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The importance of the differential diagnosis in rhinology: respiratory epithelial adenomatoid hamartoma of the sinonasal tract.
MedLine Citation:
PMID:  21349469     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: Respiratory epithelial adenomatoid hamartoma (REAH) is an uncommon lesion of the nasal and paranasal sinuses. It was first described in 1995 by Wenig and Heffner, and only about 60 cases have been published since then. MATERIAL AND METHODS: We present 6 case studies of nasal cavity hamartoma diagnosed and treated at our institution between 2005 and 2010. We also conducted a literature review and comprehensive study of the differential diagnosis of this condition, both clinical and pathological. RESULTS: The male-female ratio was 5:1, with a mean age of 63.1 years. The most frequent symptoms were nasal obstruction, rhinorrhea and loss of smell. All cases were treated with endoscopic sinus surgery, without recurrences in the follow-up period (28.2 months; SD=11.5 months). CONCLUSION: We suggest that differential diagnosis should be made on the basis of nasal polyps, antrochoanal polyps, inverted papilloma and low-grade adenocarcinoma. This review of published cases is of equal interest to both pathologists and otorhinolaryngologists.
Authors:
Francesc Xavier Avilés Jurado; José María Guilemany Toste; Isam Alobid; Llúcia Alós; Joaquim Mullol I Miret
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-22
Journal Detail:
Title:  Acta otorrinolaringologica espanola     Volume:  -     ISSN:  1988-3013     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  14540260R     Medline TA:  Acta Otorrinolaringol Esp     Country:  -    
Other Details:
Languages:  ENG; SPA     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2010 Elsevier España, S.L. All rights reserved.
Affiliation:
Servicio de Otorrinolaringología, Hospital Universitari Joan XXIII, Tarragona, Catalunya, España; IISPV, Universitat Rovira i Virgili, Tarragona, España.
Vernacular Title:
Importancia del diagnóstico diferencial en rinología: hamartoma respiratorio adenoepitelial.
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