characteristics, and microscopic features may closely mimic more aggressive tumors of the upper respiratory tract, potentially leading to needless life-altering treatment. Prior to now, there had been no reported cases of this lesion in West Africa. We present a 35-year-old male with persistent bilateral nasal obstruction, difficulty with swallowing, and bilateral reduction in hearing, whose CT findings were highly suggestive of a nasopharyngeal tumor, but upon biopsy and histology showed features most consistent with REAH. Surgery completely alleviated his symptoms with no clinical evidence of recurrence after a 1-year follow-up period.
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spelling doaj.art-842425d617d14cd2acb0fd1339c609c72023-12-08T00:00:06ZengHindawi LimitedCase Reports in Otolaryngology2090-67732023-01-01202310.1155/2023/9942293Respiratory Epithelial Adenomatoid Hamartoma: An Uncommon Differential of Nasopharyngeal TumorTaiwo Olufemi Solaja0Kenechukwu Chinemelum Uche-Okonkwo1Moses Ayodele Akinola2John Ifeanyi Nwadiokwu3Department of Anatomic PathologyOtorhinolaryngology UnitOtorhinolaryngology UnitDepartment of Anatomic PathologyRespiratory epithelial adenomatoid hamartoma (REAH) is an uncommon tumor-like lesion that has been reported within the nose, paranasal sinuses, and less frequently in the nasopharynx. While it is believed to be benign, its clinical presentation, radiological characteristics, and microscopic features may closely mimic more aggressive tumors of the upper respiratory tract, potentially leading to needless life-altering treatment. Prior to now, there had been no reported cases of this lesion in West Africa. We present a 35-year-old male with persistent bilateral nasal obstruction, difficulty with swallowing, and bilateral reduction in hearing, whose CT findings were highly suggestive of a nasopharyngeal tumor, but upon biopsy and histology showed features most consistent with REAH. Surgery completely alleviated his symptoms with no clinical evidence of recurrence after a 1-year follow-up period.http://dx.doi.org/10.1155/2023/9942293
spellingShingle Taiwo Olufemi Solaja
Kenechukwu Chinemelum Uche-Okonkwo
Moses Ayodele Akinola
John Ifeanyi Nwadiokwu
Respiratory Epithelial Adenomatoid Hamartoma: An Uncommon Differential of Nasopharyngeal Tumor
Case Reports in Otolaryngology
title Respiratory Epithelial Adenomatoid Hamartoma: An Uncommon Differential of Nasopharyngeal Tumor
title_full Respiratory Epithelial Adenomatoid Hamartoma: An Uncommon Differential of Nasopharyngeal Tumor
title_fullStr Respiratory Epithelial Adenomatoid Hamartoma: An Uncommon Differential of Nasopharyngeal Tumor
title_full_unstemmed Respiratory Epithelial Adenomatoid Hamartoma: An Uncommon Differential of Nasopharyngeal Tumor
title_short Respiratory Epithelial Adenomatoid Hamartoma: An Uncommon Differential of Nasopharyngeal Tumor
title_sort respiratory epithelial adenomatoid hamartoma an uncommon differential of nasopharyngeal tumor
url http://dx.doi.org/10.1155/2023/9942293
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AT mosesayodeleakinola respiratoryepithelialadenomatoidhamartomaanuncommondifferentialofnasopharyngealtumor
AT johnifeanyinwadiokwu respiratoryepithelialadenomatoidhamartomaanuncommondifferentialofnasopharyngealtumor