Lateral Nasal Wall Respiratory Epithelial Adenomatoid Hamartoma (REAH): A Diagnostic Conundrum

Lateral Nasal Wall Respiratory Epithelial Adenomatoid Hamartoma (REAH): A Diagnostic Conundrum

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Introduction: This study aims to report a turbo air m3f24-1-n 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 read more 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.