TY - JOUR ID - 11143 TI - Lateral Nasal Wall Respiratory Epithelial Adenomatoid Hamartoma (REAH): A Diagnostic Conundrum JO - Iranian Journal of Otorhinolaryngology JA - IJORL LA - en SN - 2251-7251 AU - Goh, Liang-Chye AU - Wan, Ming-Hui AU - Shashi, Gopalan AU - Elangkumaran, Krishnan AD - Department of Otorhinolaryngology, University of Malaya Medical Center, Kuala Lumpur, Malaysia. AD - Department of Otorhinolaryngology, Hospital Tengku Ampuan Rahimah, Klang, Selangor, Malaysia. Y1 - 2018 PY - 2018 VL - 30 IS - 4 SP - 225 EP - 229 KW - Electrocautery KW - Endoscope KW - Hamartoma KW - Nasal cavity DO - 10.22038/ijorl.2018.22539.1743 N2 - 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. UR - https://ijorl.mums.ac.ir/article_11143.html L1 - https://ijorl.mums.ac.ir/article_11143_26c1b892a0c95c1c2338517dbd16809b.pdf ER -