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"Read" and 'Tailor' Your Treatment.

Kausalya K Sahu1, Deviprasad Dosemane2, Meera Khadilkar2

  • 1Department of Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Mangalore, India.

Iranian Journal of Otorhinolaryngology
|December 21, 2019
PubMed
Summary
This summary is machine-generated.

Respiratory epithelial adenomatoid hamartoma (READ) is a rare sinonasal tract lesion. This case highlights its potential misdiagnosis as neoplastic conditions, emphasizing accurate histopathological diagnosis for appropriate treatment.

Keywords:
Ethmoidal polypsHamartomaNasal massNasal polypsRespiratory epithelial adenomatoid hamartoma (READ)Sinonasal tract

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Area of Science:

  • Otolaryngology
  • Pathology

Background:

  • The sinonasal tract harbors diverse neoplastic lesions.
  • Accurate diagnosis is crucial due to varied treatment implications.

Observation:

  • A 65-year-old male presented with bilateral nasal obstruction.
  • Examination revealed firm, polypoidal masses in the nasal cavity.
  • CT scan showed mucosal thickening and concha bullosa.

Findings:

  • Histopathology confirmed inflammatory changes in most masses.
  • A lesion in the left middle meatus was diagnosed as respiratory epithelial adenomatoid hamartoma (READ).
  • No recurrence was noted at 6-month follow-up.

Implications:

  • Respiratory epithelial adenomatoid hamartoma (READ) is a rare sinonasal tumor.
  • It can be misdiagnosed as inverted papilloma or adenocarcinoma.
  • Accurate diagnosis prevents inadequate treatment or overtreatment.