Respiratory epithelial adenomatoid hamartoma of the maxillary sinus: case report

The case is described of a male patient with respiratory epithelial adenomatoid hamartoma of the left maxillary sinus that initially presented as a chronic sinus inflammation. This benign lesion is characterized by glandular proliferation originating from the surface of the respiratory epithelium. Maxillary sinus localisation is very rare but is very important to be able to distinguish hamartomas from schneiderian papillomas of the inverted type and adenocarcinomas, potentially requiring aggressive surgical treatment. Moreover, misinterpretation of the respiratory epithelial adenomatoid hamartoma as chronic sinus inflammation may result in inadequate treatment. The clinical and pathological features of this lesion are discussed.